Mental health and wellbeing concerns: Frequently asked questions

How is the diagnosis made?

This was made before pregnancy. Ideally all women with mental health concerns/issues should be offered preconception counselling to optimise their health before pregnancy. Your GP will notify the maternity team however it is wise for you to tell your midwife at the first appointment (Booking appointment) so that the appropriate support can be put in place for you.

What does this mean?

For me:

You are at risk of your mental health worsening during pregnancy. If there is a family history of mental health you are at more risk of worsening mental health during pregnancy. It is really important that you tell your midwife if you are feeling mentally unwell and give your family permission to inform the maternity team too.

For my baby:

Your baby can be at risk if you do not look after yourself.

What will the medical team recommend?

You should ask to speak to someone as soon as possible if you feel your mental health is worsening.

What tests will/may be considered? How often may they be needed?

Depending on your level of need you will be cared for by the local perinatal mental health team, who may make specialist referral for you.

What are the ‘red flag’ symptoms/concerns, which means that they should be reported immediately?

Low mood and feeling hopeless, helpless or isolated.

How are recommendations made regarding?

Treatment options

We can offer counselling or medication. Many medications are safe in pregnancy. If you are taking medication prior to pregnancy you should discuss your ongoing treatment with your GP and medical team before making any changes.

How may this affect care after the birth?

A birth plan prior to birth should be agreed with you to ensure there is a safe plan for you and your baby after birth.

What will this mean for future pregnancies? How can I reduce my risk of this happening again?

Optimise your mental health and symptoms between pregnancies.

What will this mean for future/my long-term health and how can I influence this?

Contraception and a follow up plan should be made to optimise your health for future pregnancies. This may include well-being and medication review.