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Thousands suffer in silence from postnatal depression

Posted: 3 October 2011 by Rob Dabrowski

Thousands of new mothers are suffering in silence each year because their postnatal depression goes untreated, a new report claims.

postnatal depression
It states that 35,000 mothers a year in England and Wales are struggling with symptoms and do not get professional help.

The report, from the charity 4Children, says one in ten new mothers experience postnatal depression, but half of these do not seek professional help.

Of those who do seek help, 70% are prescribed medication by their GPs, while 41% are offered ‘talking therapies’, according to the results.

The charity's findings are based on a poll of 2000 mothers and reveal that 33% of those who suffered said they were too scared to tell anyone about their depression, due to fear about what might happen to themselves or their baby.

The new report argues that health workers, including GPs, need to do more to recognise and diagnose postnatal depression early.

Sue Macdonald, RCM education and research manager, said it is vital to prepare women and their families for the possibility of postnatal depression.

She said: ‘Talking about postnatal depression is really important because if mothers know what to look out for then when it happens they don’t see it as something abnormal.

‘The midwife is the key professional to provide this information and support during pregnancy, and during the first month after childbirth, following which the care passes to the health visitor.’

The Royal College of Psychiatrists says that 10% to 15% of women suffer from postnatal depression, which usually occurs in the first couple of months after giving birth. 

The college states that there are numerous symptoms, which may include: loss of appetite, sleeplessness and feelings of negativity, guilty and anxiety.

Elizabeth Duff, Senior Policy Adviser at NCT, the UK’s largest charity for parents, said: ‘Lack of support and isolation are often key causes, as parents come to terms with their new role.
 
‘We would like to see families well-supported throughout pregnancy, birth and in the early days of being a parent, with one-to-one care from a midwife who has time to get to know them and establish a relationship of trust.

‘Midwives and other health professionals should also be aware of the condition, its symptoms, and how to refer families to get support. While antidepressants may help, many women benefit from counseling.’

A Department of Health spokesman said the issue is being taken ‘very seriously’ with a focus on ‘talking therapies’ and £400m has been earmarked for treatment.

Comments
Having worked on a Birth Afterthoughts team for a while and having been able to offer a woman and her partner unrestricted time to discuss her labour/delivery experience with accessing her maternity notes, it has made me realise just how scared and vulnerable women can feel after giving birth leading to feelings of guilt, confusion, disempowerment and an inability to enjoy the postnatal period. Albeit a minority, I feel that the service of debriefing and providing an empathetic one to one consultation can be very helpful in the road to recovery from postnatal depression.

Helen Graham (08/10/2011 13:51:47)

Whilst postnatal depression is a key area of concern, so is antenatal depression. The research is certainly lacking in this area in contrast to postnatal depression, but it is most definitely a health concern that warrants immediate attention.

There is sufficient research to identify that pregnancy does not provide protection against depression, as previously thought and, indeed, the available statistics demonstrate that the incidence of depression in pregnancy is significantly no different to that in non-pregnant women. Therefore early recognition and appropriate referral for risk assessment, appropriate treatment and support, and care planning is crucial. Women known to have experienced depression prior to pregnancy also need to have an early referral so that appropriate referrals and assessment of care needs can be made at an early stage e.g. at the time of booking in.

Poor recognition of depression in pregnancy, fragmented service provision, lack of continuity of care, care provisions from a range of teams, and poor access to specialised mother and baby mental health facilities, have been identified as factors that make effective care and support difficult or even impossible. This is an area that must be addressed as a matter of urgency.

The barriers that exist around mental health are not new, nor the concerns that women have relating to disclosure, for example, having their child removed by social services. So as health professionals, we have to be cognisant of the wide ranging issues that exist for women with depression occurring during pregnancy, so that positive outcomes for the woman and child will result.

More attention needs to be focused on antenatal depression, which surely must have a direct impact on postnatal depression and the outcomes for woman and child.

Catherine Harrison-Williams (08/10/2011 17:23:28)