Clinical Case Database / Category: Patient Management

Mental Health In Pregnancy

Publication details

Subramanian Narayanan, Jo Black, Nicola Long
Foundation Years Journal, volume 8, issue 9, p.54 (123Doc Education, London, October 2014)


Mental health continues to contribute to significant morbidity and mortality in pregnancy and the postnatal period. Mental health disorders in young women are commonplace and the impact of pregnancy is not to be underestimated. Psychiatric conditions are the second most common cause of indirect deaths in pregnancy at 0.85/100,000 maternities according to the confidential enquiry into maternal deaths (CEMD) (1).

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Subramanian Narayanan

Consultant Obstetrician and Gynaecologist
Torbay Hospital, Newton Road, Torquay, TQ2 7AA

Jo Black

Consultant Perinatal Psychiatrist
Devon Partnership NHS Trust
Torbay Hospital, Newton Road, Torquay, TQ2 7AA

Nicola Long

ST2 in Obstetrics and Gynaecology
Torbay Hospital, Newton Road, Torquay, TQ2 7AA


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3. M Oates, R Cantwell on behalf of the Centre for Maternal and Child Enquiries (reference 1) 'Chapter 11: Deaths from psychiatric causes' East Midlands Perinatal Mental Health Clinical Network, Nottinghamshire Healthcare NHS Trust, Nottingham, UK Perinatal Mental Health Service, Southern General Hospital, Glasgow, UK.
4. 'Management of women with mental health conditions during pregnancy and the postnatal period'
Royal college of Obstetricians and Gynaecologists, Good practice No 14, June 2011.
5. Home Office online report 01/03 'Reducing Homicide: A review of the possibilities' Fiona Brookman and Mike Maguire.
6. Kendel RE, Chalmers KC, Platz C. 'Epidemiology of puerperal psychoses'. Br J Psychiatry 1987;150:662â€"73.
7. NICE guideline 45 (2007) 'Antenatal and postnatal mental health: Clinical management and service guideline'.
8. British National Formulary (208) p2477.
9. Marks, M.N. and Kumar, R. (1993), 'Infanticide in England and Wales'. Medicine, Scienceand the Law. 33/4: 329-339.
10. Wilczynski, A. (1995), 'Child Killing by Parents: Social, Legal and Gender Issues', in R. E. Dobash, R.P. Dobash and L. Noaks (eds.), Gender and Crime. Cardiff: Open University Press.
11. Wallace, A. (1986), Homicide. Sydney: NSW Bureau of Crime Statistics and Research.
12. NSPCC, 'All Babies Count: A Spotlight on Perinatal Mental Health' Sally Hogg.
13. Barlow, J & Schrader McMillan A. (2008). 'Health led parenting interventions in Pregnancy and the Early Years' DCSF Research Report.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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