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MDTWebinar PerinatalMentalHealth 23RD NOVEMBER 2022 AboutFutureFrontline Findoutmore! Anot-for-profitcommunity FoundedinAugust2020.Run Eventsforaspiringstudents, Acommunityofhealthcare https://linktr.ee/Futurefrontline interestcompany. byateamof>30students& currentstudents& students&professionals professionalsfrom>12 professionals. acrosstheMDT. healthcareprofessions. AboutKCLPsychiatrySociety Findoutmore! Firststudent-ledpsychiatry Closecollaborationwith Societywithacademic, societyintheUK. RCPsych,IOPPN&GKT social&widening schoolofmedicaleducation. participationevents. WhatisPerinatalMentalHealth? Perinatalmentalhealth(PMH) problemsarethosewhichoccur duringpregnancyorinthefirst yearfollowingthebirthofachild (NHS). WhatisPerinatalMentalHealth? Perinatalmentalhealth(PMH) problemsarethosewhichoccur duringpregnancyorinthefirst yearfollowingthebirthofachild (NHS). 1in5womenduringpregnancyor aftergivingbirthexperiencea MHcondition. WhatisPerinatalMentalHealth? Perinatalmentalhealth(PMH) CommonPerinatalMHconditions: problemsarethosewhichoccur Perinataldepression duringpregnancyorinthefirst Perinatalanxiety yearfollowingthebirthofachild PerinatalOCD (NHS). Perinatalpsychosis PerinatalPTSD 1in5womenduringpregnancyor aftergivingbirthexperiencea MHcondition.CommonPerinatalMentalHealthConditions MeetOurPatient Anna,28yearsold Firstbaby IVFpregnancy Anxiousinpregnancyandhasmultipleprivatescans. Longlabour,shehopedforittobemidwiferyledbutended upwithaninductionoflabourandemergencycesarean birth. Shestruggledtobreastfeed,babyhadatonguetie. Atthe6-8maternalpostnatalexamsheappearsdistracted andpreoccupiedbutsayssheisjusttired. ShespendsalongtimeaskingtheGPaboutinfant developmentandmentionsshedoesn'tthinkherbabylikes herverymuch. Anna,28yearsold Whatelsewouldyouliketoknow? Firstbaby IVFpregnancy RiskFactors?-Firstbaby,birthtrauma(?),breast-feeding difficulties,oddquestionstoGP Anxiousinpregnancyandhasmultipleprivatescans. Longlabour,shehopedforittobemidwiferyledbutended Wanttoknowaboutpartner,othersupport,raceetc. upwithaninductionoflabourandemergencycesarean birth. Shestruggledtobreastfeed,babyhadatonguetie. Atthe6-8maternalpostnatalexamsheappearsdistracted andpreoccupiedbutsayssheisjusttired. ShespendsalongtimeaskingtheGPaboutinfant developmentandmentionsshedoesn'tthinkherbabylikes herverymuch. Psychiatrist DrRebeccaMoore,PerinatalPsychiatrist,Co-FounderMakeBirthBetter Iamaperinatalpsychiatrist. Iworkwithwomenandbirthingpeoplethroughpregnancyandupto1-2yearspostnataltosupporttheir mentalhealth. Perinatalillnessiscommonandcanchangequicklyandwomenrequirespecialistcareandsupportespecially aroundmedicationandbreastfeeding. Suicideremainstheleadingcauseofindirectdeathfornewmotherssoitsvitaltobeawareofhowriskissues changeintheperinatalperiod. Ilovemyrole,itsaprivilegetosupportwomenatsuchauniquetimeoftheirlives. Obstetrician MissEveAllen,ConsultantObstetricianandGynaecologistLeadforperinatalMentalHealth IlookaftertheObstetricneedsofwomenwithmoderatetosevereperinatalmentalhealthdisorders. PerinatalMentalhealthdisordersarestillasignificantcauseofmaternalandfetalmorbidityandmortality. Itsvitalthathealthcareworkerswhoworkwithpregnantandpostnatalpatientsareawareoftheredflag symptomsandriskfactorsforperinatalpsychosisandseveredepression.Themultidisciplinaryteamiskey toprovidingaccessibleandappropriatecaretopreventcrisisandalsotoreacttoitwhenneeded. Midwife GeorginaLeech,SpecialistPerinatalMentalHealthMidwife SpecialistMentalHealthMidwivesare‘expert’midwivesandlocalchampionswholeadworkwithmaternity service. Myroleincludes:Trainingandeducation,offeringadvice,beingapointofcontact,integratedMDTcare, qualityimprovement. Specialistsupport-Cliniccriteria. Birthwithconfidenceworkshop MDTworking-AttendancetotheperinatalMDT,Safeguardingmeetings,professionalmeetings.Neurologist/AcademicDoctor DrClaireBrash,AcademicMedicalDoctor SupportWorkers SophieThorpe,SupportWorker,HCA,Expertbyexperience&1styearStudentMHNurse Myroleasasupportworker: Roleasasupportworkerforafirst-time mum: IhavealotofclientcontactandIamoneof themainpeoplereportingtonursesetchow Iwoulddevelopaprofessionalrelationship withtheclientandhelpplanapproachesto aclientispresenting,whetherIhaveany concernsetcandIdoalotofdaily1-1'swith supporttheclientduringtheirpostnatal exam,givethemasafespacetodiscuss clients,interactingwiththemandattending totheirneedsandgettingthejobsthatneed howthey'refeelingandIwouldhelpthis newmumunderstandtheemotionalneeds doing,completeandensuringclientsafetyas oftheirbabyandofferreassurancewhilst muchaspossibleandassessingtheriskof gaininganunderstandingonwhatisgoing clientswhetherneworold. onforthisclient WhatelsewouldIliketoknow: Iwouldliketohaveabetterideaofwhoisinthisclient'slifesuchaswhetherthereisa partnerasthiscouldbeavitalpartinhelpingassessthisclientandhowshe'spresentingas thepartnerwouldbewithhermuchmorethanIamanditwouldbegoodtogettheirtakeon thingsandseeiftheyhavenoticedanythingwiththisclient-thiscouldhelpinassessingthe newmumsmentalhealthandhowsheispresentingandhowwecanmoveforwardand identifyanyriskfactorshighlightedsothatwecangetaplanputinplacetohelpthisfirst timemum.Iwouldliketodelveintomoredetailwiththeclientabouthowthey'refeelingas thiscanhelpinriskassessingtheclientandunderstandingherneedssothatwecanattend tothem.Iwouldliketoexplorewhytheclientfeelsasthoughherbabydoesnotlikeher, whethershehasanyhelporsupportathomeandunderstandtheanxietiesaroundthe questionsbeingaskedatthe6-8weekcheckandwhethersomethingisbotheringher Manyotherprofessionals... OccupationalTherapists MentalHealth MentalHealthNurses Practitioner NurseryNurses GPs HealthVisitors SocialWorkersNon-NHSSupportDigitalToolsinPerinatalMentalHealthNotForgettingTheDadsOpportunitiesinPerinatalMentalHealth Resources Pan-LondonPerinatalMentalHealthNetworks-Pre-ConceptionAdvice-BestPracticeToolkit(PDF) NICEGuideline-AntenatalCare BritishAssociationforPsychopharmacology-PrescribingGuidance(PDF) MaternalMentalHealthAlliance MBRRACEReports UnderstandingChildhood|AssociationofChildPsychotherapists AllrecentlysharedonRCPsychWebsite&canbefoundhere-https://www.rcpsych.ac.uk/events/conferences/2022/trainees-perinatal-mental-health-conference-for-health-care- professional-2022---conference-resources Ifyouwanttolearnabouttraumainformedcarehavealookatmakebirthbetter.orgorontheNHSEnglandwebsite HighlyrecommendtheInternationalMarceSocietyconferenceforPerinatalMentalHealthhttps://marcesociety.com/ Agreatcharityworkingonhighlightingandchangingblackmaternaloutcomeshttps://www.fivexmore.com/ RCPsych -InternationalCongress,individualbursary/scholarshipsforconferences,PathfinderFellowship/PsychStarscheme,joinyourlocalPsychSo,NationalStudentPsychiatry Conference,OxfordPsychiatryAutumnSchool,LiverpoolPsychiatrySummerSchool,IOPPNSummerSchool HarvardUniversity-NeuroPsychiatryofWomenCMECourse(runsinBoston,possibleonlineversiontoo) Audit/QIPinthecontextofanotherSpecialty(e.g.auditaskingaboutmoodintheO&Gcontext,GPplacementbabycheck),widerreadingandresearchcanfeedintocharitableand advocacy/PublicHealth/Policyprojectsratherthansimplyresearchinthetraditionalsense. Furtherreading:‘TheFemaleMind:AUser’sGuide’https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/female-mind-a-users-guide-by-professor-kathryn- abel-and-dr-rosalind-ramsay-rcpsych-publications2017-1399-pb-128-pp-isbn-9781909726802/6C0A4A1FB8AB039BDA3237E4F9C981E3 18:07:55 FromKimWood:Isthereopportunitiesavailableforstudentstogainknowledgeandexperiencestudyingnursing/mentalhealthnursing?Oristhereanyextracoursesthatyou wouldrecommendalongsidestudies? Furtherreading:‘Mad,BadandSad’https://www.goodreads.com/book/show/2225821.Mad_Bad_and_Sad MentalHealthFirstAid-youcantaketheFirstAidingqualificationin2days. YoucanalsoqualifytorunBalintGroups,whichwouldbesomethingyoucouldthensetupforyourmentalhealthnursingstudentcohort. https://mhfaengland.org https://balint.co.uk/leadership-2/required-experience-and-training-programme/ Feedback&Certificate Moreinfo&socials! Moreinfo&socials!
