Women in the perinatal period face a unique set of mental health challenges as they navigate both physical changes and emotional transitions. Perinatal mental health has been linked to child outcomes such as social-emotional development, cognitive development, and physical growth. In addition, women of racial/ethnic minority groups are confronted with barriers to accessing services and are therefore less likely to utilize mental health services. While international attention has recently focused on the experiences of women of color in the perinatal period, Asian American and Pacific Islander (AAPI) women are largely overlooked. This review explores the intersections of perinatal and Asian American mental health literature, including access barriers, acculturative stress, battling stereotypes, and discrimination. Each of these factors should be understood within the context of the historical treatment of Asian Americans. Special considerations for developing programs designed to support and empower AAPI women during the perinatal period include utilizing a collaborative approach, integrating traditional values, and conceptualizing challenges within the context of each socioecological level (e.g., individual, family, and systems level). This article centers on the experiences of cisgender AAPI women, and further research is needed centering nonbinary birthing folks. To develop mental health services and programs with cultural humility, providers should center both individual and community perspectives and approach conversations from a position of transparency and openness.
Clinical Impact StatementThis article celebrates the diversity of the Asian population and advocates for the development of affirming perinatal psychological services specifically for Asian American and Pacific Islander women. Additionally, it provides suggestions for providers hoping to uplift this group while ultimately working toward decolonization of the mental health system.