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            <funder>We also thank the Francophone Marcé Society for its funding</funder>
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                <title xml:lang="en">Predictors of infant foster care in cases of maternal psychiatric disorders.</title>
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                    <forename type="first">Nine</forename>
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                    <forename type="first">Odile</forename>
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                <title level="j">Social Psychiatry and Psychiatric Epidemiology</title>
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                  <biblScope unit="volume">48</biblScope>
                  <biblScope unit="issue">4</biblScope>
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                  <date type="dateEpub">2012-06-16</date>
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                <term xml:lang="en">Mother and child separation</term>
                <term xml:lang="en">Psychiatric disorders</term>
                <term xml:lang="en">Risk factors for foster care</term>
                <term xml:lang="en">Postpartum Mother and baby hospitalization</term>
                <term xml:lang="en">Multivariate analysis</term>
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              <p>PURPOSE: Our aim was to investigate the factors associated with mother-child separation at discharge, after joint hospitalization in psychiatric mother-baby units (MBUs) in France and Belgium. Because parents with postpartum psychiatric disorders are at risk of disturbed parent-infant interactions, their infants have an increased risk of an unstable early foundation. They may be particularly vulnerable to environmental stress and have a higher risk of developing some psychiatric disorders in adulthood. METHODS: This prospective longitudinal study of 1,018 women with postpartum psychiatric disorders, jointly admitted with their infant to 16 French and Belgian psychiatric mother-baby units (MBUs), used multifactorial logistic regression models to assess the risk factors for mother-child separation at discharge from MBUs. Those factors include some infant characteristics associated with personal vulnerability, parents' pathology and psychosocial context. RESULTS: Most children were discharged with their mothers, but 151 (15 %) were separated from their mothers at discharge. Risk factors independently associated with separation were: (1) neonatal or infant medical problems or complications; (2) maternal psychiatric disorder; (3) paternal psychiatric disorder; (4) maternal lack of good relationship with others; (5) mother receipt of disability benefits; (6) low social class. CONCLUSIONS: This study highlights the existence of factors other than maternal pathology that lead to decisions to separate mother and child for the child's protection in a population of mentally ill mothers jointly hospitalized with the baby in the postpartum period.</p>
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