Evidence map›Paper›PMID 39575102›Full record

ArticleFrontiers in public health2024

Acceptability of identification and management of perinatal anxiety: a qualitative interview study with postnatal women.

Rose Meades, Patricia M Moran, Una Hutton, Rafiyah Khan, Margaret Maxwell, Helen Cheyne, Amy Delicate, Judy Shakespeare, Kathryn Hollins, Kalpa Pisavadia and 4 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

14 authors.

Rose MeadesCentre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, London, United Kingdom.
Patricia M MoranCentre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, London, United Kingdom.
Una HuttonCentre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, London, United Kingdom.
Rafiyah KhanKing's Centre for Military Health Research (KCMHR) Institute of Psychiatry, Psychology and Neuroscience (IoPPN), Weston Education Centre, London, United Kingdom.
Margaret MaxwellNursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, United Kingdom.
Helen CheyneNursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, United Kingdom.
Amy DelicateInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom.
Judy ShakespeareRetired General Practitioner, Oxford, United Kingdom.
Kathryn HollinsSurrey and Borders Partnership NHS Trust, Surrey, United Kingdom.
Kalpa PisavadiaCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, Gwynedd, United Kingdom.
Kodchawan Pim DoungsongCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, Gwynedd, United Kingdom.
Rhiannon Tudor EdwardsCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, Gwynedd, United Kingdom.
Andrea SinesiNursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, United Kingdom.
Susan AyersCentre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anxiety in pregnancy and postpartum is highly prevalent but under-recognized and few women receive adequate support or treatment. Identification and management of perinatal anxiety must be acceptable to women in the perinatal period to ensure that women receive appropriate care when needed. We aimed to understand the acceptability to women of how anxiety was identified and managed by healthcare professionals. Method: We conducted in-depth qualitative interviews with 60 women across England and Scotland approximately 10 months after birth. Women were sampled from an existing systematically recruited cohort of 2,243 women who recorded mental health throughout pregnancy and after birth. All women met criteria for further assessment of their mental health by a healthcare professional. We analyzed the data using a theoretical framework of acceptability of healthcare interventions. Results: Interview data fitted the seven constructs within the theoretical framework of acceptability. Women valued support before professional treatment but were poorly informed about available services. Services which treated women as individuals, which were accessible and in which there was continuity of healthcare professional were endorsed. Experience of poor maternity services increased anxiety and seeing multiple midwives dissuaded women from engaging in conversations about mental health. Having a trusted relationship with a healthcare professional facilitated conversation about and disclosure of mental health problems. Conclusion: Women's experiences would be improved if given the opportunity to form a trusting relationship with a healthcare provider. Interventions offering support before professional treatment may be valued and suitable for some women. Clear information about support services and treatment options available for perinatal mental health problems should be given. Physiological aspects of maternity care impacts women's mental health and trust in services needs to be restored. Findings can be used to inform clinical guidelines and research on acceptable perinatal care pathways in pregnancy and after birth and future research.

Indexed as

AnxietyQualitative ResearchAdultEnglandFemaleHumansInterviews as TopicPatient Acceptance of Health CarePerinatal CarePostpartum PeriodPregnancyPregnancy ComplicationsScotlandacceptabilityassessmentcare pathwayperinatal anxietyperinatal careperinatal mental healthqualitative research pregnancyscreening

Identifiers

PMID39575102
PMCPMC11579707

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LicenceCC BY
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Registered trials

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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.