Archives of women's mental health · 2026
Navigating postpartum psychosis: perspectives, needs, expectations and experiences of women and their families - a systematic review.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Sanadi Rupa, Raj Elangovan Aravind, Kuppusamy Chithirai Valli, Arasappa Rashmi, Chandra Prabha S
Аннотация
INTRODUCTION: Postpartum Psychosis (PP) is a severe form of perinatal mental illness and may have profound consequences for the well-being of mothers, infants, and families.
AIM: This systematic review explores the experiences, needs, perspectives, and expectations of women with postpartum psychosis and that of their families.
DESIGN: A systematic review used the meta-aggregation method.
METHOD: A systematic search was conducted using 5 electronic databases-PubMed, ProQuest, Scopus, Google Scholar, and Web of Science to identify relevant studies published between 01 January 2012 and 31 December 2024. The review adhered to PRISMA guidelines and included peer-reviewed studies in English. Study quality was independently assessed by two investigators using Covidence software and the Mirza and Jenkins checklist (2004). Qualitative, explorative, and descriptive studies employing thematic or interpretative analyses were included.
RESULTS: Twenty-two studies were included in this synthesis. Findings reveal a complex interplay between postpartum psychosis and family dynamics, which is also shaped by cultural narratives surrounding motherhood. These narratives show how women and families perceive illness and seek help. Five key themes and fifteen subthemes emerged: (1) An understanding of postpartum psychosis, (2) Baby being central to recovery, (3) The importance of support and network systems, (4) Being overwhelmed with responsibilities, and (5) Future plans and plans related to future pregnancy. Poor awareness and systemic barriers often leave families feeling unsupported. Mothers experience emotional exhaustion, viewing the baby as both a comfort and a stressor. Fathers report a need for professional support and struggle with shifting family roles, particularly during separation in mother-baby unit admissions.
CONCLUSION: The review underscores the importance of timely, family-centered care in the management of postpartum psychosis. Mothers and families appear to be overwhelmed at a vulnerable time of their lives and have to navigate systemic barriers to care. Active involvement of families in treatment with culturally sensitive interventions can foster coping, facilitate maternal recovery, and promote maternal-infant bonding.
AIM: This systematic review explores the experiences, needs, perspectives, and expectations of women with postpartum psychosis and that of their families.
DESIGN: A systematic review used the meta-aggregation method.
METHOD: A systematic search was conducted using 5 electronic databases-PubMed, ProQuest, Scopus, Google Scholar, and Web of Science to identify relevant studies published between 01 January 2012 and 31 December 2024. The review adhered to PRISMA guidelines and included peer-reviewed studies in English. Study quality was independently assessed by two investigators using Covidence software and the Mirza and Jenkins checklist (2004). Qualitative, explorative, and descriptive studies employing thematic or interpretative analyses were included.
RESULTS: Twenty-two studies were included in this synthesis. Findings reveal a complex interplay between postpartum psychosis and family dynamics, which is also shaped by cultural narratives surrounding motherhood. These narratives show how women and families perceive illness and seek help. Five key themes and fifteen subthemes emerged: (1) An understanding of postpartum psychosis, (2) Baby being central to recovery, (3) The importance of support and network systems, (4) Being overwhelmed with responsibilities, and (5) Future plans and plans related to future pregnancy. Poor awareness and systemic barriers often leave families feeling unsupported. Mothers experience emotional exhaustion, viewing the baby as both a comfort and a stressor. Fathers report a need for professional support and struggle with shifting family roles, particularly during separation in mother-baby unit admissions.
CONCLUSION: The review underscores the importance of timely, family-centered care in the management of postpartum psychosis. Mothers and families appear to be overwhelmed at a vulnerable time of their lives and have to navigate systemic barriers to care. Active involvement of families in treatment with culturally sensitive interventions can foster coping, facilitate maternal recovery, and promote maternal-infant bonding.