Abstract:
OBJECTIVE:to explore and gain insight into the expectations and experiences of women with a pre-existing diagnosis of mental illness, of their first booking appointment; to make recommendations for practice development and collaborative partnership working between healthcare professionals. DESIGN:a qualitative design using semi structured interviews and thematic analysis of the data. QSR NVivo 10 software is used to organise the data into themes. SETTING:the interviews took place either at the women׳s homes, or within the antenatal service with the consent of the woman and relevant practitioners. PARTICIPANTS:twelve participants were selected from one antenatal clinic and one perinatal mental health service. FINDINGS:the themes identified within the data included the lack of information prior to the initial midwife booking appointment; the perception of too much information at the initial booking appointment and women not being clear about their mental health needs at this time; a general positivity about disclosing mental illness diagnoses; overall positive thoughts about midwives although some midwives appeared less knowledgeable about bipolar disorder, and perceptions about a lack of joined up working between antenatal and perinatal mental health services. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:it is recommended that GPs receive adequate training in order to equip them with the skills needed to discuss sensitive issues around perinatal mental illness and the impact on pregnancy and childbirth. Women require more information about their booking appointment, and it would be beneficial for their emotional and physical health needs to be assessed at each follow-up antenatal appointment. Midwives need to be facilitated to receive up-to-date knowledge of antenatal and postnatal mental illness and treatments, and the referral process to perinatal mental health services.
journal_name
Midwiferyjournal_title
Midwiferyauthors
Phillips L,Thomas Ddoi
10.1016/j.midw.2015.04.004subject
Has Abstractpub_date
2015-08-01 00:00:00pages
756-64issue
8eissn
0266-6138issn
1532-3099pii
S0266-6138(15)00119-9journal_volume
31pub_type
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