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

I conceived and developed this article, based on my prize-winning essay for the Royal College of Psychiatrists essay competition, in collaboration with other senior doctors. It has been published in BJPsych Open. The full article is also available as a pdf at the bottom of the page.

Abstract

Background COVID-19 has created many challenges for women in the peri- natal 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 tele- medicine services, attendance of antenatal appointments with- out 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 provi- sion, 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 ill- ness 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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If you wish to cite this article, please follow use the following citation:

Kasaven LS, Raynaud I, Jalmbrant M, Joash K, Jones BP. The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK. BJPsych Open. 2023 Jan 13;9(1):e13. doi: 10.1192/bjo.2022.632. PMID: 36636816; PMCID: PMC9874036.