Mother-baby joint accommodation in a psychiatric unit
Palabras clave:
Hospitalization, Mother-child relations, PsychiatryResumen
Objective
This article aimed to understand the benefits of mother-infant joint accommodation in psychiatric inpatient units.
Method
To achieve this, a narrative literature review was conducted based on publications from the Lilacs, PubMed/Medline, and SciELO databases. The descriptors used were “Mother-child relationship,” “Mother-baby unit,” and “Psychiatry”. Only full-text, freely available texts published since 2001 were considered. Literature selection was done through content analysis, with inclusion criteria focusing on publications that addressed the study’s guiding question.
Results
Based on the obtained data, it is concluded that mother-infant joint accommodation is an alternative treatment when hospitalization is necessary in a psychiatric unit. This approach leads to faster recovery without disrupting the mother-infant relationship, which benefits this bond.
Conclusion
Although no publications were found regarding the Brazilian experience, international studies, including those in public hospitals, reveal positive outcomes in maternal recovery and reduced rehospitalization rates.
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Artmann, M., Lied, R. G., Bittencourt, R. C. B., Lima, S. B. S., Abaid, J. L. W., & Najar Smeha, L. (2022a). Espaço mãe-bebê em unidade hospitalar psiquiátrica. In C. L. Lima Ferreira & D. Stain Backes (Eds.), Produtos técnicos tecnológicos em saúde materno infantil III (pp. 93-108). Moriá.
Artmann, M., Smeha, L. N., & Lima, S. B. S. (2022b). Percepção da equipe de saúde sobre a implantação de alojamento conjunto mãe-bebê em unidade psiquiátrica. Revista Psicologia e Saúde, 14(2), 39-51. https://doi.org/10.20435/pssa.v14i2.1670
Baker, A. A., Morison, M., Game, J. A., & Thorpe, J. G. (1961). Admitting schizophrenic mothers with their babies. Lancet, 29(2), 237-239. https://doi.org/10.1016/s0140-6736(61)90357-9
Branjerdporn, G., Healey, L., & Hudson, C. (2023). Understanding care plans in a psychiatric mother-baby unit. Journal of Reproductive and Infant Psychology, 41(5), 566-581. https://doi.org/10.1080/02646838.2022.2041187
Cazas, O., & Glangeaud-Freudenthal, N. M. (2004). The history of Mother-Baby Units (MBUs) in France and Belgium and of the French version of the Marcé checklist. Archives of Women’s Mental Health, 7(1), 53-58. https://doi.org/10.1007/s00737-003-0046-0
Chandra, P. S., Desai, G., Reddy, D., Thippeswamy, H., & Saraf, G. (2015). The establishment of a mother-baby inpatient psychiatry unit in India: adaptation of a Western model to meet local cultural and resource needs. Indian Journal of Psychiatry, 57(3), 290-294. https://doi.org/10.4103/0019-5545.166621
Christl, B., Reilly, N., Yin, C., & Austin, M. P. (2015). Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit. Archives of Women’s Mental Health, 18(6), 805-816. https://doi.org/10.1007/s00737-014-0492-x
Glangeaud-Freudenthal, N. M. C. (2004). Mother-Baby Psychiatric Units (MBUs): national data collection in France and in Belgium (1999-2000). Archives of Women’s Mental Health, 7(1), 59-64. https://doi.org/10.1007/s00737-003-0045-1
Glangeaud-Freudenthal, N. M. C., Howard, L. M., & Sutter-Dallay, A. L. (2014). Treatment - mother-infant inpatient units. Best Practice & Research: Clinical Obstetrics & Gynaecology, 28(1), 147-157. https://doi.org/10.1016/j.bpobgyn.2013.08.015
Griffiths, J., Taylor, B. L., Morant, N., Bick, D., Howard, L. M., Seneviratne, G., & Johnson, S. (2019). A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards. BMC Psychiatry, 19(401), 1-15. https://doi.org/10.1186/s12888-019-2389-8
Howard, L. M. (2000). The separation of mothers and babies in the treatment of postpartum psychotic disorders in Britain 1900-1960. Archives of Women’s Mental Health, 3, 1-5. https://doi.org/10.1007/PL00010323
Jablensky, A. V., Morgan, V., Zubrick, S. R., Bower, C., & Yellachich, L. A. (2005). Pregnancy, delivery, and neonatal complications in a population cohort of women with schizophrenia and major affective disorders. American Journal of Psychiatry, 162(1), 79-91. https://doi.org/10.1176/appi.ajp.162.1.79
Ministério da Saúde (Brasil). (2013). Política Nacional de Humanização. Rede HumanizaSUS. http://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_humanizacao_pnh_folheto.pdf
Poinso, F., Gay, M. P., Glangeaud-Freudenthal, N. M. C., & Rufo, M. (2002). Care in a mother-baby psychiatric unit: analysis of separation at discharge. Archives of Women’s Mental Health, 5(2), 49-58. https://doi.org/10.1007/s00737-002-0134-6
Reilly, N., Brake, E., Briggs, N., & Austin, M. P. (2019). Trajectories of clinical and parenting outcomes following admission to an inpatient mother-baby unit. BMC Psychiatry, 19(336), 1-10. https://doi.org/10.1186/s12888-019-2331-0
Rother ET. (2007). Revisão sistemática X revisão narrativa. Acta Paulista de Enfermagem, 20(2), 5-6. https://doi.org/10.1590/S0103-21002007000200001
Royal College of Obstetricians and Gynaecologists. (2017). Maternal mental health: women’s voices. London. https://www.rcog.org.uk/globalassets/documents/patients/information/maternalmentalhealthwomens-voices.pdf
Salmon, M., Abel, K., Cordingley, L., Friedman, T., & Appleby, L. (2003). Clinical and parenting skills outcomes following joint mother-baby psychiatric admission. Australian & New Zealand Journal of Psychiatry, 37(5), 556-562. http://doi.org/10.1046/j.1440-1614.2003.01253.x
Soares, M. V. B., & Carvalho, A. M. P. (2009). Women with mental disorders and motherhood. Revista LatinoAmericana de Enfermagem, 17(5), 632-638. http://doi.org/10.1590/S0104-11692009000500006
Soni, N., Roberts, S., & Branjerdporn, G. (2022). Exploring discharge outcomes and readmission rates of mothers admitted to a psychiatric mother and baby unit. Psychiatry Quarterly, 93, 393-407. https://doi.org/10.1007/s11126-021-09956-1
Souza, M. S. D., & Baptista, M. N. (2017). Associações entre suporte familiar saúde mental. Psicologia Argumento, 26(54), 207-215. https://periodicos.pucpr.br/index.php/psicologiaargumento/article/view/19753
Stephenson, L. A., MacDonald, A. J. D., Seneviratne, G., Waites, F., & Pawlby, S. (2018). Mother and Baby Units matter: improved outcomes for both. British Journal of Psychiatry, 4(3), 119-125. https://doi.org/10.1192/bjo.2018.7
Wright, T., Stevens, S., & Wouldes, T. A. (2018). Mothers and their infants co-admitted to a newly developed mother-baby unit: characteristics and outcomes. Infant Mental Health Journal, 39(6), 707-717. https://doi.org/10.1002/imhj.21742
Yadawad, V., Ganjekar, S., Thippeswamy, H., Chandra, P. S., & Desai, G. (2021). Short-term outcome of mothers with severe mental illness admitted to a mother baby unit. Indian Journal of Psychiatry, 63(3), 245-249. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_1005_20
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Derechos de autor 2025 Marcelo Artmann, Luciane Najar Smeha
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
