Evidence map›Paper›PMID 35902425›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Mental health service use among pregnant and early postpartum women.

Leonie Lee-Carbon, Selina Nath, Kylee Trevillion, Sarah Byford, Louise M Howard, Fiona L Challacombe, Margaret Heslin

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Pooled it
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  6. Perinatal and infant mental health care in Austria : Mapping of existing prevention, screening, and care services.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Leonie Lee-CarbonSection of Women's Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Selina NathSection of Women's Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Kylee TrevillionSection of Women's Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Sarah ByfordKing's Health Economics, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Louise M HowardSection of Women's Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Fiona L Challacombe *Section of Women's Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Margaret Heslin *King's Health Economics, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. Margaret.Heslin@kcl.ac.uk.ORCID http://orcid.org/0000-0002-3094-9255

Funding

Programme Grants for Applied Research RP-PG-1210-12002
6 · The paper itself

Abstract

purposeTo explore the proportion and characteristics of women with a mental disorder who have contact with mental health services during pregnancy and the postnatal period in a maternity service in London.

methodsData from the WEll-being in pregNancy stuDY (WENDY), a prospective cohort study, were used. Women were recruited at their first appointment for antenatal care and assessed for mental disorders using the Structured Clinical Interview DSM-IV Axis I/II Disorders for Research. Clinical, sociodemographic and psychosocial characteristics were collected. Mental health service use data were collected for the period from study entry to 3 months postpartum.

resultsTwo hundred women met diagnostic criteria for a mental disorder. Fifty-five (34%) of these had at least one contact with mental health services. Moderate depression (OR 7.44, CI 2.03-27.28, p < 0.01), severe depression (OR 10.5, CI 2.68-41.12, p < 0.01), past psychiatric hospital admission (OR 3.76, CI 1.05-13.44, p < 0.05), symptoms of anxiety (OR 3.95, CI 1.86-8.37, p < 0.001) and perceived low levels of social support (OR 0.43, CI 0.18-1.01, p = 0.05) were associated with an increased likelihood of contact with mental health services in univariate analyses. However, only moderate (OR 5.92, CI 1.31-26.78, p = 0.02) and severe depression (OR 6.04, CI 1.08-33.72, p = 0.04) remained significant in the multivariate regressions analyses.

conclusionOnly a third of women with a diagnosable mental disorder at their first antenatal appointment had any contact with mental health services during pregnancy or up to 3 months postpartum. Further research is warranted to elicit perinatal women's views about the potential barriers to accessing professional mental health care.

Indexed as

Depression, PostpartumMental DisordersMental Health ServicesAnxietyFemaleHumansPostpartum PeriodPregnancyPregnant PeopleProspective StudiesMental health service usePerinatal mental healthPostpartumPregnancy

Identifiers

PMID35902425
PMCPMC9636080

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.