Perinatal mental health
Our perinatal mental health service is available to support women and their families during pregnancy, birth and the first year after birth (also called the perinatal period). We aim to detect, prevent and treat perinatal mental illness and allow women time to consider the treatment and support options available to them.
We work collaboratively with women, their families and other healthcare professionals to plan care for pregnancy and the early postnatal period. The healthcare professionals we work in partnership with can include other maternity services, psychology, children and familiesí social services and GPs.
- Panic disorder
- Generalised anxiety disorder
- Obsessive compulsive disorder
- Post-traumatic stress disorder
Post-partum psychosis (psychosis after childbirth) affects approximately one in every 1000 women who give birth. Women with a diagnosis of bipolar affective disorder or who have a family history of bipolar illness/postpartum psychosis are at high risk, but it can occur in women with no previous psychiatric history.
Maternal mental illness can have serious consequences on the mother-infant relationship and the emotional state of the infant. There are longer term effects on childhood social attachments and cognitive development. There can be wider disruption to relationships and families.
Treatment with psychotropic medication in pregnancy is effective, but requires an individualised risk benefit analysis, weighing up the risks to the unborn baby against potential benefits to the mother. Consideration must also be given to whether the mother intends to breastfeed. There is therefore a lower threshold for referral to psychological services including counselling, cognitive behaviour therapy, psychotherapy and parent-infant psychotherapy.
Outside of usual working hours cover is provided by emergency services including the mental health liaison team.
Perinatal mental health clinics
Monday and Tuesday afternoons, 2-5pm
Perinatal mental health team
Ms Ola Ajala, clinical nurse specialist
Dr Abi Smith, specialty trainee
Dr Navanthi Ratnayake, special interest higher trainee