Mae'r cynnwys hwn ar gael yn Saesneg yn unig.
I am an experienced midwife working at the University Hospital of Wales. Alongside my clinical duties, I have for the past few years worked as a research midwife with researchers in the School of Biosciences on 'Grown in Wales' a study exploring gene expression in placental tissue and its relation to maternal mood. My PhD proposal is to further develop the area of work relating to perinatal mental health though a study exploring the incidence of perinatal mental disorders in Wales, women's experiences of access to care and midwives training needs.
I have been awarded RCBC Fellowship to undertake this research and I am pleased to be able to continue working with the Schools in the College of Biomendical & Life Sciences with combined expertise in genetics, mental health, midwifery and service delivery.
My research interests include antenatal care of pregnant women, their experiences and relationships with midwives.
Presnetation to mental health nurses, student midwives and student health visitors - perinatal mental health 2018
Undergraduate teaching sessions with student midwives, Streptoccocus B and perinatal mental health 2019
Identifying Barriers to the Provision of Perinatal Metal Health Services
Background: Existing research on negative consequences of poor perinatal mental health focuses on recognition and treatment of postnatal depression. Consequently there is a need to explore antenatal mental health.
Aim: To assess poor mental health prevalence in pregnancy, its relationship to socioeconomic status and perceived social support. It also aimed to understand experiences and barriers preventing the women with mental health issues from receiving help and explore midwives understanding of their role.
Method: Questionnaires were completed by 302 women in early pregnancy at an antenatal clinic. A subset of 20 women, identified to have mental health issues, were interviewed in late pregnancy to explore their experiences and barriers to receiving care. Midwives recruited from the same hospital completed a questionnaire exploring their experiences of supporting women with mental health issues and focus groups further explored the issues raised.
Results: Of the women EPDS identified 8.6%, and GAD 7 8.3%, with symptoms of depression and anxiety. Self-efficacy (p=0.01) and history of previous mental health problems (p<0.01) were noted as the main predictors of poor anxiety or depression. Thematic analysis of interviews with women identified three themes: past present and future; expectations and control; knowledge and conversations. The three themes from focus groups with midwives: conversations; it’s immensely complexed; there’s another gap in their care.
Conclusion: Prevalence rates of anxiety and depression amongst women in early pregnancy were found as similar to those reported in the literature. Self-efficacy and previous poor mental health were significant predictors of anxiety and depression. Women noted they lacked knowledge around perinatal mental health and had limited time to discuss the emotional side of pregnancy with health professionals, with emphasis in antenatal care on women and their baby’s physical health. Midwives were keen to support women but lacked the confidence.