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Family physicians perceived role in perinatal mental health: an integrative review

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dc.contributor.author Noonan, Maria
dc.contributor.author Doody, Owen
dc.contributor.author Jomeen, Julie
dc.contributor.author O'Regan, Andrew
dc.contributor.author Galvin, Rose
dc.date.accessioned 2018-09-13T12:03:36Z
dc.date.available 2018-09-13T12:03:36Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/7132
dc.description peer-reviewed en_US
dc.description.abstract Background: Responding to and caring for women who experience mental health problems during the perinatal period, from pregnancy up to one year after birth, is complex and requires a multidisciplinary response. Family physicians are ideally placed to provide an effective response as it is recognised that they are responsible for organising care and supports for women and their families. This paper reports an integrative review undertaken to examine family physicians’ perceived role in perinatal mental health care and concludes with recommendations for health policy, research and practice. Method: A systematic search of literature in seven databases from January 2000 to March 2016 identified a total of 1125 articles. Qualitative, quantitative and mixed-method studies were eligible for inclusion if they explored family physicians’ experiences of caring for women who experience perinatal mental health problems. Results: Thirteen articles reporting 11 studies met the inclusion criteria for this review and quality of included studies were assessed using published criteria for the critical appraisal of qualitative and quantitative research methods. Cross-study narrative syntheses of quantitative and qualitative findings are presented under three themes: identification of perinatal mental health problems, management of perinatal mental health problems and barriers to care provision. While family physicians recognise their role in relation to perinatal mental health the collective interpretation revealed that; they receive variable levels of preparation for this role, no consistent approach to screening exists, pharmacological management of mood disorders is the main treatment modality and limited access to specialist perinatal mental health services exists which impacts on pharmacology decisions. Conclusion: Family physicians require timely access to local integrated care pathways that provide a wide range of services that are culturally sensitive, perinatal mental health specific, support psychological well-being and infant/ family mental health. Family physicians are open to incorporating a brief validated screening tool into primary practice supported by succinct guidelines. Research that examines training needs in relation to perinatal mental health could be used to inform family physician training programmes and curriculum development around perinatal mental health. en_US
dc.language.iso eng en_US
dc.publisher BMC en_US
dc.relation.ispartofseries BMC Family Practice;19:154
dc.relation.uri https://doi.org/10.1186/s12875-018-0843-1
dc.subject integrative review en_US
dc.subject family physician en_US
dc.subject general practitioner en_US
dc.subject perinatal mental health en_US
dc.subject postpartum depression en_US
dc.subject screening en_US
dc.subject referral pathways en_US
dc.subject integrated services en_US
dc.title Family physicians perceived role in perinatal mental health: an integrative review en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/s12875-018-0843-1
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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