Community Midwifery Services | Maternal Emotional Health and Wellbeing
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Maternal Emotional Health and Wellbeing

(Over the last 5 years we have recognised the need for a more inclusive care, one that not only focuses on the mother’s physical wellbeing but her mental and emotional wellbeing; one that encompasses mind, spirit and soul.)

Why is this important?


Perinatal Depression (antenatal and or, postnatal/postpartum depression)

Is now the most common complication of pregnancy affecting 1:7 women

Up to 50% of individuals with PPD are never detected.

PPD is the most under-diagnosed.

Suicide counts for about 20% of postpartum deaths and is the second most common cause of mortality in postpartum women.

Symptoms can appear any time during pregnancy and the first year of baby’s life.



PPD is a serious mental health problem characterized by a prolonged period of emotional disturbance, occurring at a time of major life change and increased responsibilities in the care of the newborn infant.

PPD can have significant consequences for both the new mother and family.


  • Perinatal depression is twice as common as gestational diabetes.
  • Perinatal depression effects Mother, Child, and Family.
  • Longterm, untreated depression effects our infants and their physical and mental health, and the health of generations to come.
  • Perinatal depressioneffects in pregnancy can lead to poor health care or complications in Pregnancy, like pre-eclampsia, and more intervention in birth.
  • For baby: low birth weight, and preterm delivery. And post birth: behavioural problems, cognitive delays and most important of all, baby can suffer from attachment issues.


Read more about:


  • The lifelong importance of good attachment
  • Why anxiety and depression is becoming such a problem?
  • Emotional health and wellbeing in Pregnancy:  Why do we feel vulnerable when we are pregnant?
  • CMS pledge to support the worried well woman and to help assess their risk to depression in their pregnancy
  • Why do Perinatal Mental Health Problems happen?
  • How can I get help? And,
  • What will be offered?



How will I know if I have Postpartum Depression or just the Baby Blues?


Baby Blues

In the first 2 weeks after delivery and is associated with rapid mood changes and a high emotionality. This does not last but settles quite quickly, and is often linked with your milk coming in.


Postpartum Depression

Tends to happen 2 weeks after birth and up to many months later, 3 months is a classic time to really note its impact, and leaves the woman with feelings of guilt, feeling worthless, and in severe cases: suicidal thoughts may be present. It impacts your functioningi.e: all that you can do, and feel.




Why is our Attachment Experience important for the rest of our life and beyond?

  • It is the laying down of our basic structure for relationships with self or others (the importance of loving and connecting).
  • It helps us cope with stress,
  • It affects our learning capacity and,
  • all our physiological processes: heart health, hormones and endocrine system, respiratory system, glucose regulation and immune system functioning,most importantly.


Attachment is the innate motivating force in human beings

  • The heart of the matter of being human IS:
  • Seeking and maintaining contact with significant others
  • Fearing isolation and loss
  • Secure dependence compliments autonomy – two sides of the same coin. Babies need to be close to you.
  • All adults need a safe haven.




2 main things Modern Mothers don’t have in our society:

  • No one to listen to them
  • No one to learn from


As mothers we are social learners and need to learn from each other.


In our Modern Social World when we have a baby we are often isolated from family and friends, and due to work commitments have little or no supportive networks once we become pregnant or have a baby.

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