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What were some early classification of PMADs - ANSWER -Postpartum fever, agitation,
paralysis, and sensory deficits
Marce' Society - ANSWER -An organization that focuses on research and works
closely with PSI
James A. Hamilton, MD, PhD - ANSWER -(1907-1977)
20th century's father of postpartum psychiatric illness.
Author of Landmark book Postpartum Psychiatric Problems
Founder of Marce' Society (1980)
Advocate of research, treatment, and social support movement
What year did the DSM include specifiers - ANSWER -1994
Who said, "The support groups represent the most significant and useful aspect of the
renaissance in the recognition and treatment of postpartum illness." - ANSWER -James
Hamilton, MD, PhD- 2nd annual PSI Conference Princeton, NJ June 24, 1988
Which social support group leaders formed PSI in 1987? - ANSWER -Association for
Post Natal Illness (APNI), England
Depression After Delivery (DAD), USA
Pacific Post Partum Support Society, Vancouver, British Columbia, Canada
Post and Ante Natal Depression Association (PANDA), Melbourne, Australia
Postpartum Education for Parents (PEP), Santa Barbara, CA, USA
PSI Statement on Social Support - ANSWER -"Social Support is essential to assure the
mental health of women, children and their families during pregnancy and the
postpartum period."
How many counties does PSI have members? - ANSWER -Over 40 countries
PSI Facts - ANSWER -Only worldwide organization representing the support groups
that play a significant role in the prevention and treatment of maternal mental illness.
PSI unites the professionals and social support groups with the consumers who uses
our member's expertise.
What is PSI's mission? - ANSWER -"To promote awareness, prevention and treatment
of maternal mental health issues related to childbearing in every community worldwide.
,What are PSI's Objectives? - ANSWER -Perinatal Mental Health Awareness
Support to all families
Collaboration and partnerships
Public Policy and Advocacy
Education and training
PSI Components - ANSWER -PSI Social Support Network of trained volunteers around
the world offering support and local resources
Toll free helpline 800-944-4773 offers support to women and families, in English and
Spanish
Online support groups
Chat with Experts- Toll free telephone support service facilitated by PSI expert member
According to PSI, What are the needs of Childbearing women? - ANSWER -1. A
companion or advocate to provide support during pregnancy, birth, and the first year of
postpartum.
2. Supportive professionals who are knowledgeable about mental health and will access
help for a patient with a mood disorder.
3. Having a time and place to talk about pregnancy, the birth, and the continuing
postpartum experience.
Why are PMADs important? - ANSWER -Tragic Consequences affecting society:
Relationship problems/divorce
Disability/unemployment
Child neglect and abuse
Developmental delays/behavioral problems
Infanticide/Homicide/Suicide
How many women experience PPD? - ANSWER -Up to 21%
How many experience depression/anxiety during pregnancy? - ANSWER -20%
What is the Perinatal period? - ANSWER -The entire time frame from pregnancy
through the first year after giving birth.
In PMAD, What are the mood disorders? - ANSWER -Depression and bipolar disorder
In PMAD, what are the anxiety disorders? - ANSWER -GAD, panic, OCD, and PTSD
What are common psychological and physical changes during the postpartum period? -
ANSWER -Focus on baby/forming attachment
Fatigue/sleep deprivation
Loss of freedom, control, and self-esteem
Hormonal changes
Birth not going as expected
, Learning new skills
Role transitions
Dreams and expectations
Facing fears and feelings
Renegotiating responsibilities and relationships
Relying on support systems
Insecurities about parenting abilities
Establishing feeding practices
Physical healing from labor/delivery
Feelings of loss
What are some common practical barriers to treatment? - ANSWER -Cost of treatment
Limited time
Loss of pay from work
Poor access or transportation
Childcare
Provider and consumer ignorance
What are some psychological barriers to treatment? - ANSWER -Illness itself
Fear of medication
Being overly self-reliant
Lack of information
Denial, ignorance
Opposition or fear of treatment
Inadequate support
What are some common social barriers to treatment? - ANSWER -Social stigma
Teen pregnancy
Poor treatment regally network
Cultural/faith beliefs
Health disparities
What are some racism and health disparities? - ANSWER -Racism
Limited economic opportunity
Limited access to social resources
Increases exposure to dangerous work and living environment
Poverty
What are some theories of Etiology? - ANSWER -Biology sensitivities to hormonal
changes
Vulnerability (genetic and history)
Psychological (old vs. new views)
Social/environmental
Spiritual theories
What diagnoses are included in PMADs? - ANSWER -Depression