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Perinatal mental healthcare: Developing skills in midwifery students

Published:November 29, 2022DOI:https://doi.org/10.1016/j.wombi.2022.11.005

      Abstract

      Midwives have a pivotal role in screening for risk factors for mental illness and psychosocial vulnerabilities in women during the perinatal period. They also have a key responsibility to provide women with the appropriate resources to support their mental wellbeing. Midwives can lack confidence and/or feelings of competence regarding these skills.
      Care of women in the context of their perinatal mental health is a core midwifery skill that deserves practical learning during pre-registration education, just as the more ‘hands on’ skills such as abdominal palpation, labour and birth support or newborn examination. However, there is limited opportunity for students to gain clinical placement experiences that are specific to perinatal mental health (PMH).
      This discussion paper describes an innovative teaching and learning project that aimed to improve confidence in students’ ability to conduct screening, support, and referral of women experiencing mental ill health. The project involved the development of an Objective Structured Clinical Examination (OSCE) and audio visual resources to support learning and teaching and clinical placement. Feedback was collected to inform the refinement of the first OSCE, and to assist in the design of the audio visual resources that are now displayed publicly on the Australian College of Midwives website at https://www.midwives.org.au/Web/Web/Professional-Development/Resources.aspx?hkey=12c2360e-d8b9-4286-8d0a-50aeaeca9702.

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      References

        • Austin M.-P.
        • Highet N.
        • the Expert Working Group
        Mental Health Care in the Perinatal Period: Australian Clinical Practice Guideline.
        Melb.: Cent. Perinat. Excell. 2017;
        • Australian Government Department of Health
        Clinical Practice Guidelines: Pregnancy Care.
        Australian Government Department of Health, Canberra2020
        • Jones C.
        • Creedy D.
        • Gamble J.
        Australian midwives’ attitudes towards care of women with emotional distress.
        Midwifery. 2012; 28: 216-221
        • Hauck Y.
        • Kelly G.
        • Dragovic M.
        • Whittaker P.
        • Badcock J.
        Australian midwives’ knowledge, attitude and perceived learning needs around perinatal mental health.
        Midwifery. 2015; 31: 247-255
        • Moxham L.
        • Brighton R.
        • Froggatt T.
        • Liersch S.
        • Andersen P.
        Stimulating an interest in mental health nursing.
        Aust. Nurs. J. 2012; 20: 35
        • Cox J.
        • Holden J.
        • Sagovsky R.
        Detection of postnatal depression: development of the 10 item Edinburgh Postnatal Depression Scale.
        Br. J. Psychiatry. 1987; 150: 782-786
        • Lau R.
        • Mccauley K.
        • Barnfield J.
        • Moss C.
        • Cross W.
        Attitudes of midwives and maternal child health nurses towards suicide: a cross sectional study.
        Int. J. Ment. Health Nurs. 2015; 24: 561-568
        • Madden D.
        • Sliney A.
        • O’Friel A.
        Using action research to develop midwives’ skills to support women with perinatal mental health needs.
        J. Clin. Nurs. 2017; 27: 1-10
        • Carroll M.
        • Downes C.
        • Monahan M.
        • Nagle U.
        • Madden D.
        • Higgins A.
        Knowledge, confidence, skills, and practices among midwives in the republic of Ireland in relation to perinatal mental health care: The mind mother’s study.
        Midwifery. 2018; 64: 29-37