MATERNAL MENTAL HEALTH. (1)-compressed.pdf

Maternal mental health

1. MATERNAL MENTAL
HEALTH
Kennedy Kachingwe MHPN

2. BROAD OBJECTIVE
To give an overview introduction to maternal Mental
Health trends

3. OUTLINE
Discuss Meaning of Maternal Mental Health
Outline Common Maternal Mental Health Disorders
Discuss Prevalence
Identify risk factors
Discuss efforts to combat MMHD

4. WHAT IS MATERNAL MENTAL HEALTH?
A woman's emotional
wellness and ability to enjoy
life during pregnancy and 12
months after giving birth

5. Maternal mental health problems are emotional or
psychological conditions which women experience
during pregnancy and 12 months after giving birth.

6. MATERNAL MENTAL HEALTH PROBLEMS INCLUDE:
Baby blues
Depression
Anxiety
Post traumatic stress
Postpartum psychosis
Alcohol and substance misuse
Mental disorders due to general medical condition (e.g.
preeclampsia)
Pre-existing severe mental disorder (e.g. schizophrenia) or
learning disability

7. PREVALENCE OF ANTENAL DEPRESSION
GLOBALLY
10% Pregnant women
13% Women
SUB SAHARAN AFRICA
15-40% (Nakku et al., 2016)
8.3% to 41% (pregnancy)
13.5 to 34.7 % (first year postpartum)
LOCALLY
25.8% (Chorwe-Sungani & Chipps, 2018).

8. WHY PAY ATTENTION TO MATERNAL
MENTAL HEALTH?
Childbirth and mental health association
Perinatal physiological and psychological changes
Maternal stress and Fetal wellbeing (LBW, IUGR, PTB,
Developmental and Cognitive delays)
Poor maternal mental health disrupts infant
attachment
Costly for family, community and Nation
Vulnerability of pregnant women in
community/work/Disasters
Risk for suicide/ homicide

9. RISK FACTORS FOR MATERNAL MENTAL HEALTH
DISORDERS

Physical
-Biological fx ie disease, age. Substance use. Preexisting
Mental disorder
Psychosocial
-lack of support, poverty, food insecurity, GBV

11. REG FLAGS
Pregnant teens
Prim gravidas
Preexisting mental illness
Refugees
HIV-positive women
Poor women
Women with social problems , Intimate partner abuse
Women who seem ‘stressed’
Women with medical/surgical condition
Women showing strange or difficulties relate with baby
Women using substances

12. WHAT TO DO?
Ask
Listen
Validate
Refer

13. EFFORTS TOWARD MATERNAL MENTAL
HEALTH
WHO stepped up care model
-Screen pregnant women twice andonce postnatally
-Integrate maternal mental Health services into MCH
-Early identification, treatment and referral
-Clear referral pathway

14. CONCLUSSION
Maternal mental health problems are a public health
concern which is often under diagnosed in Africa
Stepped clinical referral pathways have shown to be
effective in management of maternal mental health care
in Africa
Referral pathways to other social and legal support
services may also be of assistance in antenatal settings
Early identification can lead to early intervention-
positive outcome (baby and mother)

15. What efforts are there at this institution to improve
Matern Mental Health?

16. REFERENCES
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