{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:17:23Z","timestamp":1788182243491,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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\u2010quality data are needed to characterize mental health needs and inform evidence\u2010based interventions in this high\u2010risk population. This study aimed to assess the perspectives of patients experiencing extended antepartum hospitalization regarding current mental health needs and potential interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We interviewed hospitalized antepartum patients at a large referral center from May to September 2024. English\u2010speaking 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\u2010structured interviews were conducted with each participant, including questions on impact of hospitalization on mental health, current stressors, and available support. Interviews were audio\u2010recorded and transcribed. Rapid qualitative analysis was performed, and overarching themes were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants included 23 antepartum patients hospitalized for at least 7 days. Mean gestational age was 26.6\u00a0weeks; mean hospitalization duration was 26 days. Common reasons for admission included preterm prelabor rupture of membranes (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a07, 30%) and placenta accreta spectrum (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05, 22%). Rapid qualitative analysis identified five themes: (1) emotional distress during hospitalization; (2) varying stressors, depending on individual life circumstances; (3) feeling safe in the hospital while missing home; (4) openness to engaging in therapy during hospitalization; and (5) belief that increased interpersonal interactions would improve mental health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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\u2010risk population. These findings can inform future work to develop novel interventions to support mental health in patients experiencing antepartum hospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70229","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T09:16:40Z","timestamp":1768814200000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mental health needs among patients experiencing extended antepartum hospitalization: A qualitative study"],"prefix":"10.1002","volume":"2","author":[{"given":"Alison N.","family":"Goulding","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Maternal\u2010Fetal Medicine Baylor College of Medicine  Houston Texas USA"},{"name":"VA HSR&amp;D Houston Center of Innovations in Quality Effectiveness and Safety Michael E. DeBakey VA Medical Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Ibarra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Maternal\u2010Fetal Medicine Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Cirino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Reproductive Psychiatry Baylor College of Medicine  Houston Texas USA"},{"name":"Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily S.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Maternal\u2010Fetal Medicine Warren Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terri L.","family":"Fletcher","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Houston Center of Innovations in Quality Effectiveness and Safety Michael E. DeBakey VA Medical Center  Houston Texas USA"},{"name":"Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine  Houston Texas USA"},{"name":"VA South Central Mental Illness Research Education and Clinical Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"e_1_2_11_2_1","article-title":"The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period: A Multivariate Bayesian Meta\u2010Analysis","volume":"80","author":"Fawcett E. 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