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How can we improve support for women with perinatal anxiety in primary care? A qualitative study.

Silverwood, Victoria; Fisher, Tamsin; Proctor, Janine; Kingstone, Tom; Turner, Katrina; Shivji, Noreen; Chew-Graham, Carolyn


Janine Proctor

Katrina Turner


Perinatal anxiety (PNA) occurs during pregnancy and up to 12 months post-partum. PNA affects more than 21% of women and can impact adversely on mothers, children and their families. National Institute for Health and Care Excellence (NICE) guidance identified evidence gaps around non-pharmacological interventions for PNA. This qualitative study aimed to understand the perspectives of a variety of Perinatal Mental Health (PMH) stakeholders about non-pharmacological interventions for PNA. Ethics approval. Semi-structured interviews with women with lived experience of PNA, healthcare professionals (HCPs), voluntary community and social enterprise (VCSE) stakeholders and commissioners. Topic guide modified in response to emerging themes. Interviews digitally recorded with consent, transcribed, and analysed thematically. A patient advisory group was involved throughout the study. There were 25 interviews conducted. Women with PNA expressed a wish to choose from a range of non-pharmacological interventions, which are often delivered by VSCE organisations or not commissioned within the NHS. HCPs described a hierarchy of interventions that can be offered to women, often related to severity of a woman's PNA. PMH VCSE stakeholders emphasised that their services are flexible and accessible for women with PNA. Tension exists between what is currently recommended by NICE and thus commissioned, and the types of intervention that women want to access, including support from VCSE services. Clinicians should be aware of local VCSE organisations which provide care for women with PNA. There is an evidence gap around the effectiveness of various interventions delivered by VCSE organisations, which requires further exploration. [Abstract copyright: © British Journal of General Practice 2024.]


Silverwood, V., Fisher, T., Proctor, J., Kingstone, T., Turner, K., Shivji, N., & Chew-Graham, C. (2024, March). How can we improve support for women with perinatal anxiety in primary care? A qualitative study. Presented at BJGP Research and Publishing Conference, RCGP Headquarters, London

Presentation Conference Type Speech
Conference Name BJGP Research and Publishing Conference
Conference Location RCGP Headquarters, London
Start Date Mar 22, 2024
End Date Mar 22, 2024
Deposit Date Jul 9, 2024
Publicly Available Date Jul 9, 2024
Publisher Royal College of General Practitioners
Keywords Perinatal Care, Female, Primary Health Care, Anxiety - therapy, Adult, United Kingdom, Humans, Pregnancy Complications - therapy - psychology, Qualitative Research, Pregnancy
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