Mothers In Postnatal Period Research Articles

What should General Adult Psychiatrists know about Reproductive Counselling of Women with Severe Mental Illness?

A notable part of psychiatry is prevention. Our job, as psychiatrists, is not only to treat mental disorders, but also to prevent them. Treating mothers in postnatal period reducing the negative consequence of depression for child development, for example. General adult psychiatrists face the challenge of having patients, who receive psychiatric health care, while also planning to have a child. Many professionals may find themselves in a situation, when they feel clueless on what to advise regarding pharmacotherapy and realistic expectations on having a child. The presentation will focus on some crucial topics. What should counselling include when planning pregnancy, highlighting differences among first and second or further children. Potentials risks and harms on the fetus / new-born baby will be introduced with emphasis on pharmacological/chemical agents, infectious effects and social, relational and family stressors. What the guidelines are for Covid-19 vaccination and pregnancy. Relative and absolute contraindications of planned pregnancy will be discussed. The crucial question of artificial/therapeutic abortion; are there any psychiatric conditions, when a psychiatrist can/should suggest it? The advantage and knowledge of perinatal mental health guideline papers, bio-ethical aspects will be discussed, along with the consequences of untreated mental illness. Advantage of breastfeeding and an up-to-date view on what should be psychiatrists’ aim will be introduced. Why is it inevitable to cooperate with GPs, obstetric- and gynecology colleagues and further medical professionals? The essential aspect and advantages of involving fathers and extended family members in this approach also will be explained.DisclosureNo significant relationships.

Medical Decision Support Technology for Better Antenatal Care of the Mother, Under-Five Child Survival and Child Health in Rural India

Aim: To develop a decision support technology that can be used by the primary health care providers to take appropriate decisions while rendering health services to Mothers in antenatal Period, Mothers in Postnatal Period, Children below the age of 5 years. Materials and Methods: “Integrated Management of Childhood and Neonatal Illness” was chosen for prototyping for implementation as it was readily available. The developed software prototype was given to the protocol development unit and field trial unit for the initial feedback. We tested our decision support system (DSS) for maternal and childcare in two phases. The first phase involved live testing of the DSS in the urban hospital and in second phase it was given to Village Health workers (VHWs) in two rural Primary Health Centers. Result: We achieved nearly nil mismatches in the 0-2 months category and maternal care. The software for 2months-5years category found some mismatch in diagnosis. Apart from “acute severe malnutrition”; other disease classification found Kappa value to be above 0.9 Conclusion: Village Health worker together with clinical Decision Support System as one unit perform almost as good as a clinician in primary health care. The Decision Support System model may prove to be a highly replicable model.