Defining optimal interventions for Perinatal Anxiety (PNA) in a primary care population: a multi-methods study

Silverwood, Victoria Anne

Abstract

Introduction
Perinatal anxiety (PNA) occurs during pregnancy and up to 12 months postpartum. PNA affects approximately 21% of women worldwide and can have a negative impact on mothers, children and their families. The National Institute for Health and Care Excellence recommends psychological and/or pharmacological therapies to manage PNA. This doctoral research aims to address evidence gaps that have been identified around non-pharmacological interventions for PNA in primary care.

Methods
Multi-methods were used across three studies, a meta-review of systematic reviews, a secondary analysis study of qualitative data and a primary qualitative study. A community engagement and involvement (CEI) event attended by PNA stakeholders informed the development of a PNA care pathway. A patient and public involvement and engagement group was involved throughout the research.

Results
The meta-review summarises existing evidence about non-pharmacological interventions in primary care, demonstrating that there is a wide range of potentially effective interventions, more than is currently routinely offered. The secondary analysis study of qualitative data explored perspectives of PNA interventions from 17 women with PNA, the primary qualitative study explored the experiences of PNA interventions from 30 PNA stakeholders: women with PNA, healthcare professionals (HCPs), community practitioners and mental health commissioners. Findings from both qualitative studies conclude that women utilise a variety of options to manage PNA across healthcare and community settings. Women express a preference for personalised care, and emphasise the value of continuity of care. Finally, discussions at the CEI event informed the development of a care pathway, which outlines key findings about PNA information and education, help seeking and interventions for PNA.

Conclusion
This doctoral research demonstrates the importance of considering interventions across healthcare and community services for PNA in the context of each individual woman, recommending that we aspire to deliver personalised care for PNA wherever possible.

Citation

Silverwood, V. A. Defining optimal interventions for Perinatal Anxiety (PNA) in a primary care population: a multi-methods study. (Thesis). Keele University. Retrieved from https://keele-repository.worktribe.com/output/1015697

• Thesis Type: Thesis
• Deposit Date: Dec 13, 2024
• Publicly Available Date: Dec 19, 2024
• Public URL: https://keele-repository.worktribe.com/output/1015697
• Award Date: 2024-12