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Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey
Mental illnesses commonly occur in the reproductive age. This study aimed to identify the issues that exist within the perinatal mental health care system. A cross-sectional survey was conducted in Aichi Prefecture in central Japan. Questionnaires on the situation between 2016 and 2018 were mailed t...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431700/ https://www.ncbi.nlm.nih.gov/pubmed/34501712 http://dx.doi.org/10.3390/ijerph18179122 |
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author | Fujita, Kei Kotani, Tomomi Moriyama, Yoshinori Ushida, Takafumi Imai, Kenji Kobayashi-Nakano, Tomoko Kato, Noriko Kano, Takeo Kikkawa, Fumitaka Kajiyama, Hiroaki |
author_facet | Fujita, Kei Kotani, Tomomi Moriyama, Yoshinori Ushida, Takafumi Imai, Kenji Kobayashi-Nakano, Tomoko Kato, Noriko Kano, Takeo Kikkawa, Fumitaka Kajiyama, Hiroaki |
author_sort | Fujita, Kei |
collection | PubMed |
description | Mental illnesses commonly occur in the reproductive age. This study aimed to identify the issues that exist within the perinatal mental health care system. A cross-sectional survey was conducted in Aichi Prefecture in central Japan. Questionnaires on the situation between 2016 and 2018 were mailed to the head physicians of 128 maternity care units, 21 neonatal intensive care units (NICUs), and 40 assisted reproductive technology (ART) units. A total of 82 (52.6 per 100,000 births) women were admitted to mental health care units during the perinatal period, and 158 (1.0 per 1000 births) neonates born to mothers with mental illness were admitted to NICUs. Approximately 40% of patients were hospitalized in psychiatric hospitals without maternity care units. Eighty-four (71.1%) and 76 (64.4%) maternity care units did not have psychiatrists or social workers, respectively. Moreover, 20–35% of the head physicians in private clinics, general hospitals, and ART units endorsed the discontinuation of psychotropic drug use during pregnancy. However, the corresponding figures were only 5% among those in maternal-fetal centers. Resources for perinatal mental illness might be limited. Perspectives on psychotropic drug use differed based on the type of facilities where the doctors were working. |
format | Online Article Text |
id | pubmed-8431700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84317002021-09-11 Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey Fujita, Kei Kotani, Tomomi Moriyama, Yoshinori Ushida, Takafumi Imai, Kenji Kobayashi-Nakano, Tomoko Kato, Noriko Kano, Takeo Kikkawa, Fumitaka Kajiyama, Hiroaki Int J Environ Res Public Health Article Mental illnesses commonly occur in the reproductive age. This study aimed to identify the issues that exist within the perinatal mental health care system. A cross-sectional survey was conducted in Aichi Prefecture in central Japan. Questionnaires on the situation between 2016 and 2018 were mailed to the head physicians of 128 maternity care units, 21 neonatal intensive care units (NICUs), and 40 assisted reproductive technology (ART) units. A total of 82 (52.6 per 100,000 births) women were admitted to mental health care units during the perinatal period, and 158 (1.0 per 1000 births) neonates born to mothers with mental illness were admitted to NICUs. Approximately 40% of patients were hospitalized in psychiatric hospitals without maternity care units. Eighty-four (71.1%) and 76 (64.4%) maternity care units did not have psychiatrists or social workers, respectively. Moreover, 20–35% of the head physicians in private clinics, general hospitals, and ART units endorsed the discontinuation of psychotropic drug use during pregnancy. However, the corresponding figures were only 5% among those in maternal-fetal centers. Resources for perinatal mental illness might be limited. Perspectives on psychotropic drug use differed based on the type of facilities where the doctors were working. MDPI 2021-08-29 /pmc/articles/PMC8431700/ /pubmed/34501712 http://dx.doi.org/10.3390/ijerph18179122 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Fujita, Kei Kotani, Tomomi Moriyama, Yoshinori Ushida, Takafumi Imai, Kenji Kobayashi-Nakano, Tomoko Kato, Noriko Kano, Takeo Kikkawa, Fumitaka Kajiyama, Hiroaki Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey |
title | Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey |
title_full | Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey |
title_fullStr | Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey |
title_full_unstemmed | Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey |
title_short | Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey |
title_sort | current issues within the perinatal mental health care system in aichi prefecture, japan: a cross-sectional questionnaire survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431700/ https://www.ncbi.nlm.nih.gov/pubmed/34501712 http://dx.doi.org/10.3390/ijerph18179122 |
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