Abstract
To explore access to secondary mental health services for New Zealand women during pregnancy and for up to 1 year post-delivery. A retrospective cohort analysis of public hospital maternity data linked to mental health collections. 27 in 1000 pregnancies were associated with access to secondary mental health services (736/27,153). Independent of ethnicity, young age (<20 years) was associated with access (RR1.84; 95 %CI 1.42–2.38; P < .0001). Smoking (1.48; 1.24–1.78; P < .0001), alcohol (1.3; 0.97–1.71; P < .0001) and substance use (3.57; 2.61–4.88; P < .0001) during pregnancy were independent risk factors associated with access. Antenatal period provides an opportunity for navigating to services to ensure timely access to secondary mental health services.
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References
Austin, M. P. (2003). Perinatal mental health: Opportunities and challenges for psychiatry Australasian. Psychiatry, 11, 399–403.
Baxter, J. (2007). Mental health: Psychiatric disorder and suicide. In: B. Robson & R. Harris (Eds.), Hauora: Māori Standards of Health IV. Wellington: Te Rōpū Rangahau Hauora a Eru Pōmare.
Filoche, S. K., Garrett, S., Stanley, J., Rose, S., Robson, B., Elley, C. R., & Lawton, B. (2013). Wāhine hauora: Linking local hospital and national health information datasets to explore maternal risk factors and obstetric outcomes of New Zealand Māori and non-Māori women in relation to infant respiratory admissions and timely immunisations. BMC Pregnancy and Childbirth, 13, 145.
Kingston, D., Austin, M.-P., Heaman, M., McDonald, S., Lasiuk, G., Sword, W., Giallo, R., et al. (2015). Barriers and facilitators of mental health screening in pregnancy. Journal of Affective Disorders, 186, 350–357. doi:10.1016/j.jad.2015.06.029.
Makowharemahihi, C., Lawton, B. A., Cram, F., Ngata, T., Brown, S., & Robson, B. (2014). Initiation of maternity care for young Māori women under 20 years of age. The New Zealand Medical Journal, 127(1393), 52–61.
Marcus, S. M. (2009). Depression during pregnancy: Rates, risks and consequences—Motherisk update 2008. The Canadian Journal of Clinical Pharmacology, 16, e15–e22.
Megnin-Viggars, O., Symington, I., Howard, L. M., & Pilling, S. (2015). Experience of care for mental health problems in the antenatal or postnatal period for women in the UK: A systematic review and meta-synthesis of qualitative research. Archives of Womens Mental Health. doi:10.1007/s00737-015-0548-6.
Ministry of Health. (2011). Healthy beginnings: Developing perinatal and infant mental health services in New Zealand. Wellington: Ministry of Health.
Ministry of Health. (2013). Ethnicity data protocols for the health and disability sector. Wellington: Ministry of Health.
Ministry of Health Programme for the Integration of Mental Health Data (PRIMHD) data dictionary and datamart diagram.
PMMRC. (2012). Sixth annual report of the Perinatal and Maternal Mortality Review Committee: Reporting mortality 2010. Health Quality and Safety Commission 2012: Wellington.
Reid, V., & Meadows-Oliver, M. (2007). Postpartum depression in adolescent mothers: An integrative review of the literature. Journal of Pediatric Health Care, 21, 289–298. doi:10.1016/j.pedhc.2006.05.010.
Riordan, D. V., Morris, C., Hattie, J., & Stark, C. (2012). Family size and perinatal circumstances, as mental health risk factors in a Scottish birth cohort. Social Psychiatry and Psychiatric Epidemiology, 47, 975–983. doi:10.1007/s00127-011-0405-5.
Rollans, M., Schmied, V., Kemp, L., & Meade, T. (2013). Digging over that old ground: An Australian perspective of women’s experience of psychosocial assessment and depression screening in pregnancy and following birth. BMC Womens Health, 13, 18. doi:10.1186/1472-6874-13-18.
Schmied, V., Johnson, M., Naidoo, N., Austin, M. P., Matthey, S., Kemp, L., Mills, A., et al. (2013). Maternal mental health in Australia and New Zealand: A review of longitudinal studies. Women and Birth: Journal of the Australian College of Midwives. doi:10.1016/j.wombi.2013.02.006.
Suaalii-Sauni, T., Samu, K. S., Dunbar, L., Pulford, J., & Wheeler, A. (2012). A qualitative investigation into key cultural factors that support abstinence or responsible drinking amongst some Pacific youth living in New Zealand. Harm Reduction Journal 9, 36. doi:10.1186/1477-7517-9-36.
Waldie, K. E., Peterson, E. R., D’Souza, S., Underwood, L., Pryor, J. E., Atatoa Carr, P. E., Grant, C. C., et al. (2015). Depression symptoms during pregnancy: Evidence from growing up in New Zealand. Journal of Affective Disorders, 186, 66–73. doi:10.1016/j.jad.2015.06.009.
Acknowledgments
This research was funded in part by the Health Research Council and by a University of Otago Research Grant. The authors thank Karin Isherwood and Terry Smith for clinical and data input advice.
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Filoche, S.K., Lawton, B. & Stanley, J. Access to Secondary Mental Health Services in a Cohort of New Zealand Mothers. Community Ment Health J 52, 964–971 (2016). https://doi.org/10.1007/s10597-016-0042-2
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DOI: https://doi.org/10.1007/s10597-016-0042-2