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Borderline Personality Disorder in the perinatal period: early infant and maternal outcomes.
- Source :
- Australasian Psychiatry; Dec2015, Vol. 23 Issue 6, p688-692, 5p
- Publication Year :
- 2015
-
Abstract
- <bold>Objective: </bold>This study examines pregnancy and early infant outcomes of pregnant women with a clinical diagnosis of Borderline Personality Disorder presenting for obstetric services to a major metropolitan maternity hospital in Victoria, Australia.<bold>Method: </bold>A retrospective case review of pregnancy and early infant outcomes on 42 women who had been diagnosed with Borderline Personality Disorder via psychiatric assessment using DSM-IV-R criteria was undertaken. Outcomes were compared with a control group of 14,313 consisting of women and infants of non-affected women from the same hospital over the same period of time.<bold>Results: </bold>Women presenting for obstetric services with a clinical diagnosis of Borderline Personality Disorder experienced considerable psychosocial impairment. They anticipated birth as traumatic and frequently requested early delivery. High comorbidity with substance abuse was found and high rates of referral to child protective services. Mothers with Borderline Personality Disorder were significantly more likely to have negative birth outcomes such as lowered Apgar scores, prematurity and special care nursery referral when compared with controls.<bold>Conclusions: </bold>These findings offer preliminary evidence to be considered by clinicians in developing treatments and services for the perinatal care of women with Borderline Personality Disorder and their infants. Further research is required in order to develop evidence informed clinical guidelines for the management of women with Borderline Personality Disorder and their infants. [ABSTRACT FROM AUTHOR]
- Subjects :
- BORDERLINE personality disorder
PREGNANT women
WOMEN'S hospitals
PSYCHOSOCIAL factors
SUBSTANCE abuse in pregnancy
PRENATAL care
MENTAL health
TREATMENT of borderline personality disorder
TREATMENT of pregnancy complications
APGAR score
EVALUATION of medical care
CLASSIFICATION of mental disorders
PSYCHOLOGY of mothers
HEALTH outcome assessment
PREGNANCY
PSYCHOLOGICAL tests
PREGNANCY complications
SPECIALTY hospitals
RETROSPECTIVE studies
PSYCHOLOGICAL factors
PUERPERAL disorders
PSYCHOLOGY
DIAGNOSIS
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 10398562
- Volume :
- 23
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Australasian Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 111379095
- Full Text :
- https://doi.org/10.1177/1039856215590254