Care and self-reported outcomes of care experienced by women with mental health problems in pregnancy: findings from a national survey

Henderson, Jane (Health services researcher); Jomeen, Julie; Redshaw, Margaret

Faculty of Health and Social Care
Perinatal mental health; Maternity care; Perceptions of care
2018

Journal article


Rights
© 2017 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
Abstract

Background
mental health problems in pregnancy and the postnatal period are relatively common and, in pregnancy, are associated with an increase in adverse outcome. It is recommended that all women are asked about their emotional and mental health and offered treatment if appropriate.

Objectives
to describe the care received by women self-identifying with mental health problems in pregnancy, and to describe the effects of support, advice and treatment on outcomes in the postnatal period.

Design
this study used cross-sectional survey data collected in 2014 which described women's experience of maternity care.

Setting
England

Participants
a random sample of women who had a live birth in January 2014.

Measurements
the questionnaire asked about sociodemographic characteristics, whether women were asked about emotional and mental health in pregnancy, support and treatment offered, about postnatal wellbeing, and questions relating to attachment to their baby. Descriptive statistics and logistic regression were used to examine the associations between mental health and outcomes taking account of sociodemographic characteristics.

Findings
the survey response rate was 47%. Women with antenatal mental health problems were significantly more worried at the prospect of labour and birth, had lower satisfaction with the experience of birth, worse postnatal mental health, and indications of poorer attachment to their baby. They received substantially more care than other women but they did not always view this positively. Support, advice and treatment for mental health problems had mixed effects.

Conclusions
this study describes the significant additional care provided to women self-identifying with mental health problems in pregnancy, the mixed effects of support, advice and treatment, and the poor perception of staff interaction among women with mental health problems.

Implications for practice
health care professionals may need additional training to effectively support women with mental health problems during the perinatal period.

Publisher
The University of Hull
Peer reviewed
Yes
Language
English
Extent
233 KB
Identifier
hull:15721

Journal

Journal title
Midwifery
Publication date
2018
Publisher
Elsevier
DOI
10.1016/j.midw.2017.10.020
ISSN (Print)
0266-6138
Volume
56
Start page
171
End page
178
Notes

Copy of article first published in: Midwifery, 2018, v.56.

Link
Published article
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