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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Antenatal and postnatal mental health
Description:   The summary of the published clinical guideline on Antenatal and postnatal mental health. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Healthcare Commission (2008) Towards better births: a review of maternity services in England Healthcare Commission

Description: A national review of maternity care. Results included: all trusts reported that they covered mental health at the booking appointment; 55% reported exploring current mental health using the questions identified by NICE; 40% of trusts had access to a specialist perinatal mental health service headed by a specialist psychiatrist; 18% access to a community psychiatric nurse-led service; 63% trusts had midwives trained to support women who misused substances.

Doubts about or mixed impact in practice National

Care Quality Commission (2010) Survey of women's experiences of maternity services 2010

Description: The 2010 survey of women?s experiences of maternity services involved 142 NHS acute trusts and 2 primary care trusts (PCTs) in England. We received responses from over 25,000 women, a response rate of 52%. Results found that of expectant mothers offered scans for Down's syndrome in their baby: 52% had a blood test only, 6% had a nuchal test only and 38% had a nuchal and blood test. Only 3% of expectant mothers were offered no scan at all.

Doubts about or mixed impact in practice National

4 Children (2011) Suffering in silence, 70,000 reasons why help with postnatal depression has to be better

Description: Requests for information were provided by 150 (81%) PCTs and Mental Health Trusts contacted. Results found that 81% of Trusts provided treatment for postnatal depression within six weeks ? only half of the maximum waiting time suggested by NICE. However, five Trusts reported waiting times of up to six months ? twice the NICE recommended maximum wait. Many NHS Trusts provide a range of psychological therapies, and in general waiting times for accessing these services are within NICE guidelines.

Doubts about or mixed impact in practice National

The Patients Association (2011) Postnatal Depression Services: An Investigation into NHS Service Provision

Description: A Freedom of Information (FOI) request was sent to 150 Primary Care Trusts (PCTs) to find information on the organisation of postnatal depression services. Responses were received from 77 PCTs. In response to a specific question on screening for antenal and postnatal depression, the authors received responses from 62 PCTs and the vast majority (55 out of 62) responding to this question commission mental health services that use the Whooley questions, as recommended in NICE guidance.

Doubts about or mixed impact in practice National

NSPCC (2013) Prevention in mind - All Babies Count: Spotlight on Perinatal Mental Health

Description: This report consolidates the latest evidence about perinatal mental illness and makes recommendations for policy makers, commissioners and providers in England. Findings include the results of a FoI request sent by the NSPCC to the 52 mental health trusts in England, which found that of the 88.5% trusts that responded, 57% said they provided a Perinatal Mental Health Service. 33% of the mental health trusts said they have no specialist perinatal provision at all.

Doubts about or mixed impact in practice National

The Royal College of Midwives (2010) The Royal College of Midwives audit of midwifery practice

Description: One of the audit aims was to explore midwives? activities in antenatal, intranatal and postnatal care in relation to national guidelines. Questionnaires were sent to 13,782 Royal College of Midwives (RCM) members between 28/10/2009 ? 02/12/2009, the response rate was 15.6%. Findings show that the majority (75%) of women recalled in this survey who were initially identified as suitable for midwifery led care had intermittent auscultation either with a Doppler (61%) or Pinard stethoscope (13%).

Practice appears to be in line with guidance National

Centre for Maternal and Child Enquiries (2011) Saving Mothers' Lives. Reviewing maternal deaths to make motherhood safer: 2006?2008. Confidential Enquiries into Maternal Deaths in the United Kingdom 8th report.

Description: This eighth Report of the UK Enquiries into Maternal Deaths, continues a 56 year unbroken series of reviews of maternal deaths. The overall aim is to save the lives of as many mothers and new-borns as possible through the expert anonymous review of the circumstances surrounding and contributing to each maternal death in the UK. Findings from individual cases are also aggregated together to learn wider lessons and to formulate and disseminate more general recommendations.

Doubts about or mixed impact in practice National

This page was last updated: 19 July 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

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