Treatment of severe perinatal mood disorders on a specialized perinatal psychiatry inpatient unit

Archives of Women's Mental Health
Mary C KimmelS Meltzer-Brody

Abstract

Perinatal patients with bipolar and psychotic mood disorder exacerbations are challenging to treat and often receive suboptimal care. We sought to examine the treatment patterns and outcomes on one of the only US-based Perinatal Psychiatry Inpatient Units (PPIU). Perinatal patients admitted to the PPIU completed self-report measures at admission and before discharge. Retrospective chart reviews extracted history, diagnoses (current and past), and medication treatment. Patients who had discharge diagnoses of bipolar disorder, major depression with psychotic features, or postpartum psychosis were included. Forty-seven met the diagnostic inclusion criteria. Over an average length of stay (ALOS) of 9.96 days, there was significant improvement in depressive and anxiety symptoms and daily functioning (Work and Social Adjustment Scale). Psychiatric comorbidity was common. Polypharmacy was utilized in 87 %. The most common medications prescribed at discharge were antipsychotics, alone or in combination with mood stabilizers or antidepressants. ECT was performed in 10 % of cases. The complexity of patients with severe mood disorders or psychosis admitted to the PPIU supports individualized treatment plans that address both primary diagn...Continue Reading

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Citations

Apr 4, 2017·Human Psychopharmacology·Stephen J KanesSamantha Meltzer-Brody
Sep 14, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Melissa BartickRobert M Lawrence
Sep 11, 2017·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Elizabeth Q CoxSamantha Meltzer-Brody
Nov 10, 2021·Journal of Religion and Health·Ashley Cantu-WeinsteinMary C Kimmel

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