Midwives’ experiences of supporting women's mental health: A mixed-method study

Savory, N.A.; Sanders, Julia; Hannigan, Ben

doi:10.1016/j.midw.2022.103368

Cited by 5 publications

(6 citation statements)

References 41 publications

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“…perception that it is not part of their role ( 43 )]. Of note, specialist midwives reported to lack confidence in opening discussions about PMH and to lack knowledge about SMI ( 21 ).…”

Section: Resultsmentioning

confidence: 99%

“…Third, some midwives consider their role as limited to assessing PMH and wellbeing and as appropriate, referring to other health providers ( 9 , 18 , 55 , 57 , 58 ), whereas others have a broad perception of their role that include providing support, psychoeducation and with adequate training counseling interventions ( 21 , 24 , 25 , 42 ). Recent meta-analyses showed positive effects of midwife-led counseling on anxiety and depressive symptoms after at least 3 days of training ( 14 , 74 ).…”

Section: Discussionmentioning

confidence: 99%

“…Given there is some degree of difference between midwives’ perception of their role in PMHC and what is required as essential competencies for midwifery practice (ICM, 2019) ( 6 ), an explicit focus on midwives’ role in PMHC should be made in initial and continuous midwifery education ( 72 , 73 , 76 , 78 ). Fourth, most student midwives, midwives and specialist midwives reported negative attitudes toward parents with suicide ideations, postpartum psychosis and SMI ( 21 , 35 , 40 , 43 , 57 , 79 ). Aligning with this, Hawthorne et al.…”

Section: Discussionmentioning

confidence: 99%

“…While the need to improve midwives’ initial and continuous education in PMH is now well established ( 7 , 10 ), student midwives, midwives and even specialist midwives continue reporting to feel ill prepared to care for parents with PMHP in particular in case of co-occurring SMI ( 9 , 21 , 24 , 33 , 34 , 36 ). Moreover, the proportion of midwives who received education in PMH - in particular in topics such as mental health/suicide risk assessment - remains consistently low.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of midwives’ training needs in perinatal mental health and related interventions

Dubreucq,

Dupont,

Lambregtse-Van den Berg

et al. 2024

Front. Psychiatry

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BackgroundMidwives may be key stakeholders to improve perinatal mental healthcare (PMHC). Three systematic reviews considered midwives’ educational needs in perinatal mental health (PMH) or related interventions with a focus on depression or anxiety. This systematic review aims to review: 1) midwives’ educational/training needs in PMH; 2) the training programs in PMH and their effectiveness in improving PMHC.MethodsWe searched six electronic databases using a search strategy designed by a biomedical information specialist. Inclusion criteria were: (1) focus on midwives; (2) reporting on training needs in PMH, perinatal mental health problems or related conditions or training programs; (3) using quantitative, qualitative or mixed-methods design. We used the Mixed Methods Appraisal Tool for study quality.ResultsOf 4969 articles screened, 66 papers met eligibility criteria (47 on knowledge, skills or attitudes and 19 on training programs). Study quality was low to moderate in most studies. We found that midwives’ understanding of their role in PMHC (e.g. finding meaning in opening discussions about PMH; perception that screening, referral and support is part of their routine clinical duties) is determinant. Training programs had positive effects on proximal outcomes (e.g. knowledge) and contrasted effects on distal outcomes (e.g. number of referrals).ConclusionsThis review generated novel insights to inform initial and continuous education curriculums on PMH (e.g. focus on midwives’ understanding on their role in PMHC or content on person-centered care).Registration detailsThe protocol is registered on PROSPERO (CRD42021285926)

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“…perception that it is not part of their role ( 43 )]. Of note, specialist midwives reported to lack confidence in opening discussions about PMH and to lack knowledge about SMI ( 21 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of midwives’ training needs in perinatal mental health and related interventions

Dubreucq,

Dupont,

Lambregtse-Van den Berg

et al. 2024

Front. Psychiatry

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“…Nurses [28], Mental Health Team, Health Link BC, Mental Health Support Crisis Line, Suicide Line [7]. Other support mechanisms are through provision of information and communication materials and e-resources for women, partners [43] and families using external pilot of a novel intervention [44] which have also been seen as important even during COVID 19 period [45] and availability of well-trained midwife nurses [46].…”

Section: 44mentioning

confidence: 99%

A Theoretical FRAMEWORK for the Development of Perinatal Period Mental Health Guidelines in Zimbabwe

Gwatiringa¹,

Modiba²,

Mavondo³

2022

CJMS

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The need to create a harmonized process of handling mental health issues cropping up during the perinatal period in Zimbabwe cannot be over emphasized. The number of pregnant women needing perinatal management is growing. The number of trained midwifery nurse practitioner is also growing contributed from different nursing schools meaning different practice methodologies necessitating national guidelines to be adopted. A search of the literature revealed that the British Columbia guidelines provided a framework which could be adopted and adapted for use in the formulation of best practices guidelines to advance collaborative and supportive care as it applies to perinatal health care and client-centred childbirth. The guidelines were premised on the inkling that the use of the ideal strategy and a coordinated approach results in appropriate identification and effective management of mental pathology. The framework and the resultant guidelines, were able to guard against disturbances in the mental wellbeing of the women, whilst excluding the presence of mental disorders. The pillars of the framework we adopted to address dimensions namely: of instruction and avoidance, assessment and the verdict, therapy and self-administration, adapting and backup linkages. The adopted framework facilitates recognition, diagnosis, management and keeping track of ladies with identified mental health challenges. These were conceptualized as recognition, diagnosis, management and follow-up, giving a more promotive and preventive flair to the Zimbabwean perinatal mental health guidelines. Therefore, the theoretical framework for guidelines in mental health views mental stability is an interconnected quadlet of recognition of the tell-tail signs of the disease, diagnosis of the condition, management of the disease and follow-up of the those who have been successfully managed for possible relapses.

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Common mental disorders and perinatal outcomes in Victoria, Australia: A population-based retrospective cohort study

Faulks,

Edvardsson,

Mogren

et al. 2024

Women and Birth

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Midwives’ experiences of supporting women's mental health: A mixed-method study

Cited by 5 publications

References 41 publications

A systematic review of midwives’ training needs in perinatal mental health and related interventions

A systematic review of midwives’ training needs in perinatal mental health and related interventions

A Theoretical FRAMEWORK for the Development of Perinatal Period Mental Health Guidelines in Zimbabwe

Common mental disorders and perinatal outcomes in Victoria, Australia: A population-based retrospective cohort study

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