Perinatal Mental Health Care Case Study Sample

Introduction Of Perinatal Mental Health Care

“Perinatal Mental Health Illness” is one kind of significant complication during Pregnancy and the Postpartum period. All those disorders such as anxiety, depression, postpartum psychosis and stress and those manifest-like bipolar disorders. This specific study has shed light on the assessment of Perinatal Mental Healthcare to provide proper treatment to Amy. Amy Slade is living with anxiety and depression however; those are controlled in a good manner by maintaining proper medication at the time of pregnancy. It has also discussed the major impact of the Socio-emotional family situations regarding infant and perinatal mental health of Amy.

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The impact of complex socioemotional family situations on perinatal and infant mental health

Amy Slade is, 29-year-old woman who gave her first childbirth named Tilda. Having natural breastfeeding and birth are considered crucial factors for Amy. Since Any has been estranged from her parents and siblings who maintained strong beliefs regarding religion and have not approved of Amy's same-sex relationship. For this reason, Amy is suffering from anxiety, depression and stress. On that note, those have been controlled properly with the help of sufficient medication before her pregnancy. As opined by Singla et al. (2021), same-sex couples are experiencing various kinds of discriminatory incidents. In addition to that, they are also experiencing systematic discrimination around 93% of same-sex couples are experiencing this kind of incident. Family issues have caused several negative emotions which include stress, anger, anxiety and depression. Perinatal mental issues are affecting nearly 27% of expectant and new mums and are covering a broad range of illnesses (Nhs, 2023). In this regard, family members can feel confused, exhausted, stressed, and isolated while they are experiencing several kinds of family issues. Based on the case scenario, the socioemotional family issues are affecting the mental health of Amy and her baby Tilda.

From birth, every child is getting to know who they are interacting with and how they interact with the global world. They also learn how to communicate with others who exist in their lives. The entire procedure of Socioemotional growth is helping children for developing their capacity for trust, empathy and confidence and building blocks while creating relationships. Based on the case scenario, it has been observed that the socioemotional complex situations are empowering Tilda to grow her self-esteem and confidence level. According to the statement of Bryson et al. (2021), it has been observed that socioemotional complex situations are creating several kinds of difficult situations. On that note, Hence, professional health care needs to take proper care and provide treatment in terms of assisting Tilda and embodying empathy. Moreover, the impact of socioemotional complex incidents is strong and negative which leads Amy to suffer from depression, anxiety and stress.

Influence of Maternal Perinatal mental health and on infant well-being

Perinatal mental disorders have been associated with substance misuse complexes attribution regarding physical symptoms and suicidal death which are leading to life-threatening health issues. Mental illness among women such as schizophrenia and depression are major issues experienced due to socioemotional impacts. Based on the perspective of Wilkinson, (2023), it has been stated that PMI is affecting around 20% of new or expectant mothers and often they have gone undiagnosed, untreated and unrecognised. On that note, it has potential consequences for families, infants and mothers. Based on the case scenario, it has been observed that mental disorders have been associated with physical health issues, poverty and interpersonal violence and these are experienced by Amy. Most of the women are suffering from mental illness and are experiencing some complications which are life-threatening but they do not have any kind of mental disorders and this kind of incident is observed in the United Kingdom mostly (Org, 2020). On the other hand, those kinds of effects are affecting the mental health of Amy's baby strongly. As a result, Tilda is becoming more aggressive and she may be not able to socialise properly. For this reason, she may experience several kinds of mental illnesses.

Figure 1: Effect of PMI on women and expectant mothers

(Source: Wilkinson, 2023)

Untreated maternal or parental mental health may have various kinds of potential effects on the development of behavioural and emotional health of children. On that note, all those issues include lowered social functioning, reduced academic performance and adolescent or childhood mental health illnesses (Wacks & Weinstein, 2021). According to the case study, it has been observed that getting a lack of support, experiencing physical abuse and stressful living situations are affecting Amy's growth and development. Moreover, since Amy has been involved in same-sex relationships hence society or community does not allow them to lead a normal lifestyle due to their stereotypical thinking or taboos. As suggested by Wasserman et al. (2020), there are several reasons which would be responsible for mental health issues such as stress, substance abuse and involvement in other violent activities. Therefore, it has been observed that Maternal Perinatal has a significant impact on both Amy and her child's development and growth.

The impact of health promotion strategies on infant well-being and development

The implementation of the “National Mental Health Research Strategy” and “Fixed term Intervention Program” have been considered major mental health promotional strategies. Based on the case study, in case Amy is taking part in the “Fixed-term Intervention Program”, then it will be helpful for her to improve her mental illnesses and lead a normal lifestyle. As per the words of Plage et al. (2023), it has been evaluated that the implementation of the “Fixed-term Intervention Program” is accurate for those individuals who are experiencing several kinds of mental disorders. On that note, Amy is also experiencing some negative socioemotional consequences which are affecting both her and her children's mental health. Implementing an intervention program is one kind of information curriculum which has been designed for achieving a positive end result (Jansen et al. 2020). Based on the case scenario, Amy is required to take proper treatment regarding her behavioral and attitude changes. In addition to that, she is experiencing several kinds of societal and community-related negative consequences hence, it is affecting her mental health which leads to her suffering from depression, anxiety and stress.

Mental health strategy is providing a framework to deliver some effective activities in order to improve mental health among all egg it individuals. In promoting mental health full stop all care providers are required to bring all is it individuals in a place and give proper treatment and care based on the guidelines of the “Mental Health Service Strategy”. According to the statement of Spry et al. (2020), it has been found that ensuring the accessibility and availability of the least mental healthcare in the forthcoming days is considered a major approach of the “National Mental Health Research Strategy”. Along with that, encouraging the utilisation of mental health-related ideas and knowledge in social development and in general knowledge. Based on the case scenario, it has been observed that Amy is required to take part in this strategy implementation program or the stakeholders of this program are required to provide proper care and treatment to support her in leading a normal lifestyle. Moreover, both the children and Amy are required to get proper treatment and care to improve their mental illness or mental health disorders.

Role of the Midwife in identifying and managing perinatal mental health issues

Midwives are required to act within their scope of practice which involves medical and psychological assessment to support women suffering from postnatal depression. Various health-related problems during pregnancy have been proven to be reduced by midwifery such as tobacco cessation, obesity, postpartum depression and others (Who, 2023). In this case, Amy is also suffering from hallucination which has been diagnosed by a midwife who is attending to Amy on the 7th day of postpartum. The midwife has been diagnosed with postpartum psychosis in Amy. Therefore, early diagnosis by midwives helps in the reduction of complications of psychological problems. As per the views of Kokab et al. (2022), postnatal care helps in the prevention of neonatal care and postnatal care during motherhood, especially for the first time. In the case of Amy, Tilda is her first daughter and it's her first pregnancy and motherhood. Hence, extra postnatal care is required to be taken during Amy's first motherhood timing and breastfeeding period. When his wife reached Amy's house she found Amy to be scattered and not caring for Tilda. Hence, Tilda could have got neonatal complications such as weight loss, infection and jaundice.

The NICE organization has provided mental healthcare to reduce the psychological process of pregnant women. As per NICE guidelines, women's mental health also affects their relationships with their partners (Nice, 2023). The midwife's role is crucial for the identification and early diagnosis of mental health problems. Also treating the symptoms on an early basis can help in improving a child's health in later life. Though in the case of Amy during pregnancy there were no complications, however, during lactation Amy suffered from pseudonyms. Hence, a midwife is required to provide continuous care to Amy. As opined by McLeish et al. (2020), Reassurance is required to be provided by a midwife to manage the perinatal care of patients with psychological dysfunction. Hence, in Amy's case, the attending midwife is also required to reassure them that Amy is doing good with Tilda. Amy has been imagining that she is a bad mother and not able to take enough care of her child alone. Hence, reassurance can potentially build confidence in Amy which will reduce the psychological problem in Amy. Also as a treatment midwife can schedule a monitoring plan which will help in monitoring the changes over a while in Amy. NICE guidelines for Antenatal and Postnatal care suggest that health professionals and midwives are required to plan coordinated care during the postnatal period which includes integration of care plan, schedule of monitoring, provision of interventions and recording the outcomes of the treatment plan (Nice, 2023). Hence, for Amy also a care plan is required to be developed to reduce the progression of psychological distress.

Develop a plan of care for a patient with an infant with mental health needs

Table 1: Care Plan for Amy

(Source: Self-developed)

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Conclusion

The entire study has summarised the impact of socio-emotional situations affecting mental health. In addition, socioemotional situations are affecting every individual's mental health which also can cause mental disorders or mental illnesses such as depression, anxiety and stress. Since Amy and Jude have been involved in a same-sex relationship then the family members of Amy did not allow this kind of relationship. Hence, she is suffering several kinds of socioemotional challenges that impact her mental health. For this reason, the “National Mental Health Research Strategy” and “Fixed term Intervention Program” are implemented in terms of improving her mental health so she can lead a normal and healthy lifestyle.

References

Journals

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• Bryson, H., Mensah, F., Price, A., Gold, L., Mudiyanselage, S. B., Kenny, B., ... & Goldfeld, S. (2021). Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia. PLoS One, 16(9), e0257357. https://doi.org/10.1371/journal.pone.0257357
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• McLeish, J., Harvey, M., Redshaw, M., & Alderdice, F. (2020). “Reassurance that you're doing okay, or guidance if you're not”: a qualitative descriptive study of pregnant first-time mothers' expectations and information needs about postnatal care in England. Midwifery, 89, 102813. https://doi.org/10.1016/j.midw.2020.102813
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• Staras, T. (Ed.). (2023). Communication in Midwifery-E-Book. Elsevier Health Sciences.
• Wacks, Y., & Weinstein, A. M. (2021). Excessive smartphone use is associated with health problems in adolescents and young adults. Frontiers in psychiatry, 12, 762. https://doi.org/10.3389/fpsyt.2021.669042
• Wasserman, D., Iosue, M., Wuestefeld, A., & Carli, V. (2020). Adaptation of evidence?based suicide prevention strategies during and after the COVID?19 pandemic. World psychiatry, 19(3), 294-306. https://doi.org/10.1002/wps.20801
• Wilkinson, K. (2023). Maternal (perinatal) mental health and employment: An agenda for research and practice. Human Resource Management Journal, 33(2), 346-361. https://doi.org/10.1111/1748-8583.12434

Websites

• Org, (2020). Postnatal depression and perinatal mental health. Retrieved on 14th July 2023. Retrieved from: https://www.mind.org.uk/information-support/types-of-mental-health-problems/postnatal-depression-and-perinatal-mental-health/causes/
• Nice, (2023), Antenatal and postnatal mental health: clinical management and service guidance, retrieved on 14th July 2023 retrieved from: https://www.nice.org.uk/guidance/cg192/chapter/Recommendations
• Who, (2023), Midwifery education and care, retrieved on 14th July 2023 retrieved from: https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/maternal-health/midwifery
• Nhs, (2023). Perinatal mental health. Retrieved on 14th July 2023. Retrieved from: https://www.england.nhs.uk/mental-health/perinatal/#:~:text=Perinatal%20mental%20health%20(PMH)%20problems,a%20wide%20range%20of%20conditions.