ArticleIndian journal of psychiatry
The establishment of a mother-baby inpatient psychiatry unit in India: Adaptation of a Western model to meet local cultural and resource needs.
Article in Indian journal of psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Navigating postpartum psychosis: perspectives, needs, expectations and experiences of women and their families - a systematic review.Archives of women's mental health · 2026Pooled it
- A mixed methods systematic review exploring infant feeding experiences and support in women with severe mental illness.Maternal & child nutrition · 2023Pooled it
- Exploring the effectiveness of family-based interventions for psychosis in low- and middle-income countries: a systematic review.Social psychiatry and psychiatric epidemiology · 2022Pooled it
- Postpartum Psychosis and Bipolar Disorder: Review of Neurobiology and Expert Consensus Statement on Classification.Biological psychiatry · 2026Review
- Dyadic Care Interventions and Outcomes for Mothers and Their Infants: A Scoping Review.Pediatrics · 2025Article
- Women's Mental Health (WMH) Post-doctoral Fellowship Program: A Potential to Increase Trained Human Resources in WMH in India.Indian journal of psychological medicine · 2024Article
- Postpartum-Specific Anxiety and Maternal-Infant Bonding: A Predictive Validity Study amongst Italian Women.European journal of investigation in health, psychology and education · 2024Article
- Prevalence and Factors Associated with Impaired Maternal-Infant Bonding among Mothers Attending Young Child Clinic in Kampala, Uganda.International journal of environmental research and public health · 2024Article
- Priorities for research promoting mental health in the south and east of Asia.The Lancet regional health. Southeast Asia · 2024Review
- Perinatal mental health in India and Thailand: A call for collaboration.Journal of Taibah University Medical Sciences · 2023Article
- The mediation role of resilience and postpartum traumatic stress disorder on parental attachment and the maternal-infant bonding.BMC psychology · 2023Article
- Effect of nausea and vomiting during pregnancy on mother-to-infant bonding and the mediation effect of postpartum depression: the Japan Environment and Children's Study.BMC pregnancy and childbirth · 2023Article
- Bonding and Infants' Development and Quality of Life: A Study Among Mothers with Severe Mental Illnesses in Remission.Indian journal of psychological medicine · 2023Article
- A 5 years' experience of a parent-baby day unit: impact on baby's development.Frontiers in psychiatry · 2023Article
- Factors Affecting the Use of Speech Testing in Adult Audiology.American journal of audiology · 2022Article
- Uncovering the Model and Philosophy of Care of a Psychiatric Inpatient Mother-Baby Unit in a Qualitative Study with Staff.International journal of environmental research and public health · 2022Article
- Management of Psychiatric Disorders during the Perinatal Period.Indian journal of psychiatry · 2022Article
- Exploring Discharge Outcomes and Readmission Rates of Mothers Admitted to a Psychiatric Mother and Baby Unit.The Psychiatric quarterly · 2022Article
- Cross-continental collaboration for understanding postpartum major depression with psychotic features.Frontiers in global women's health · 2022Article
- Subjective Birth Experience Predicts Mother-Infant Bonding Difficulties in Women With Mental Disorders.Frontiers in global women's health · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral Western countries have established mother-baby psychiatric units for women with mental illness in the postpartum; similar facilities are however not available in most low and medium income countries owing to the high costs of such units and the need for specially trained personnel. MATERIALS AND
methodsThe first dedicated inpatient mother-baby unit (MBU) was started in Bengaluru, India, in 2009 at the National Institute of Mental Health and Neurosciences in response to the growing needs of mothers with severe mental illness and their infants. We describe the unique challenges faced in the unit, characteristics of this patient population and clinical outcomes.
resultsTwo hundred and thirty-seven mother-infant pairs were admitted from July 2009 to September 2013. Bipolar disorder and acute polymorphic psychosis were the most frequent primary diagnosis (36% and 34.5%). Fifteen percent of the women had catatonic symptoms. Suicide risk was present in 36 (17%) mothers and risk to the infant by mothers in 32 (16%). Mother-infant bonding problems were seen in 98 (41%) mothers and total breastfeeding disruption in 87 (36.7%) mothers. Eighty-seven infants (37%) needed an emergency pediatric referral. Ongoing domestic violence was reported by 42 (18%). The majority of the mother infant dyads stayed for <4 weeks and were noted to have improved at discharge. However, 12 (6%) mothers had readmissions during the study period of 4 years. Disrupted breastfeeding was restituted in 75 of 87 (86%), mother infant dyads and mother infant bonding were normal in all except ten mothers at discharge.
conclusionsStarting an MBU in a low resource setting is feasible and is associated with good clinical outcomes. Addressing risks, poor infant health, breastfeeding disruption, mother infant bonding and ongoing domestic violence are the challenges during the process.
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