Midwifery care: A perinatal mental health case scenario |
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| Authors: | Joanne Marnes Pauline Hall |
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| Institution: | 1. Faculty of Health Sciences, University of Malta, Malta;2. Faculty of Health and Social Care, University of Hull, UK;3. Faculty of Society and Health, Buckinghamshire New University, UK;4. West London Mental Health NHS Trust, UK;1. School of Nursing and Midwifery, Maternity and Family Unit, Research Centre for Clinical and Community Practice Innovation (RCCCPI), Griffith Health Institute, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia;2. Queensland Centre for Mothers & Babies, University of Queensland, Australia;3. University Centre for Rural Health North Coast, Sydney Medical School, University of Sydney, Australia;4. Southern Cross University, University of Western Sydney, University of Wollongong, with the North Coast Area Health Service NSW, PO Box 3074, Lismore, NSW 2480, Australia;5. Women''s Mental Health University of Melbourne, Austin Health, PO Box 5555, Heidelberg 3081, Australia;6. Department of Obstetrics and Gynecology, Institution of Women''s and Children''s Health, Karolinska Institutet/Karolinska University Hospital, SE 171 76 Stockholm, Sweden;1. Department of Women''s and Children''s Health, Division of Reproductive Health, Karolinska Institutet, Stockholm SE-171 76, Sweden;2. Department of Obstetrics and Gynaecology, Floor 2, Helsingborg Hospital, Helsingborg SE-25187, Sweden;3. Department of Health Sciences, Mid Sweden University, Holmgatan 10, Sundsvall SE-85170, Sweden;4. Department of Health Sciences, Lund University, Sweden;1. School of Nursing and Midwifery, University of Western Sydney, NSW, Australia;2. CHETRE, Centre for Primary Health Care and Equity, University of NSW, Sydney 2052, Australia;3. School of Social Sciences and Psychology, University of Western Sydney, NSW, Australia |
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| Abstract: | The establishment of the National Perinatal Depression Initiative (NPDI, 2008–2013) has brought a focus across Australia for the need to identify women at risk of perinatal mental health disorders, suggesting that routine screening by relevant health professionals may aid earlier detection, better care and improved outcomes. Midwives are frequently the primary point of contact in the perinatal period and thus ideally placed to identify, interpret and manage complex situations, including screening for perinatal mental health disorders.This paper offers strategies that could be implemented into daily midwifery practice in order to achieve the goals consistent with the National Perinatal Depression Initiative. A case study (Jen) and discussion, guided by recommendations from the Australian Nursing and Midwifery Competency standards and beyondblue Clinical Practice Guidelines, are used to demonstrate how midwifery care can be provided.In accordance with her legal obligations, the midwife should act within her scope of practice to undertake a series of psychosocial and medical assessments in order to best determine how midwifery care and support can be of benefit to Jen, her infant and her family. Suggestions described include administration of validated screening questionnaires, clinical interview, physical assessment, discussion with partner, awareness of the mother–infant interactions and questioning around baby's sleep and feeding. Based on evaluation of the information gained from a bio-psycho-social assessment, suggestions are made as to the midwifery care options that could be applied. |
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| Keywords: | Postnatal Depression Psychosocial assessment Midwifery Screening |
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