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Mother-Baby Day Hospital (MBDH): preliminary results of effectiveness of multidisciplinary intensive intervention for women with postpartum affective/anxiety disorder

Published online by Cambridge University Press:  01 September 2022

E. Gelabert ,
A. Torres Giménez ,
S. Andrés-Perpiñá ,
C. Naranjo ,
E. Roda ,
L. Garcia-Esteve  and
A. Roca Lecumberri
E. Gelabert*
Affiliation:
Universitat Autònoma de Barcelona, Psicologia Clínica I De La Salut, Bellaterra (Barcelona), Spain
A. Torres Giménez
Affiliation:
Hospital Clínic de Barcelona, Servei De Psiquiatria I Psicologia. Unitat De Salut Mental Perinatal, Barcelona, Spain
S. Andrés-Perpiñá
Affiliation:
Hospital Clínic de Barcelona, Servei De Psiquiatria I Psicologia. Unitat De Salut Mental Perinatal, Barcelona, Spain
C. Naranjo
Affiliation:
Hospital Clínic de Barcelona, Servei De Psiquiatria I Psicologia. Unitat De Salut Mental Perinatal, Barcelona, Spain
E. Roda
Affiliation:
Hospital Clínic de Barcelona, Servei De Psiquiatria I Psicologia. Unitat De Salut Mental Perinatal, Barcelona, Spain
L. Garcia-Esteve
Affiliation:
Hospital Clínic de Barcelona, Servei De Psiquiatria I Psicologia. Unitat De Salut Mental Perinatal, Barcelona, Spain
A. Roca Lecumberri
Affiliation:
Hospital Clínic de Barcelona, Servei De Psiquiatria I Psicologia. Unitat De Salut Mental Perinatal, Barcelona, Spain
*
*Corresponding author.

Abstract

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Introduction

Women experiencing postpartum mental illness have unique needs. Psychiatric Mother Baby Units (MBUs) can provide specialist in-patient care for mothers without separation from their baby. Since 2018, an innovative Mother-Baby Day Hospital (MBDH) have been developed and implemented in a public hospital in Spain, directed at the intensive, integral, and multidisciplinary treatment.

Objectives

The aim of the present study was to obtain preliminary data regarding its effectiveness in postpartum women with affective and anxiety disorders.

Methods

Thirty-three mothers and their babies with affective or anxiety disorders attended to MBDH CLINIC-BCN participated in the study. All women were assessed at admission, discharge, and 3 months follow-up. Primary outcomes were depression (EPDS) and anxiety symptoms (STAI-S), mother-infant bonding (PBQ) and functional impairment (HoNOs).

Results

At discharge, 100% of women no longer met the full criteria for the main diagnosis (PSR≥5). Significant improvements from admission to discharge were achieved in depression and anxiety symptoms, mother infant bonding and functional impairment. Clinical significance was also calculated. After treatment, mothers had greater autonomy for care their babies. Similar results were observed at 3 months follow-up. The MBDH was rated by mothers as an excellent quality program and they would recommend it.

Conclusions

This study found that multidisciplinary intervention at MBDH for postpartum women with affective or anxiety disorders is effective, not only for maternal psychopathology but also for maternal care and bonding. It is imperative to develop specialized devices that integrate the care of the dyad by professionals specialized in perinatal mental health.

Disclosure

No significant relationships.

Keywords

Mother-Baby Day HospitalPerinatal anxiety disordersPerinatal mood disordersPerinatal interventions
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S331
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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