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Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service

The PANDA unit is a full-time mother-baby hospitalization unit based on an original model of care for vulnerable dyads. It is located within a neonatal unit allowing tripartite care (perinatal psychiatry, neonatology and post-natal care). It thus differs from traditional mother-baby units in its clo...

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Autores principales: Vitte, Lisa, Hauguel, Cyriaque, Benoit, Vincent, Genet, Marie-Camille, Letot, Jessica, Bruel, Henri, Delaunay, Florian, Le Roux, Pascal, Gerardin, Priscille, Devouche, Emmanuel, Apter, Gisèle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396235/
https://www.ncbi.nlm.nih.gov/pubmed/36016980
http://dx.doi.org/10.3389/fpsyt.2022.889557
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author Vitte, Lisa
Hauguel, Cyriaque
Benoit, Vincent
Genet, Marie-Camille
Letot, Jessica
Bruel, Henri
Delaunay, Florian
Le Roux, Pascal
Gerardin, Priscille
Devouche, Emmanuel
Apter, Gisèle
author_facet Vitte, Lisa
Hauguel, Cyriaque
Benoit, Vincent
Genet, Marie-Camille
Letot, Jessica
Bruel, Henri
Delaunay, Florian
Le Roux, Pascal
Gerardin, Priscille
Devouche, Emmanuel
Apter, Gisèle
author_sort Vitte, Lisa
collection PubMed
description The PANDA unit is a full-time mother-baby hospitalization unit based on an original model of care for vulnerable dyads. It is located within a neonatal unit allowing tripartite care (perinatal psychiatry, neonatology and post-natal care). It thus differs from traditional mother-baby units in its close links with the other perinatal care actors, allowing comprehensive health and mental health care in the immediate post-partum period. Patients admitted to the Panda Unit may have been referred during the antenatal period or taken into care in an emergency if the mother's clinical condition requires it, in the aftermath of childbirth. During their stay, the dyads are evaluated daily by a perinatal psychiatrist. This includes assessment of maternal clinical state, the newborn's development and the quality of mother-infant interactions. During the first 6 months of use, 24 dyads have benefited from PANDA care. Three women among 5 were admitted during the antenatal period and almost one-third were aged under 21. The first primary diagnosis during the antepartum was major depressive disorder, two-fold that of personality disorder or bipolar disorder alone. At the end of PANDA stay, close to 3 women among 4 were back to their home with their child, and an out-of-home placement was mandated for 4 infants. PANDA unit is a step toward continuous and comprehensive integrative care. The mother and baby do not leave the maternity ward, and management of mother, baby, and their interactions can start immediately after birth. Considering the importance of the first months of life in the establishment of fundamental links and bonding, PANDA offers an innovative opportunity for what we hope will be both therapeutic and preventive for at-risk dyads. The detection, and ultimately prevention and management of risk of abuse and neglect is another major challenge that this unit hopes to address from the very beginning.
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spelling pubmed-93962352022-08-24 Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service Vitte, Lisa Hauguel, Cyriaque Benoit, Vincent Genet, Marie-Camille Letot, Jessica Bruel, Henri Delaunay, Florian Le Roux, Pascal Gerardin, Priscille Devouche, Emmanuel Apter, Gisèle Front Psychiatry Psychiatry The PANDA unit is a full-time mother-baby hospitalization unit based on an original model of care for vulnerable dyads. It is located within a neonatal unit allowing tripartite care (perinatal psychiatry, neonatology and post-natal care). It thus differs from traditional mother-baby units in its close links with the other perinatal care actors, allowing comprehensive health and mental health care in the immediate post-partum period. Patients admitted to the Panda Unit may have been referred during the antenatal period or taken into care in an emergency if the mother's clinical condition requires it, in the aftermath of childbirth. During their stay, the dyads are evaluated daily by a perinatal psychiatrist. This includes assessment of maternal clinical state, the newborn's development and the quality of mother-infant interactions. During the first 6 months of use, 24 dyads have benefited from PANDA care. Three women among 5 were admitted during the antenatal period and almost one-third were aged under 21. The first primary diagnosis during the antepartum was major depressive disorder, two-fold that of personality disorder or bipolar disorder alone. At the end of PANDA stay, close to 3 women among 4 were back to their home with their child, and an out-of-home placement was mandated for 4 infants. PANDA unit is a step toward continuous and comprehensive integrative care. The mother and baby do not leave the maternity ward, and management of mother, baby, and their interactions can start immediately after birth. Considering the importance of the first months of life in the establishment of fundamental links and bonding, PANDA offers an innovative opportunity for what we hope will be both therapeutic and preventive for at-risk dyads. The detection, and ultimately prevention and management of risk of abuse and neglect is another major challenge that this unit hopes to address from the very beginning. Frontiers Media S.A. 2022-08-09 /pmc/articles/PMC9396235/ /pubmed/36016980 http://dx.doi.org/10.3389/fpsyt.2022.889557 Text en Copyright © 2022 Vitte, Hauguel, Benoit, Genet, Letot, Bruel, Delaunay, Le Roux, Gerardin, Devouche and Apter. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Vitte, Lisa
Hauguel, Cyriaque
Benoit, Vincent
Genet, Marie-Camille
Letot, Jessica
Bruel, Henri
Delaunay, Florian
Le Roux, Pascal
Gerardin, Priscille
Devouche, Emmanuel
Apter, Gisèle
Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service
title Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service
title_full Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service
title_fullStr Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service
title_full_unstemmed Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service
title_short Panda Unit, a Mother-Baby Unit Nested in a Neonatal Care Service
title_sort panda unit, a mother-baby unit nested in a neonatal care service
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396235/
https://www.ncbi.nlm.nih.gov/pubmed/36016980
http://dx.doi.org/10.3389/fpsyt.2022.889557
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