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Introduction Postpartum Psychosis is an underdiagnosticated psychiatric condition that may be suffered by mothers within a year since delivery. It is a severe syndrome in which symptoms such as delusions, hallucinations and disorganized thinking may appear. The traditional approach of admitting the mothers separated from their children has shown harmful consequences. This has led to the creation of Mother-Baby Units (MBU), psychiatric admission units dedicated to full-time housing mothers and their babies. Objectives To evaluate the evidence available regarding the potential benefits of MBU not only for the mothers, the babies, but for the mother-baby bond. To analyse postpartum psychosis risk factors and prognosis. Methods A thorough review of scientific literature and databases regarding postpartum psychosis and MBU has been carried out. Additionally, international mental health care guidelines for perinatal mental disorders were analysed. Results A wide range of related aspects were studied for the present work, including characteristics of the patients, differences in the self- assessment scales of depression, anxiety, postpartum attachment of the mother to the baby at admission and at discharge and the work and social adaptation. Other studies analysed the percentage of mother-baby separation at discharge, as well as the most frequent delusions, and the potential effect of childhood trauma on these patients. Conclusions The available evidence suggest that MBU may be helpful for the improvement of the mental health in women suffering perinatal mental disorders and for the building of a secure attachment style in the baby. The results of the interventions included in MBU programs also show promotion of a positive mother-baby relationship. Disclosure No significant relationships.

Introduction: Mechanical restraint (MR) in Psychiatry can be defined as the application of any mechanical device that limits the person's movement or normal access to his or her body. The use of thesemeasures for behavioral management in people with psychiatric symptoms occurs routinely in and out of mental health departments. Due to its ethical implications, the abolition of MR is one of the main targets of mental health user's movement in our country. Objectives: To review the fundamental aspects of the use of mechanical restraints from a critical perspective. Methods: A narrative review of the literature and presentation of the results. Results: The controversy surrounding MR is due to the fact that their use implies a loss of the right to move freely, that they are generally applied against the will of the mental health service users, that their therapeutic effectiveness is not proven but adverse effects are, and that there is a risk of Misuse and abuse. Even if its use is defended as a safety measure, international organizations point out that it's essential to have clear legal regulation of these procedures. However, the variability of policies around MR differs considerably between countries, even within the European context, and it is not regulated by law in Spain. Conclusions: It seems necessary to reconsider why a measure whose effectiveness has not been demonstrated, which generates ethical, legal and scientific conflict, which causes harm to patients, professionals and their therapeutic bond, and for which there are ways to promote its elimination, is still being employed. [ABSTRACT FROM AUTHOR]