IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i17p9122-d624797.html
   My bibliography  Save this article

Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey

Author

Listed:
  • Kei Fujita

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan
    Department of Obstetrics and Gynecology, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-Cho, Anjo 446-8602, Aichi, Japan)

  • Tomomi Kotani

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan
    Division of Perinatology, Center for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya 466-8560, Aichi, Japan)

  • Yoshinori Moriyama

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan
    Department of Obstetrics and Gynecology, Fujita Health University School of Medicine, Toyoake 470-1192, Aichi, Japan)

  • Takafumi Ushida

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan)

  • Kenji Imai

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan)

  • Tomoko Kobayashi-Nakano

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan)

  • Noriko Kato

    (Department of Obstetrics and Gynecology, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, 2-9 Myoken-Cho, Showa-Ku, Nagoya 466-8650, Aichi, Japan)

  • Takeo Kano

    (Kano’s Clinic for Women, 3-16-25 Osu, Naka-Ku, Nagoya 460-0011, Aichi, Japan)

  • Fumitaka Kikkawa

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan)

  • Hiroaki Kajiyama

    (Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya 466-8550, Aichi, Japan)

Abstract

Mental illnesses commonly occur in the reproductive age. This study aimed to identify the issues that exist within the perinatal mental health care system. A cross-sectional survey was conducted in Aichi Prefecture in central Japan. Questionnaires on the situation between 2016 and 2018 were mailed to the head physicians of 128 maternity care units, 21 neonatal intensive care units (NICUs), and 40 assisted reproductive technology (ART) units. A total of 82 (52.6 per 100,000 births) women were admitted to mental health care units during the perinatal period, and 158 (1.0 per 1000 births) neonates born to mothers with mental illness were admitted to NICUs. Approximately 40% of patients were hospitalized in psychiatric hospitals without maternity care units. Eighty-four (71.1%) and 76 (64.4%) maternity care units did not have psychiatrists or social workers, respectively. Moreover, 20–35% of the head physicians in private clinics, general hospitals, and ART units endorsed the discontinuation of psychotropic drug use during pregnancy. However, the corresponding figures were only 5% among those in maternal-fetal centers. Resources for perinatal mental illness might be limited. Perspectives on psychotropic drug use differed based on the type of facilities where the doctors were working.

Suggested Citation

  • Kei Fujita & Tomomi Kotani & Yoshinori Moriyama & Takafumi Ushida & Kenji Imai & Tomoko Kobayashi-Nakano & Noriko Kato & Takeo Kano & Fumitaka Kikkawa & Hiroaki Kajiyama, 2021. "Current Issues within the Perinatal Mental Health Care System in Aichi Prefecture, Japan: A Cross-Sectional Questionnaire Survey," IJERPH, MDPI, vol. 18(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9122-:d:624797
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/17/9122/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/17/9122/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9122-:d:624797. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.