Abstractband Download - Frauengesundheit-Wien

34 Irrsinnig weiblich!? Selbstbewusstsein und psychische Gesundheit bei Frauen
Das sexuelle Profil eines Paares hat, wie die
systemische Sexualtherapie zeigt, oft ein ungeahntes
Entwicklungspotential. In der Therapie
geht es u.a. darum, beide Partner zu
ermutigen, ihr Sexualleben – wie häufig zu
Beginn der Partnerschaft – wieder phantasievoll
und risikoreicher zu gestalten. Dabei
spielt die Bearbeitung von Selbstzweifeln und
Zweifeln gegenüber dem Partner eine wichtige
Rolle, da diese Phantasie und Humor lähmen
und Sex zu einem langweiligen Phänomen verkümmern
lassen. Manche Paare sind in der
Lage, Selbstzweifel mutig hinter sich zu lassen,
andere trennen und scheiden sich und inszenieren
in neuen Beziehungen wieder dieselbe
Komödie oder Tragödie. n
Dr in med. Marieke Paarlberg, Niederlande
Psychiatric-Obstetric-Pediatric
Consultation:
A positive multidisciplinary approach
in pregnant women
Educational Objective:
n Participants learn how different disciplines
can organize effective care in pregnant women
with psychiatric disease and/or psychosocial
problems and why this is important.
Purpose:
Pregnant women with psychiatric diseases,
and/or use of psychotropic medication and, in
particular, women with psychosocial problems
(e.g. homelessness, low intelligence,
teenage pregnancy, drug abuse, physically
and/or sexually abuse etc.) face increased maternal,
foetal and neonatal risks which cannot
be managed by a midwife or obstetrician
alone.
Methods:
In several General Teaching Hospitals in The
Netherlands, a system of multidisciplinary
care has been developed, in which a multidisciplinary
team of psychiatrist, psychologist,
obstetrician, paediatrician, social worker,
teenage pregnancy counsellor, midwife, pedagogue
and mental health care nurse formulate
and practice comprehensive guidance
and treatment modalities. Preferably, if possible,
this counselling is done before pregnancy.
The example of Gelre Teaching Hospital
Apeldoorn will be explained.
Results:
All partners in care, and the pregnant woman
herself and her partner, if present, know when
and what is necessary to do. Paediatricians
know in advance which newborn babies are at
potential psychosocial risk. Video home training
for babies is used to improve bonding
and attachment between the parent(s) and the
baby. In more complicated cases, Infant Mental
Health is used to improve parent-baby interaction.
Health care givers in the whole
chain have become more sensitive in recognizing
pregnant women at risk.
Conclusions:
This multidisciplinary initiative has improved
the healthcare for pregnant women with psychiatric
diseases and women with psycho -
social problems. Cross-border consultation
results in more effective healthcare and improved
care for the babies born in this project.
n