Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan
A Cross-Sectional Questionnaire Survey
Bibliographic Data
| ID | 15500329 |
|---|---|
| Authors | Kei Fujita (Anjo Kosei Hospital), Tomomi Kotani (0000-0002-3082-6116, Nagoya University Hospital, corresponding author), Yoshinori Moriyama (0000-0002-0862-6505, Fujita Health University), Takafumi Ushida (0000-0002-8042-5919, Nagoya University), Kenji Imai (0000-0002-8163-7083, Nagoya University), Tomoko Kobayashi-Nakano (Nagoya University), Noriko Kato (0000-0002-5715-214X, Japanese Red Cross Nagoya Daini Hospital), Takeo Kano, Fumitaka Kikkawa (0000-0002-7170-780X, Nagoya University), Hiroaki Kajiyama (0000-0003-0493-1825, Nagoya University) |
| Year | 2021 |
| Volume | 18 |
| Issue | 17 |
| Pages | 9122-9122 |
| Publication date | 2021-08-29 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18179122 |
| PMID | 34501712 |
| OpenAlex | W3197576607 |
| Language | EN |
| References cited | 2 |
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
Cross-sectional study · Discontinuation · Family medicine · Intensive care · Maternity care · Mental health · Mental illness · Pregnancy · Psychiatry · Breastfeeding Practices and Influences · Child and Adolescent Psychosocial and Emotional Development · Maternal Mental Health During Pregnancy and Postpartum · Medicine
| Highly cited | No |
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