TY - JOUR
T1 - Borderline Personality Disorder in the perinatal period
T2 - early infant and maternal outcomes
AU - Blankley, Gaynor
AU - Galbally, Megan
AU - Snellen, Martien
AU - Power, Josephine
AU - Lewis, Andrew J
N1 - © The Royal Australian and New Zealand College of Psychiatrists 2015.
PY - 2015/12
Y1 - 2015/12
N2 - OBJECTIVE: 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.METHOD: 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.RESULTS: 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.CONCLUSIONS: 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.
AB - OBJECTIVE: 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.METHOD: 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.RESULTS: 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.CONCLUSIONS: 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.
KW - Adult
KW - Australia/epidemiology
KW - Borderline Personality Disorder/diagnosis
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Female
KW - Hospitals, Maternity/statistics & numerical data
KW - Humans
KW - Infant
KW - Mental Health/statistics & numerical data
KW - Mothers/psychology
KW - Outcome Assessment (Health Care)
KW - Pregnancy
KW - Pregnancy Complications/diagnosis
KW - Pregnancy Outcome
KW - Psychiatric Status Rating Scales
KW - Puerperal Disorders/diagnosis
KW - Retrospective Studies
U2 - 10.1177/1039856215590254
DO - 10.1177/1039856215590254
M3 - Article
C2 - 26133812
SN - 1039-8562
VL - 23
SP - 688
EP - 692
JO - Australasian Psychiatry: bulletin of The Royal Australian and New Zealand College of Psychiatrists
JF - Australasian Psychiatry: bulletin of The Royal Australian and New Zealand College of Psychiatrists
IS - 6
ER -
