ArticleInternational journal of bipolar disorders2019
"What if I get ill?" perinatal concerns and preparations in primi- and multiparous women with bipolar disorder.
Article in International journal of bipolar disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Parenting Experiences in the Context of Parental Bipolar Disorder: A Systematic Review and Meta-Synthesis of the Qualitative Literature.Clinical child and family psychology review · 2025Pooled it
- Hope Through Tales: Through the Eyes of a Child of a Parent With Bipolar Disorder.Journal of psychiatric and mental health nursing · 2026Article
- The barriers and solutions to effective management of bipolar disorder during the perinatal period: a thematic review.International journal of bipolar disorders · 2025Review
- Communication with children about parental bipolar disorder: a qualitative interview study.International journal of bipolar disorders · 2025Article
- "Bad timing for illness relapse!" Mood symptoms, challenges and strategies for wellbeing in the first year postpartum among infant mothers with bipolar disorder: a mixed-methods study.International journal of bipolar disorders · 2025Article
- Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
- Mother-to-Infant Bonding in Women With a Bipolar Spectrum Disorder.Frontiers in pediatrics · 2021Article
- Perinatal mental health: a review of progress and challenges.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Bipolar offspring and mothers: interactional challenges at infant age 3 and 12 months-a developmental pathway to enhanced risk?International journal of bipolar disorders · 2020Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWomen with bipolar disorder have a high risk of illness relapse postpartum, including psychosis. The aim of the study was to explore how perinatal women with bipolar disorder relate to the risk. What are their concerns? How do they prepare for the dual demands of mood episodes and motherhood?
methodsA qualitative study was conducted. To ensure rich insight into the research questions, 13 primiparous and 13 multiparous women with bipolar disorder (I or II), were individually interviewed in pregnancy or early postpartum. Thematic analysis was applied.
resultsAcross parity, concerns for illness relapse included concerns for depression and psychosis. Primiparous women worried about "the unknown" in relation to postpartum reactions. Overall, the most significant concerns were the impact of mood episodes on mothering and on the partner. Concerns regarding the infant were maternal medication, mood episodes affecting the child, and heredity. Resources and preparations included: support from the partner, the family, and health services; adjustment of daily life; and mental strategies. Women were aware of the postpartum risk, but their levels of personal concern varied between low, moderate and high. Women with low level of concern for illness relapse had made the least deliberations and preparations. A subgroup of women with high level of concern also had limited resources and preparations.
conclusionsThe findings highlight the importance of including a psychological and psychosocial focus in perinatal prevention planning and counselling. Even if women with BD are informed about the increased risk of illness relapse postpartum, they relate to it differently. Their level of personal concern impacts their perinatal deliberations and preparations, which in turn may impact postpartum adjustment. When counselling these women, it is important to assess their personal risk recognition, perinatal concerns and available resources and preparations, and support them accordingly. Extra attention should be given to women with a low level of concern, and women with a high level of concern who have limited resources and preparations. These women represent particularly vulnerable subgroups that are critical to identify and offer comprehensive follow-up.
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