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Worcestershire Health and Care NHS Trust
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The Perinatal service aims to help women from preconception to 9 months post-natal. Our focus is to meet the needs of women who are experiencing a perinatal mental illness, are at risk of developing a perinatal mental illness or require pre-conceptual counselling.

Psychological and emotional difficulties during before, during and after pregnancy are more common you might think. The majority of these difficulties resolve quickly, for instance, 50-80% of women experience baby blues at around 3-5 days after delivery and this comes and goes very quickly.

About 10% of women go on to develop post-natal depression, which often starts around 3 months after they have given birth.

A more serious condition called post-natal psychosis may develop which often (in 1-2 women in every 1000 deliveries) requires a hospital admission. This is a serious illness.

We want to ensure that patient’s needs are met and families are supported. We work with a number of partners, including Midwives and Health Visitors, to ensure this is the case.

There are some women who we know have a higher risk of developing mental health conditions and we offer screening clinics at the Antenatal clinic to help us identify women who may be of increased risk. We can help them manage that risk and support them during pregnancy and after delivery.

Perinatal Resource Pack

More about the team

We are a community-based service. This means that the team see people in their home and in clinics across the County,

The team is made up of Community Psychiatric Nurses, Psychiatrists, a social worker,  A Psychotherapist and administrative staff. Sometimes Student Nurses, Medical Students and Student Social Workers will work with us.

The team is available Monday to Friday, 9am to 5pm, except Bank Holidays. Out of hours, the Crisis Team (our local emergency service) is available if urgent input is required. 

Referral Information

Healthcare professionals can refer direct to the team by email : WHCNHS.WorcsPerinatalPsychiatry@nhs.net  or via SPA 01905 681477. 

You can be referred to the service by any healthcare professional such as your GP, obstetrician, midwife or health visitor.

We accept urgent referrals and if the healthcare professional feels that you need to be seen the same day, we would recommend that they contact the team directly (01905 734531) to speak to the duty worker.  All referrals are discussed by the team and we aim to respond within 14 working days.

An urgent referral out of hours should be made via the Crisis Team on 01905 681915

Patients are currently unable to self-refer to the service. 

Common Questions

Will everything I say be kept confidential?

Information is generally shared within the team and  your GP and, if required,
with your obstetrician,  midwife and health visitor. 

On the few occasions we need to discuss the situation with child and family
social services, we will discuss this with you.

Can my family and friends who care for me get help?

Our team aims to provide support for your relatives and friends where appropriate.   We can also provide a carer’s assessment which helps to identify the carer’s needs so that appropriate support can be accessed.

What do I do if I need help out of hours?

There is a 24 hour service which caters for those needing out of hours care. 
The perinatal team would usually refer you to such care if necessary.

What do I do if I need an interpreter?

The hospital will employ a translator.

Patient Focus Groups

Patient Focus Group Poster


Contact Us

Studdert Kennedy House 
Spring Gardens
Worcester
WR1 2AE

01905 734531

Map

Useful Resources

Worcestershire Healthy Minds: www.hacw.nhs.uk/our-services/healthy-minds
APP https://www.app-network.org/
Baby Buddy: www.bestbeginnings.org.uk/baby-buddy
Best Beginnings': www.bestbeginnings.org.uk/out-of-the-blue
Best Use of Medications: www.medicinesinpregnancy.org/
British Association for Counselling & Psychotherapy: www.bacp.co.uk
Carers Association: www.carersuk.org
Child Information services: www.earlyhelphub.co.uk
Cruise: 01905 22223: www.cruse.org.uk
CRY-SIS HELPLINE : 08451 228 669—open 7 days per week 9am—10pm: www.cry-sis.org.uk/
Gingerbread: www.gingerbread.org.uk/
Home Start: www.home-start.org.uk
Jewish Baby Directory - jweb: www.jweb.org.uk › 
Maternal mental Health Alliance:  www.maternalmentalhealthalliance.org/Muslim Bereavement Support Service: mbss.org.uk/
Net Mums: www.netmums.com/support/
Perinatal Leaflets for patients and carers: https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2018/11/19/new-mental-health-guidance-launched-for-mothers-to-be-and-new-mothers
Post Natal Depression and Me: www.pndandme.co.uk/
RELATE: www.relate.org.uk
Services Directory | Friends, Families and Travellers: https://www.gypsy-traveller.org/services-directory/
Start 4 Life, NHS advice on what’s best for baby: www.nhs.uk/start4life
The Smile Group: www.thesmilegroup.org/self-help-techniques/
TOMMYS: www.tommys.org/mentalhealth
Unfold Your Wings, Birth Trauma Support: www.unfoldyourwings.co.uk/
Women’s Aid: Tel: 0808 2000 247 24hs per day - www.womensaid.org.uk/
Young Carers: www.youngminds.org.uk/young-carers

Books

Mind Over Mood  - By Christine Pedesky
Mindfulness - Finding Peace in a frantic World By Dr Mark  Williams 
Overcoming Postnatal Depression A Five Areas Approach: by Christopher Williams, Roch Cantwell and Karen Robertson
Eyes Without Sparkle: A Journey Through Postnatal Illness by Elaine Hanzak
Another Twinkle in the Eye: Contemplating by Elaine Hanzak

Your Experiences

 'Thank you for all of your support, the perinatal team has saved my life and you have changed it forever.'

'Excellent service that has been invaluable to me and family. They have helped me so much. Reassurance and good support.' 

'Dr XX is extremely supportive and responsive to my needs. I feel she listens to me and respects my thoughts on my care. Other staff in reception etc are always professional and polite.'

'My Health Visitor and Perinatal Counsellor have been very supportive and made me feel comfortable one on one at my house so I wasn't anxious. Very thoughtful and there for both my baby and me.'

‘I can’t over emphasise how valuable the therapy has been and I am incredibly grateful that I had the opportunity to spend that time with you, I am constantly using what I have learnt from the work….anyone who receives therapy with you is truly blessed’

'Dedicated staff who are so very committed. Home visits were very helpful. A member of staff was very supportive, a super listener and well informed.'

‘Thank you so much to the two of you for being you, kind caring nurses whilst I was in need. I’m so grateful we met you saved me from losing myself, I now can see a light at the end of the tunnel’

'I feel very supported and appreciate the preventative nature of the therapeutic work. It feels like a service that cares about it's users.'

'Excellent service, good access when needed, quick help.'

'You have all been a huge help and always giving us hope through the darkest patches….you are incredible at the job you do.' 

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Definitions:

Antenatal Mental Health Screening Clinics – Clinics run by psychiatric nurses within the antenatal clinic for patients may have a high risk of perinatal illness.

CAMHS – Child and Adolescent Mental Health Team

Mother and Baby Unit – Specialised Unit for women and their baby when experiencing acute perinatal mental illness.

Perinatal – Within the antenatal period and up until the infant is a year old. 

Post-Partum Psychosis – a severe episode of mental illness which begins suddenly in the days or weeks after having a baby. Symptoms vary and can change rapidly. They can include high mood (mania), depression, confusion, hallucinations and delusions. Postpartum psychosis is a psychiatric emergency

Pre-conceptual Counselling – Counselling offered to women with a severe mental illness who wish to start planning for a pregnancy and which considers issues such as risk of relapse, medication safety and availability of support during the perinatal period.

Tokophobia - A condition of having a fear of giving birth so bad that you don’t want to go through with it, even if you really want to have the baby.