Publications by authors named "Inbal Shlomi-Polachek"

Objective: This study aimed to investigate the prevalence and characteristics of mistreatment during childbirth in Israeli medical centers, addressing gaps in quantitative data within developed countries.

Study Design: A new questionnaire, incorporating demographic, obstetric, and mistreatment-related questions, was developed and distributed to postpartum women in two Israeli hospitals. Mistreatment categories included physical, sexual, and verbal abuse, failure to meet professional standards, poor rapport between women and providers, and health system conditions.

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Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). The current study examines whether stable symptoms of PTS-FC during the early postpartum period may impose risk for perturbations in maternal behavior and infant social-engagement with mother, controlling for comorbid postpartum internalizing symptoms. Mother-infant dyads (N = 192) were recruited from the general population, during the third trimester of pregnancy.

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Objective: Growing literature has identified childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth. The current study is the first to prospectively examine a pathway of risk from mothers' prenatal trait-anxiety, to Acute-Stress-Immediately-Following-Childbirth, and later symptoms of Post-Traumatic-Stress-Following-Childbirth, in a low-risk community sample. Auxiliary analyses explored whether doula care during childbirth moderated risk.

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Intro: Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). Especially when persistent, PTS-FC may interfere with mothers' caregiving and associated infant development, underscoring the need for accurate predictive screening of risk. Drawing on recent developments in advanced statistical modeling, the aim of the current study was to identify a set of prenatal indicators and prediction rules that may accurately identify pregnant women's risk for developing symptoms of PTS-FC which persist throughout the early postpartum period.

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Almost 40% of postpartum psychiatric hospital admissions are brief, lasting 72h or less. We aimed to identify unique subgroups of women within this group to inform better intervention. All women in Ontario, Canada with a brief postpartum psychiatric admission (≤ 72h) (2007-2012)(N = 631) were studied using latent class analysis.

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About 1-2/1000 of postpartum women require psychiatric admission. Length of stay is variable, and little is known about short postpartum admission. From all women in Ontario, Canada, with a psychiatric admission within 1 year postpartum (2007-2012) (n = 1702), we compared women with admissions <72 h to women with longer admissions on sociodemographics, clinical characteristics and post-discharge mental health service use.

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Objectives: To evaluate disease activity in the joints and skin during pregnancy and the first-year postpartum in patients with psoriatic arthritis (PsA).

Methods: Women with PsA who were pregnant between 1990 and 2015 with at least 1 clinic visit during pregnancy were identified from the Toronto PsA database. The course of joint and skin disease activity was defined by the following 5 states: improvement, worsening, stable low, stable high, or a mixed.

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Article Synopsis
  • The study analyzed hospitalization patterns for psychotic disorders, focusing on patients under 45 and over 55 years from 2010 to 2013.
  • Results indicated that younger women had fewer hospital admissions and involuntary stays compared to their male counterparts, while older women had more hospitalizations than older men.
  • Women, especially those younger than 45, were prescribed lower doses of clozapine but similar intramuscular risperidone doses compared to men, suggesting better hospitalization outcomes for younger women.
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Objectives: To better understand women with a first lifetime psychiatric hospitalization in the postpartum period.

Methods: We included all 1071 postpartum women in Ontario, Canada, with a psychiatric admission in the 1-year postpartum (2007-2012). We compared women with their first lifetime psychiatric admission to those with any prior psychiatric admission on demographic and clinical characteristics and on mental health physician visits, psychiatric emergency department (ED) revisits and psychiatric readmission within 1-year postdischarge.

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Article Synopsis
  • The study investigates the prevalence of complete and partial post-traumatic stress disorder (PTSD) in women experiencing complicated pregnancies and aims to identify risk factors for postpartum PTSD.
  • Women in high-risk pregnancy clinics completed questionnaires on their demographics, psychological history, pregnancy complications, and childbirth fears, with follow-up assessments conducted after delivery.
  • The findings reveal a significant prevalence of postpartum PTSD (9.9%) and partial PTSD (11.9%), linked to prior trauma, difficult birth experiences, and emotional distress during pregnancy, leading to a predictive model for identifying at-risk women.
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Background: In contrast to postpartum depression, postpartum anxiety receives less attention, especially in the general population. Acknowledging the phenomenon is important, as it may lead to significant distress and impair maternal functioning.

Objectives: To explore the phenomenon in a cohort of women in the general population and to investigate possible associated factors.

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Background: While many are familiar with postpartum depression, the phenomenon of postpartum post-traumatic stress disorder (PTSD) is less well known and investigated.

Objectives: To assess the prevalence of postpartum PTSD in a cohort of women in Israel and examine factors affecting its development.

Methods: Eighty-nine women completed several ratings immediately post-delivery and after a month.

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