Antenatal and postnatal mental health. Clinical management and service guidance (CG192)

National Institute for Health and Care Excellence (2014)

NICE - n/a

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Evidence Categories

• Care setting: Healthcare Setting
• Population group: Mental health condition
• Population group: Adults
• Population group: Women
• Population group: Pregnancy/ post-partum
• Intervention: Selective interventions: Multicomponent (multiple selective components)
• Intervention: Indicated intervention: Multicomponent (multiple indicated components)
• Intervention: Selective interventions: Psychosocial Interventions
• Intervention: Indicated intervention: Information and support
• Intervention: Indicated intervention: Psychosocial Interventions
• Outcome: Suicide
• Outcome: Self harm

Type of Evidence

Guidance

Overview

This guideline covers recognising, assessing and treating mental health problems in women who are planning to have a baby, are pregnant, or have had a baby or been pregnant in the past year. It covers depression, anxiety disorders, eating disorders, drug- and alcohol-use disorders and severe mental illness (such as psychosis, bipolar disorder and schizophrenia). It promotes early detection and good management of mental health problems to improve women’s quality of life during pregnancy and in the year after giving birth.

Recommendations

1.6.5   If there is a risk of self‑harm or suicide:

• assess whether the woman has adequate social support and is aware of sources of help

• arrange help appropriate to the level of risk

• inform all relevant healthcare professionals (including the GP and those identified in the care plan [see recommendation 1.6.6])

• advise the woman, and her partner, family or carer, to seek further help if the situation deteriorates. [2014]