In an Australian study, suicide and accidental injury accounted for 62% of deaths of women in this period and injuries categorized as accidental might be intentional. For example, women suffering from PMD have poorer obstetric outcomes and severe PMD are associated with a 70-fold increased suicide risk in the first year post-partum. PMD may affect up to 20% of women and can severely harm women and their children if not detected and treated appropriately. Perinatal mental disorders (PMD) are mental and behavioural disorders that occur during pregnancy or in the first year postpartum. Prevalence and consequences of perinatal mental disorders The conclusions of the study will help to improve mental health care for this vulnerable population. The study will provide fundamental information to improve health care to women with mental health problems during pregnancy and after birth. An established theory about access to health care is considered in the analysis. We categorize the statements of the interviewees into topics that are relevant to health care provision of affected women. We also conduct group interviews with health and social care professionals. We take into account whether the women had experience with mental health care from earlier phases of life. We interview women with different mental disorders to cover a broad range of needs toward health care. We conduct individual interviews with women about their experiences with health care during pregnancy or after childbirth. The aim of this study is to identify the requirements for adequate mental health care during pregnancy and after childbirth. In Switzerland, many pregnant or postnatal women receive mental health care, but we do not know whether the health care is timely, accessible and appropriate. It is crucial to identify and treat these women early and appropriately to avoid adverse consequences like birth complications, persistent mental illness or child development problems. Up to one in five women may have a mental disorder during pregnancy or in the first year after delivery. The study was registered on in November 2019 under the identifier NCT04185896. The study will generate the evidence base needed to develop models of integrated, coordinated, patient- and family-centred care that is accessed by women with various types of PMD. The study will provide fundamental data on the experiences and perspectives about perinatal mental health care from user and provider perspectives. (2013) conceptual model on access to health care. Data collection and thematic analysis will consider Levesque’s et al. The focus groups will consist of 5–8 professionals. We will also conduct (2) three interprofessional focus groups with health and social care professionals involved in perinatal care, and a health insurance representative. We will further stratify the sample based on whether the women already had experience with psychiatric or psychological health care or not before their last episode of PMD. We will stratify the sample by 4 clusters of relevant ICD-10 F-diagnoses, covering the most frequent and the most severe mental disorders. Women are included who have been treated for PMD but are mentally stable at the time of the interview ( n = 24). In the qualitative study we conduct (1) semi-structured single interviews with former PMD patients to obtain narratives about their experiences and needs for health care for their condition. The aim of this study is to identify strengths, gaps and requirements for adequate mental health care in the perinatal period from the perspectives of patients and care providers for a wide range of relevant mental disorders. Even though mental health care is covered by health insurance and is used widely by women in the perinatal period in Switzerland, it is not known if the care provided is meeting the needs of the patients and is efficient in the view of health care professionals. Mental disorders in the perinatal period (PMD) can severely harm women and their children if not detected early and treated appropriately.
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