The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK

Background COVID-19 has created many challenges for women in the perinatal phase. This stems from prolonged periods of lockdowns, restricted support networks and media panic, alongside altered healthcare provision. Aims We aimed to review the evidence regarding the psychological impact on new and...

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Main Authors: Lorraine S. Kasaven, Isabel Raynaud, Maria Jalmbrant, Karen Joash, Benjamin P. Jones
Format: Article
Language:English
Published: Cambridge University Press 2023-01-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472422006329/type/journal_article
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author Lorraine S. Kasaven
Isabel Raynaud
Maria Jalmbrant
Karen Joash
Benjamin P. Jones
author_facet Lorraine S. Kasaven
Isabel Raynaud
Maria Jalmbrant
Karen Joash
Benjamin P. Jones
author_sort Lorraine S. Kasaven
collection DOAJ
description Background COVID-19 has created many challenges for women in the perinatal phase. This stems from prolonged periods of lockdowns, restricted support networks and media panic, alongside altered healthcare provision. Aims We aimed to review the evidence regarding the psychological impact on new and expecting mothers following changes to antenatal and postnatal service provision within the UK throughout the pandemic. Method We conducted a narrative literature search of major databases (PubMed, Medline, Google Scholar). The literature was critically reviewed by experts within the field of antenatal and perinatal mental health. Results Changes to service provision, including the introduction of telemedicine services, attendance of antenatal appointments without partners or loved ones, and lack of support during the intrapartum period, are associated with increased stress, depression and anxiety. Encouraging women and their partners to engage with aspects of positive psychology through newly introduced digital platforms and virtual service provision has the potential to improve access to holistic care and increase mental well-being. An online course, designed by Imperial College Healthcare NHS Trust in response to changes to service provision, focuses on postnatal recovery inspiration and support for motherhood (PRISM) through a 5-week programme. So far, the course has received positive feedback. Conclusions The pandemic has contributed to increased rates of mental illness among pregnant and new mothers in the UK. Although the long-term implications are largely unpredictable, it is important to anticipate increased prevalence and complexity of symptoms, which could be hugely detrimental to an already overburdened National Health Service.
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spelling doaj.art-309c555bae56432c8582ee799f14a9b42023-03-09T12:29:27ZengCambridge University PressBJPsych Open2056-47242023-01-01910.1192/bjo.2022.632The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UKLorraine S. Kasaven0https://orcid.org/0000-0002-1752-5220Isabel Raynaud1Maria Jalmbrant2Karen Joash3Benjamin P. Jones4Department of Surgery and Cancer, Imperial College London, UK; Cutrale Perioperative and Ageing Group, Imperial College London, UK; and Department of Obstetrics and Gynaecology, Queen Charlottes and Chelsea Hospital, Imperial College NHS Trust, UKWest Middlesex University Hospital, Chelsea and Westminster Hospitals NHS Trust, UKSloane Court Clinic, UKDepartment of Obstetrics and Gynaecology, Queen Charlottes and Chelsea Hospital, Imperial College NHS Trust, UKDepartment of Surgery and Cancer, Imperial College London, UK; and Department of Obstetrics and Gynaecology, Queen Charlottes and Chelsea Hospital, Imperial College NHS Trust, UK Background COVID-19 has created many challenges for women in the perinatal phase. This stems from prolonged periods of lockdowns, restricted support networks and media panic, alongside altered healthcare provision. Aims We aimed to review the evidence regarding the psychological impact on new and expecting mothers following changes to antenatal and postnatal service provision within the UK throughout the pandemic. Method We conducted a narrative literature search of major databases (PubMed, Medline, Google Scholar). The literature was critically reviewed by experts within the field of antenatal and perinatal mental health. Results Changes to service provision, including the introduction of telemedicine services, attendance of antenatal appointments without partners or loved ones, and lack of support during the intrapartum period, are associated with increased stress, depression and anxiety. Encouraging women and their partners to engage with aspects of positive psychology through newly introduced digital platforms and virtual service provision has the potential to improve access to holistic care and increase mental well-being. An online course, designed by Imperial College Healthcare NHS Trust in response to changes to service provision, focuses on postnatal recovery inspiration and support for motherhood (PRISM) through a 5-week programme. So far, the course has received positive feedback. Conclusions The pandemic has contributed to increased rates of mental illness among pregnant and new mothers in the UK. Although the long-term implications are largely unpredictable, it is important to anticipate increased prevalence and complexity of symptoms, which could be hugely detrimental to an already overburdened National Health Service. https://www.cambridge.org/core/product/identifier/S2056472422006329/type/journal_articlePerinatal psychiatrycommunity mental health teamsanxiety disorderspsychosocial interventionspatients
spellingShingle Lorraine S. Kasaven
Isabel Raynaud
Maria Jalmbrant
Karen Joash
Benjamin P. Jones
The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK
BJPsych Open
Perinatal psychiatry
community mental health teams
anxiety disorders
psychosocial interventions
patients
title The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK
title_full The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK
title_fullStr The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK
title_full_unstemmed The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK
title_short The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK
title_sort impact of the covid 19 pandemic on perinatal services and maternal mental health in the uk
topic Perinatal psychiatry
community mental health teams
anxiety disorders
psychosocial interventions
patients
url https://www.cambridge.org/core/product/identifier/S2056472422006329/type/journal_article
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