Escolar Documentos
Profissional Documentos
Cultura Documentos
24/02/2016
Role of Maternity Services: Maternal
perspective
PMH: two components perinatal and mental
health
stigma/fear/denial
Effective MBU services
Training
Who needs MH care during
pregnancy?
Women with known MH conditions
Substance misuse/ socially deprived
High risk situations: eg. Traumatic birth/
pregnancy loss/ NICU admission
Women even without risk factor/s
Just as the body changes in pregnancy, so can the
mind (MBRRACE - UK 2015)
Preventative role of Maternity Services
The patient journey: good practice
Pre-pregnancy care
Screening/ Risk Assessment: Booking visit
a current or past history of full range of mental health
issues- not just depression (MBRRACE 2015)
Triage: Clearly defined Care Pathway
Combined Obs-Psych Antenatal Clinic
Care Planning
Labour
Post-partum care
RCOG (2011): Management of women with mental health issues
during pregnancy and postnatal period
Approach to care: family rather than
patient only
Infrastructure of the PMH Service
The multidisciplinary team
Job description
Communication
MDT meetings
Measuring outcomes
Training
Clinical Governance
Roles and responsibilities
Lead Obstetrician
Specialist Midwife
Neonatologist
Safeguarding MW
Community MW
Psychiatrist/ Counsellor/ Psych Liaison Team
HV
Good practice
Patient information
Contact details: Crisis Team
Co-ordination of care: ensuring on-going
care
Point of contact for the mums (and dads)
Working in partnership with mums
Patients first and foremost
Kind, compassionate care
Listen
Non-judgmental approach
Communication: wordings
Avoid wrong information
Patient Education
Signs to be aware of red flag symptoms
Its OK to tell
Its OK to ask - MBBRACE 2015
Attended by :
- Woman
- Her Partner/significant other(s)
- All professionals involved in her care (eg. Obstetrician,
Midwife, Health Visitor, Social Worker, Family Support
Worker, Mental health worker(s), Neonatologist,
Mr Raja Gangopadhyay
Email: r.gangopadhyay@nhs.net
Twitter: @RajaGangopadhyay3
Secretary: 01923217212