ArticleArchives of women's mental health2014
Evaluating the clinical effectiveness of a specialized perinatal psychiatry inpatient unit.
Article in Archives of women's mental health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Screening for perinatal depression with the Patient Health Questionnaire depression scale (PHQ-9): A systematic review and meta-analysis.General hospital psychiatryPooled it
- Open-label, proof-of-concept study of brexanolone in the treatment of severe postpartum depression.Human psychopharmacology · 2017Trial
- Breaking the cycle: a review of the impacts of maternal PTSD, adverse pregnancy outcomes, and health disparities among Black women.Maternal health, neonatology and perinatology · 2026Review
- Postpartum Psychosis and Bipolar Disorder: Review of Neurobiology and Expert Consensus Statement on Classification.Biological psychiatry · 2026Review
- Toward a New Standard in Inpatient Psychiatry-Integration of Clinical Psychologists.JAMA psychiatry · 2025Article
- What is a Good Outcome of an Inpatient Perinatal Mental Health Admission? Developing an Innovative Evaluation Plan for a New Unit.Journal of evaluation in clinical practice · 2025Article
- Perinatal Psychotherapy Use and Costs Before and After Federally Mandated Health Insurance Coverage.JAMA network open · 2024Article
- Trauma in the lives of parents experiencing severe perinatal mental illness.Frontiers in psychiatry · 2024Article
- Postpartum Psychosis: A Preventable Psychiatric Emergency.Focus (American Psychiatric Publishing) · 2024Review
- Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders.Journal of psychiatry and brain science · 2024Article
- Postpartum psychosis: A proposed treatment algorithm.Journal of psychopharmacology (Oxford, England) · 2023Review
- A 5 years' experience of a parent-baby day unit: impact on baby's development.Frontiers in psychiatry · 2023Article
- A Qualitative Study of Religion and Spirituality in a Perinatal Psychiatry Inpatient Unit in the Southeast USA.Journal of religion and health · 2022Article
- Cross-continental collaboration for understanding postpartum major depression with psychotic features.Frontiers in global women's health · 2022Article
- Keeping Parent, Child, and Relationship in Mind: Clinical Effectiveness of a Trauma-informed, Multigenerational, Attachment-Based, Mother-Baby Partial Hospital Program in an Urban Safety Net Hospital.Maternal and child health journal · 2021Article
- Perinatal mental health: a review of progress and challenges.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards.BMC psychiatry · 2019Article
- Introducing Mother Baby Connections: a model of intensive perinatal mental health outpatient programming.Journal of behavioral medicine · 2018Article
- Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers.Obstetrics and gynecology clinics of North America · 2018Review
- Perinatal psychiatric episodes: a population-based study on treatment incidence and prevalence.Translational psychiatry · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Women experiencing severe perinatal mental illness during pregnancy or postpartum have unique needs when psychiatric hospitalization is indicated. Although many countries have established mother-baby psychiatric units, similar facilities have not been available in the US. In 2011, the University of North Carolina at Chapel Hill inaugurated the first Perinatal Psychiatry Inpatient Unit in the US. We describe the unique characteristics of the patient population and report clinical outcomes guiding development and refinement of treatment protocols. Ninety-two perinatal patients were admitted between September 2011 and September 2012, and 91 completed self-report measures at admission and discharge. Perinatal unipolar mood disorder was the most frequent primary diagnosis (60.43 %), and 11 patients (12 %) were admitted with psychosis. The data document clinically and statistically significant improvements in symptoms of depression, anxiety, and active suicidal ideation between admission and discharge (p < 0.0001), as assessed by the Edinburgh Postnatal Depression Scale, Patient Health Questionnaire, and Generalized Anxiety Disorder Scale. Overall functioning was also improved, demonstrated by a significant mean difference of -10.96 in total scores of the Work and Social Adjustment Scale (p < 0.0001). Data suggest that delivering specialized and targeted interventions for severe maternal mental illness in a safe and supportive setting produces positive patient outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.