Remit: Puerperal/perinatal mental health

The following remit was received from the Department of Health and the Welsh Assembly Government in October 2003 as part of the Institute's 9th wave programme of work.

Title: Clinical guideline for the management of puerperal/perinatal mental health.

Remit: "To prepare a clinical and service guideline for the NHS in England and Wales for the early identification, prevention and drug and non-drug management of puerperal/perinatal mental illness. The guidance should include consideration of:- the respective roles of primary care, secondary acute/maternity services, specialist mental health services and tertiary services, including the place of shared care arrangements;- the range of treatment to be provided by specialist mental health services, including specific drugs and ECT;- drug treatments for breast feeding mothers;- recommendations for joint mother-baby admissions in very severe disorder; and- the role of health visitors in providing counselling and the provision of drug treatments by GPs in milder cases. Early recognition of women at risk should be looked at as part of the management approach, including specific inquiry about psychiatric risk factors at antenatal booking in. The guideline needs to be culturally competent so as to not exclude any groups of people."

This page was last updated: 30 March 2010

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.