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Perinatal Mental Health

  

Perinatal mental health problems are those which occur during pregnancy or in the first year following the birth of a child.


Perinatal Mental Healthcare

Available across Coventry and Warwickshire.

Referrals are from health professionals only via referral form.

The perinatal team will consider patients who have these issues beginning perinatally (ie in pregnancy or first TWELVE postnatal months) :

  • Severe bonding issues / mother-infant attachment issues
  • Severe depressive illness
  • Feels depressed or low in mood
  • Occasional suicidal thoughts –but no real plans
  • Mood swings
  • Family history of bipolar disorder
  • Moderate to severe anxiety based disorders
  • Obsessive compulsive symptoms
  • Anxiety/panic attacks
  • Fears she may harm baby (no intent)
  • Tokophobia (fear of childbirth)
  • Requests for elective c-section with no medical indication
  • Mental illness impacting on medical care such as needle phobia
  • Labour or postnatal related post-traumatic symptoms
  • Complicated/unusual response to stillbirth or neonatal loss
  • Difficulty adjusting to a medically complicated pregnancy eg.multiple pregnancy or placenta praevia
  • Past postnatal depression requiring hospitalisation
  • Past postnatal depression, no hospitalisation
  • History of psychosis (may be postnatal or not)
  • Preconception history of schizoaffective disorder, bipolar disorder or severe depressive illness requiring hospitalisation

If psychotic symptoms, strong suicidal thoughts or plans, hostile thoughts about baby with intent to harm at any stage of pregnancy or up to 12 months postnatally contact the Crisis Team

Referrals

See referral form on right

Follow click for Edinburgh Postnatal Depression Score

Follow click for Hospital Anxiety and Depression Scale

Whooley Questions:

  1. 1. During the last month, have you often been bothered by feeling down, depressed or hopeless? (YES/NO)
  2. 2. During the last month, have you often been bothered by little interest or pleasure in doing thing? (YES/NO

YES to one or both questions is take as a positive screen for depression

Follow click for GAD Scale

For further information, please contact Sue Drewitt, Perinatal Mental Health Service Team Manager, 024 76212176 or susan.drewitt@covwarkpt.nhs.uk

 

 

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