Evidence mapPaperPMID 42597188Full record

ArticlePregnancy (Hoboken, N.J.)2026

Mental health needs among patients experiencing extended antepartum hospitalization: A qualitative study.

Alison N Goulding, Myriam Ibarra, Nicole Cirino, Emily S Miller, Terri L Fletcher

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Article in Pregnancy (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Alison N GouldingDepartment of Obstetrics and Gynecology Division of Maternal-Fetal Medicine Baylor College of Medicine Houston Texas USA.
Myriam IbarraDepartment of Obstetrics and Gynecology Division of Maternal-Fetal Medicine Baylor College of Medicine Houston Texas USA.
Nicole CirinoDepartment of Obstetrics and Gynecology Division of Reproductive Psychiatry Baylor College of Medicine Houston Texas USA.
Emily S MillerDepartment of Obstetrics and Gynecology Division of Maternal-Fetal Medicine Warren Alpert Medical School of Brown University Providence Rhode Island USA.
Terri L FletcherVA HSR&D Houston Center of Innovations in Quality Effectiveness and Safety Michael E. DeBakey VA Medical Center Houston Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hospitalized antepartum patients are at risk for development or exacerbation of a mental health condition, with one in three screening positive for depression or anxiety. High-quality data are needed to characterize mental health needs and inform evidence-based interventions in this high-risk population. This study aimed to assess the perspectives of patients experiencing extended antepartum hospitalization regarding current mental health needs and potential interventions. Materials and Methods: We interviewed hospitalized antepartum patients at a large referral center from May to September 2024. English-speaking adults admitted for at least 7 days were eligible. Those with stillbirth, major fetal anomalies or planned fetal surgery, intensive care unit admission, or primary psychiatric concerns were excluded. Individual, semi-structured interviews were conducted with each participant, including questions on impact of hospitalization on mental health, current stressors, and available support. Interviews were audio-recorded and transcribed. Rapid qualitative analysis was performed, and overarching themes were identified. Results: Participants included 23 antepartum patients hospitalized for at least 7 days. Mean gestational age was 26.6 weeks; mean hospitalization duration was 26 days. Common reasons for admission included preterm prelabor rupture of membranes ( Conclusions: Collectively, patients experiencing extended antepartum hospitalization describe unmet mental health needs and the desire for help navigating stressful life events during hospitalization. Findings from this qualitative study provide important insights into the mental health needs of patients experiencing extended antepartum hospitalization, a unique and high-risk population. These findings can inform future work to develop novel interventions to support mental health in patients experiencing antepartum hospitalization.

Indexed as

antepartumanxietydepressionmental healthperinatalpregnancyqualitative

Identifiers

PMID42597188
PMCPMC13344783

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