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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV1030

Increasing responsibility for addressing perinatal mental health problems in midwifery practice: midwives’ and perinatal psychologists’ experiences of a psychosocial assessment programme

A GROWING RESPONSIBILITY FOR ADDRESSING PERINATAL MENTAL ILL-HEALTH IN MIDWIFERY PRACTICE: MIDWIVES’ AND PERINATAL PSYCHOLOGISTS’ EXPERIENCES OF A PROGRAMME FOR PSYCHOSOCIAL ASSESSMENT

Midwives view responsibility for assessing perinatal mental health as part of their professional role, but need consultation with perinatal psychologists and readily accessible referral pathways to prevent this responsibility from becoming an excessive burden.

The study aimed to explore midwives’ and perinatal psychologists’ experiences of a structured psychosocial assessment programme for perinatal mental health problems. The background notes that perinatal mental health problems, including depressive and anxiety disorders, affect 1 in 5 women worldwide and that, in 2024, 11% of pregnant women in Sweden received treatment for mental health problems; although guidelines recommend structured psychosocial assessment in routine antenatal care, evidence on large-scale implementation is limited. Following the programme’s introduction in Region Västmanland in 2020, 14 midwives and 4 perinatal psychologists participated in five semi-structured focus group interviews in 2024. The data were analysed using inductive qualitative content analysis according to Graneheim and Lundman. Six categories were identified. These were: taking greater responsibility for perinatal mental health in midwifery care (with responsibility for continuity often remaining with the midwife because of unclear professional boundaries, increasing communication demands and gaps in the care pathway); increased anxiety and support needs among patients requiring midwives’ knowledge and care (with limited personal support networks and information from social media increasing uncertainty); collaboration with perinatal psychologists as a key component of the programme; benefits and challenges of working with the programme (its structure helping less experienced midwives and supporting early identification, while initially being perceived as rigid and taking time to integrate into natural dialogue); dependence on well-functioning referral pathways; and limitations of the programme for specific patient groups in whom language, cultural understandings, stigma or complex life circumstances affected disclosure and assessment. In conclusion, midwives perceived the increased responsibility for mental health assessment as part of their professional role, but emphasised the need for support through consultation with perinatal psychologists and direct, readily accessible referral pathways; otherwise, this responsibility risks becoming an excessive burden.

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