Reaching women with perinatal mental illness at the booking-in appointment

Haynes, E 2018, 'Reaching women with perinatal mental illness at the booking-in appointment' , International Journal of Health Governance, 23 (1) , pp. 38-45.

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The paper looks at the positive future gains of reaching women with perinatal mental illness at the first midwifery booking-in appointment, a unique opportunity that could be more widely used as a point of detection, awareness and prevention of illness in the perinatal period.
A more robust section of this appointment that includes focused detection and awareness of prior and current mental health concerns as well as the stigma attached to these conditions will allow midwives to signpost women to get much needed treatment prior to delivery. Suitable treatment options also need to be available and in place at this point.
The existing booking-in process, for highlighting and diagnosing mental health conditions, has limited suitability. Detection in the postnatal period has inherent difficulties due to time pressures on women, the costs to the mother, baby, family and the economic costs to society, which are considerable. The postnatal period may be too late for treatment, with the harm already done to the woman, their baby and their family.
Research limitations/implications
Research is needed to assess the efficacy of such a strategy, including the costs to train the midwives to deliver this additional service, and the consideration of suitable treatment options at the antenatal stage. This may help to reduce the high levels of attrition within treatment programmes currently running.
This paper fulfils a need to diagnose and prevent perinatal mental illness at an earlier point in pregnancy.

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: International Journal of Health Governance
Publisher: Emerald
ISSN: 2059-4631
Related URLs:
Depositing User: Emma Haynes
Date Deposited: 20 Nov 2017 16:06
Last Modified: 21 Feb 2018 16:05

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