Abstract

OLZA, Ibone et al. An ecosystemic model for comprehensive perinatal mental health care. Rev. Asoc. Esp. Neuropsiq. [online]. 2021, vol.41, n.139, pp.23-35.  Epub Oct 04, 2021. ISSN 2340-2733.  https://dx.doi.org/10.4321/s0211-57352021000100003.

Mental health care has traditionally paid little attention to mothers. Comprehensive perinatal mental health care programs are very scarce in our environment. We propose a framing model that serves for comprehensive perinatal care, including care for the mental processes of reproduction, pregnancy, childbirth, and postpartum from an ecosystemic vision inspired by the proposals of Urie Bronfenbrenner and John Bowlby, among others. The model integrates data from neurobiology and epigenetics and theories from systemic and intergenerational transmission of attachment and trauma. It is embedded in a gender and ecological perspective that allows making visible the mother-baby dyad's needs in the center as a starting point for prevention and attention during the perinatal period. We propose a perinatal view as a model to continue deepening care for mothers and families at the beginning of life, as well as to care for the professionals who care for them. We bet on listening, support and psychotherapy as basic tools in community and individual care for mothers, babies, and families.

Keywords : perinatality; ecosystem; maternity; paternity; pregnancy; childbirth; puerperium; exterogestation; lactation.

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