Antenatal and postnatal mental health: Clinical management and service guidance

NICE guidelines [CG45] Published date:

Review decision date: July 2011

Review decision: 

This guideline is currently being updated. Further information can be found on the Antenatal and postnatal mental health (update) page.

The advice in the NICE clinical guideline on mental health problems during pregnancy and after giving birth covers:

  • recognising mental health problems during pregnancy and in the first year after giving birth
  • the care and treatment (including drugs and psychological treatments) of women who develop a mental health problem during pregnancy or in the first year after giving birth, and women who have a higher chance of developing a problem at this time
  • the care and treatment (including drugs and psychological treatments) of women who already had a mental health problem before becoming pregnant
  • how families and carers may be able to support women with mental health problems and get support for themselves.

It does not specifically look at:

  • the care of women with ‘baby blues’ in the first few days after giving birth (this is covered in the NICE guideline on postnatal care)
  • the treatment of physical health problems during pregnancy and in the first year after giving birth
  • the treatment of mental health problems at any time other than when planning a pregnancy, during pregnancy and in the first year after giving birth.

  • Since publication, two recommendations in this guideline have been corrected or clarified. See the summary of changes for details. Most recent change:  June 2010.

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