Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness
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The majority of women with a severe mental illness (SMI) become pregnant and have children. The aim of this systematic review and meta-synthesis was to examine the qualitative research on the experiences of motherhood in women with SMI from preconception decision making to being a mother. The experiences of the health professionals treating women with SMI were also reviewed. Eleven databases were searched for papers published up to April 25, 2012, using keywords and mesh headings. A total of 23 studies were identified that met the inclusion criteria on the views of women with SMI, eight reported the views of health professionals including one which reported both. The meta-synthesis of the 23 studies on women's views produced two overarching themes Experiences of Motherhood and Experiences of Services. Sub-themes included the following: Guilt, Coping with Dual Identities, Stigma, and Centrality of Motherhood. Four themes emerged from the synthesis of the eight papers reporting the views of health professionals: Discomfort, Stigma, Need for education, and Integration of services. An understanding of the experiences of pregnancy and motherhood for women with SMI can inform service development and provision to ensure the needs of women and their families are met.
KeywordsPregnancy Severe mental illness Systematic review Qualitative research
The authors thank Kylee Trevillion (KT) for her help with quality appraisal.
- Antenatal and Postnatal Mental Health Clinical Management and Service Guideline, National Institute for Health and Clinical Excellence (2007) http://www.nice.org.uk.
- BMJ (2011) Consolidated criteria for reporting qualitative research http://bmjopen.bmj.com/content/suppl/2011/02/21/bmjopen-2010 000017.DC1/bmjopen_research_checklist_000017.pdf
- CASP: Critical Appraisal Skills Programme (2010) http://www.casp-uk.net/wp-content/uploads/2011/11/CASP_Qualitative_Appraisal_Checklist_. Accessed 11/2011
- Dept of Health HG, UK (2003) Mainstreaming gender and women's mental health implementation guidance. LondonGoogle Scholar
- Doucet S, Letourneau N, Blackmore ER (2012) Support needs of mothers who experience postpartum psychosis and their partners. Journal of Obstetric, Gynecologic, & Neonatal NursingGoogle Scholar
- Engqvist I, Ahlin A, Ferszt G, Nilsson K (2011a) Comprehensive treatment of women with postpartum psychosis across health care systems from swedish psychiatrists' perspectives. The Qualitative Report 16(1):66–83Google Scholar
- Heron J, Gilbert N, Dolman C, Shah S, Beare I, Dearden S, Muckelroy N, Jones I, Ives J (2012) Information and support needs during recovery from postpartum psychosis. Archives of Women's Mental Health:1–11Google Scholar
- Maddocks S, Johnson S, Wright N, Stickley T (2010) A phenomenological exploration of the lived experience of mental health nurses who care for clients with enduring mental health problems who are parents. J Psychiatr Ment Heal Nurs 17(8):674–682. doi: 10.1111/j.1365-2850.2010.01582.x CrossRefGoogle Scholar
- Montgomery P, Mossey S, Bailey P, Forchuk C (2011) Mothers with serious mental illness: their experience of "hitting bottom". ISRN nursing 2011:708318Google Scholar
- Nicholson J, Blanch A (1994) Rehabilitation for parenting roles for people with serious mental illness. Psychosocial Rehabilitation JournalGoogle Scholar
- Noblit GW, Hare RD (1988) Meta-ethnography: Synthesizing qualitative studies, vol 11. Sage Publications.Google Scholar
- Peay HL, Hooker GW, Kassem L, Biesecker BB (2009) Family risk and related education and counseling needs: perceptions of adults with bipolar disorder and siblings of adults with bipolar disorder. American Journal of Medical Genetics Part A 149A(3):364–371. doi: 10.1002/ajmg.a.32696 PubMedCrossRefGoogle Scholar
- Sands RG (1995) The parenting experience of low-income single women with serious mental disorders. Fam Soc 76(2):86–96Google Scholar
- Scottish Intercollegiate Guidelines Network: Management of perinatal mood disorders: a national clinical guideline (2012) http://www.sign.ac.uk/pdf/sign127.pdf.
- Vigod SN, Seeman MV, Ray JG, Anderson GM, Dennis CL, Grigoriadis S, Gruneir A, Kurdyak PA, Rochon PA (2012) Temporal trends in general and age-specific fertility rates among women with schizophrenia (1996‚Äì2009): a population-based study in Ontario, Canada. Schizophrenia ResearchGoogle Scholar