Perinatal mental health
Support with emotional wellbeing and mental health during pregnancy and after birth
The health and emotional wellbeing of you and your family is particularly important during the perinatal period.
There is support and information available to help you. It is important to try to talk about how you are feeling and get the support you need.
Please discuss any emotional wellbeing needs with your midwife, health visitor, GP or other health and care professional at any point. Improving Access to Psychological Therapies Service (IAPT) offer a self-referral pathway with a specialist perinatal team. If you need further specialist mental health support, speak to your GP about a referral.
The first 2 years of a baby's life are the building blocks of their long-term social and emotional development. Getting the help and support that you need early reduces the impact of the disorders on the mother, her child and family. Research shows 1 in 5 partners have depression, anxiety or other mental illness and they may also need treatment.
The transition to parenthood can be both a wonderful and rewarding experience but also brings many challenges and stresses. In those with an underlying vulnerability, the physical, emotional and social changes can trigger an episode of mental illness, such as depression ranging from mild to severe (antenatal and postnatal), PTSD and anxiety which affects around 1 in 10 women, and studies showing similar results in men.
Women who are isolated or going through very stressful experiences are also at risk. Risk of mental illness in the perinatal period is further increased if a woman has pre-existing mental health problems including bipolar disorder and/or those with a family history mental illness including postpartum psychosis. Perinatal mental illness is one of the major causes of maternal death (from suicide), however with the right support and treatment, women can get well, with high recovery rates avoiding such tragedies.
Women with pre-existing bipolar disorder are at significant risk of developing postpartum psychosis. This condition can also occur in the absence of any past mental illness. Postpartum psychosis is a very serious condition that can have devastating effects on the woman and her family; it affects around 2 in 1000 women. Most women will have mild to moderate illness, including depression, anxiety and PTSD. 90% of women diagnosed with perinatal mental illness are cared for in primary care usually GP's and not under or necessarily known to mental health services. There are effective interventions for these conditions; the vast majority of women will recover fully, improving outcomes for both women and families.
For mothers, partners and families
- Action on post-partum psychosis
- Association for postnatal illness
- Bipolar UK: Women and Bipolar
- Breastfeeding Network
- Bumps - best use of medicine in pregnancy.
- Cry-Sis - support for parents of babies with challenging behaviour, excessive crying and sleeplessness
- E-lactation - is it compatible with breastfeeding?
- Family Lives
- Gingerbread - support for single parents
- ICON - babies cry, you can cope advice and support
- Maternal Mental Health Alliance - awareness, education and action to improve the lives of mothers and their infants
- Maternal OCD
- NHS Choices - postnatal depression
- Pandas Foundation - pre- and post- natal depression advice and support
- PND and Me - raising awareness of perinatal mental health
- Relate - for support in relationships (can be seen as a couple or individually)
- Royal college of psychiatrists - improving the lives of people with mental illness
- Tommy’s - charity for support and medical research for Premature Births, Miscarriage and Stillbirth
- The Birth Trauma Association
- Dads Matter UK
- Dope Black Dads
- Fatherhood Institute - a great dad for every child
- Men’s Health Forum - fathers reaching out
- Music Football Fatherhood - for dads who want more open conversations around fatherhood
- NCT New Parent Support
- NHS England - Involving and supporting partners and other family members in specialist perinatal mental health services: good practice guide