K A Penny1, S H Friedman2, G M Halstead3. 1. School of Medicine, University of Auckland, Auckland, New Zealand. 2. Psychological Medicine, School of Medicine, University of Auckland, Auckland, New Zealand. 3. Starship Hospital, Auckland District Health Board, Auckland, New Zealand.
Abstract
OBJECTIVE: This study describes mental health treatment and follow-up for mothers of infants in a Neonatal Intensive Care Unit (NICU). STUDY DESIGN: Data were collected retrospectively about 204 mothers referred to a Level 3 NICU Psychiatric Consult Liaison Team over 2 years. This included medical, demographic and treatment information about both mother and infant. RESULT: Most mothers (69%) were referred within a week of birth, and 100 (49%) of the referred mothers received a psychiatric diagnosis. Psychiatric follow-up was recommended for 13% on leaving the NICU and additional follow-up referrals were made for another 16%. Mothers with more than one initial reason for referral, a past psychiatric history, receiving therapeutic services, receiving a psychiatric diagnosis and receiving pharmacotherapy were all significantly more likely to have follow-up recommended on discharge. CONCLUSION: Approximately one-sixth of mothers in the NICU were referred, a large proportion received a psychiatric diagnosis, and over a quarter required follow-up after discharge, indicating the importance of the service.
OBJECTIVE: This study describes mental health treatment and follow-up for mothers of infants in a Neonatal Intensive Care Unit (NICU). STUDY DESIGN: Data were collected retrospectively about 204 mothers referred to a Level 3 NICU Psychiatric Consult Liaison Team over 2 years. This included medical, demographic and treatment information about both mother and infant. RESULT: Most mothers (69%) were referred within a week of birth, and 100 (49%) of the referred mothers received a psychiatric diagnosis. Psychiatric follow-up was recommended for 13% on leaving the NICU and additional follow-up referrals were made for another 16%. Mothers with more than one initial reason for referral, a past psychiatric history, receiving therapeutic services, receiving a psychiatric diagnosis and receiving pharmacotherapy were all significantly more likely to have follow-up recommended on discharge. CONCLUSION: Approximately one-sixth of mothers in the NICU were referred, a large proportion received a psychiatric diagnosis, and over a quarter required follow-up after discharge, indicating the importance of the service.
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