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Commentary on: Viveiros CJ, Darling EK. Perceptions of barriers to accessing perinatal mental healthcare in midwifery: a scoping review. Midwifery 2019;70:106–118.
Implications for practice and research
Midwives increasingly provide important perinatal care but their role in the identification and management of mental illness, one of the most common complications of pregnancy, remains unclear.
Access to mental healthcare in midwifery is hampered by supply-side barriers and there are also barriers due to the clients’ inability to interact with midwives to optimise access to care
Research in innovative strategies to train midwives to provide psychosocial and psychological interventions to women with mild-to-moderate symptom severity is needed to ensure timely access to evidence-based treatment and appropriate follow-up.
Despite increased awareness of perinatal mental health issues, management remain suboptimal. Barriers are diverse and areas to target for greatest impact …
Competing interests SV receives royalties from UpToDate Inc for authorship of materials related to depression and pregnancy.
Provenance and peer review Commissioned; internally peer reviewed.