alexa Perinatal Psychiatry and Stigma | OMICS International
ISSN: 2090-7214
Clinics in Mother and Child Health
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Perinatal Psychiatry and Stigma

Goksen Yuksel*

Department of Perinatal Psychiatry, Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, Perinatal Psychiatry Outpatient Clinic, Istanbul, Turkey

*Corresponding Author:
Goksen Yuksel
Department of Perinatal Psychiatry
Bakirkoy Prof. Dr. Mazhar Osman Research
and Training Hospital for Psychiatry, Neurology and
Neurosurgery, Perinatal Psychiatry Outpatient Clinic, Istanbul, Turkey
Tel: +905327686665
E-mail: [email protected]

Received date: September 02, 2015 Accepted date: November 09, 2015 Published date: November 15, 2015

Citation: Goksen Yuksel (2015) Perinatal Psychiatry and Stigma . Clinics Mother Child Health 12:205. doi:10.4172/2090-7214.1000205

Copyright: © 2015 Yuksel G. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Clinics in Mother and Child Health

Abstract

Stigma, maybe the most dense within psychiatric population, also effects the women who face psychiatric problems during perinatal period. As they face a mental problem, they are thought to be “ineffective mothers” and the perception of the community about perinatal psychiatric patients is always far away from the reality of their ability to be a loving partner and mother. Beyond the popular media, ruthless to these patients, the medical professionals randomly fail to realize the necessity of medical care and treatment within perinatal period. Legal issues and community prejudice prevent these women seek help. A multibranch approach is vital to these women fight for stigma as they deserve obviously more.

Keywords

Stigma; Perinatal psychiatry

Short Communication

French psychiatrists; Jean Etienne Dominique Esquirol (1772-1840) and Louis-Victor Marcé (1828-1864) mentioned perinatal psychiatric problems in their books “Maladies Mentales” and "Femmes Enceintes" with "Traité de la Folie des Femmes Enceintes", which were the milestones of perinatal psychiatry long before the previous century [1]. But although many years passed by, with the growing knowledge about these women, still much have to be done to understand and give them their reputation back.

With exaggerated news through the media, not only the rest of the population but also even the perinatal patients themselves have to cope with the horrible stories and afraid of the possibility of being one of them. Neglecting “The mirror has two sides”, media only choose to focus on “The dog bitten by a man”. So, mothers, who have to stay in the hospital for a psychiatric reason, whether in pregnancy or in the postpartum period, mostly tend to keep it as a secret even from most of their close circles.

In a spectrum starting from being excluded from family life and the baby; to another pole, a treatment setting with the baby in the “Mother and baby units”, mothers face different aspects of perinatal psychiatry in different countries in terms of health policy as well as financial and cultural background of the country itself [2].

Mother and baby units are psychiatric care specialities where perinatal psychiatric women are hospitalized with their babies and enables psychiatric care of women while improving parent-infant interactions and child development in such a complicated period for both of them [3]. This model is far away from the aspects claiming these women, as potential danger for their babies, should be separated.

On the other hand, stigma transforms in a different style as the medical professionals come to focus. Treatment of psychiatric patients during perinatal period requires the evaluation of a combination of many factors, makes the clinician face difficulties in making choices between them. In order to avoid possible teratogenic risks in pregnancy and minimize the possibility of infant damage during breast feeding; mostly overestimated both for many years [4,5], the medical professionals choose to neglect the medical treatment totally or even the perinatal patients themselves. Vise versa, it is not uncommon that some of the medical professionals choose to order stopping breastfeeding, although it is vital for decreasing the morbidity and mortality for infants, and has positive returns in the long term for the mothers. Different drugs used for the mother have different excretion rates in the milk beyond the exposure rate are determined by not only that excretion rate but also with the baby’s metabolism. Different opinions are available about the transition rates of psychotropic drugs on the baby’s central nervous system during the early post partum period and it can not be proposed as a totally “black or white” situation.

As it is also indicated in different settings [6], community mental health providers and pharmacists often do not want to participate in pharmacotherapy for perinatal women and the access to perinatal psychiatric health care must be improved.

As the partner or marriage problems during this period is not uncommon, perinatal women with psychiatric problems can also have concerns about legal issues such as the possibility of loosing custody of the baby. It seems to be one of the important reasons for these women trying to hide the symptoms and not sharing them even with the closest ones.

Conclusion

Perinatal women who need psychiatric care are an important part of the stigma aggrieved within the rest of the other psychiatric patients. As different aspects seem to be guilty about the situation, first the medical professional have to take the responsibility and start helping them face the stigma.

References

 

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Article Usage

  • Total views: 8242
  • [From(publication date):
    December-2015 - Jun 23, 2018]
  • Breakdown by view type
  • HTML page views : 8079
  • PDF downloads : 163
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7