Depresión perinatal

Antenatal Depression: Developing an Effective and Co-ordinated Service Response

Rachel Borthwick, Annie Macleod and Nicky Stanley

TABLE OF CONTENTS
EXECUTIVE SUMMARY ........................................................................................................... 1 RECOMMENDATIONS..................................................................................................... 1 1. INTRODUCTION ............................................................................................................... 2 1.1 Background to the Research ............................................................................. 2 1.2 Research Objectives ......................................................................................... 3 1.3 Methodology.................................................................................................... 3 2 MOTHERS’ VIEWS ........................................................................................................... 4 2.1 The Sample ...................................................................................................... 4 2.2 Experiences of Pregnancy................................................................................ 4 2.3 Women’s Experiences of Professionals ........................................................... 6 2.4 Informal Support Networks .............................................................................. 9 2.5 Barriers to Seeking Help .................................................................................. 9 3. THE PROFESSIONALS AND THEIRPRACTICE ......................................................... 11 3.1 The Sample .................................................................................................... 11 3.2 Who Provides Antenatal Care? ...................................................................... 12 3.3 Professionals’ Awareness of Antenatal Depression ....................................... 13 3.4Screening ........................................................................................................ 13 3.5 Co-ordination and Collaboration Amongst Health professionals ................... 14 3.6 Awareness of Local Services ......................................................................... 15 3.7 Resources for Better Detection and Treatment of Antenatal Depression ....... 15 4.CONCLUSIONS ............................................................................................................... 16 4.1 Professional Attitudes and Establishing a Confidential Relationship ............ 16 4.2 Working Together in Antenatal Care ............................................................. 17 5. RECOMMENDATIONS................................................................................................... 17 5.1 Detecting Antenatal Depression ..................................................................... 17 5.2 Interprofessional Training .............................................................................. 17 5.3 Flexible Caseloads ......................................................................................... 18 5.4 Co-ordinatingAntenatal Care ........................................................................ 18 5.5 Building Expertise in Mental Health .............................................................. 18 5.6 Joint Planning ................................................................................................. 18 ACKNOWLEDGEMENTS............................................................................................... 18 REFERENCES .................................................................................................................. 18 APPENDIX 1 ..................................................................................................................... 21

Executive Summary
Current national health policy has identified perinatal depression as an area of...