Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey

被引：0

作者：

Fujita, Kei ^{[1
,2
]}

Kotani, Tomomi ^{[1
,3
]}

Moriyama, Yoshinori ^{[1
,4
]}

Ushida, Takafumi ^{[1
]}

Imai, Kenji ^{[1
]}

Kobayashi-Nakano, Tomoko ^{[1
]}

Kato, Noriko ^{[5
]}

Kano, Takeo ^{[6
]}

Kikkawa, Fumitaka ^{[1
]}

Kajiyama, Hiroaki ^{[1
]}

机构：

[1] Nagoya Univ, Dept Obstet & Gynecol, Grad Sch Med, Showa Ku, 65 Tsurumai Cho, Nagoya, Aichi 4668550, Japan

[2] Anjo Kosei Hosp, Dept Obstet & Gynecol, 28 Higashihirokute, Anjo, Aichi 4468602, Japan

[3] Nagoya Univ Hosp, Ctr Maternal Neonatal Care, Div Perinatol, Nagoya, Aichi 4668560, Japan

[4] Fujita Hlth Univ, Dept Obstet & Gynecol, Sch Med, Toyoake, Aichi 4701192, Japan

[5] Japanese Red Cross Aichi Med Ctr, Dept Obstet & Gynecol, Nagoya Daini Hosp, Showa Ku, 2-9 Myoken Cho, Nagoya, Aichi 4668650, Japan

[6] Kanos Clin Women, Naka Ku, 3-16-25 Osu, Nagoya, Aichi 4600011, Japan

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2021年 / 18卷 / 17期

关键词：

psychotropic drugs; multidisciplinary; preconception; DEPRESSION; WOMEN;

D O I：

10.3390/ijerph18179122

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

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.

引用

页数：14

共 23 条

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