Mental health in the United Kingdom
Agnes Hann of the National Childbirth Trust said, "These findings are shocking, and mean that thousands of women experiencing potentially serious perinatal mental health problems are not getting the support they need. Perinatal mental illness can have a severe and long-term impact on mothers, babies and families. In extreme circumstances, it can result in tragedy – suicide is a leading cause of maternal death." From roughly 10% to 20% of women giving birth experience some type of mental illness such as anxiety and depression or more complex problems like PTSD and psychosis. With about 665,000 births a year in England 66,500–133,000 women a year develop illnesses. In 2016, 13,000 women were treated by perinatal teams while 800 became inpatients. This means the majority were untreated.
Miscarriage and mental illness
Mental illness can be a consequence of miscarriage or early pregnancy loss. Even though women can develop long-term psychiatric symptoms after a miscarriage, acknowledging the potential of mental illness is not usually considered. A mental illness can develop in women who have experienced one or more miscarriages after the event or even years later. Some data suggest that men and women can be affected up to 15 years after the loss. Though recognized as a public health problem, studies investigating the mental health status of women following miscarriage are still lacking. Posttraumatic stress disorder (PTSD) can develop in women who have experienced a miscarriage. Risks for developing PTSD after miscarriage include emotional pain, expressions of emotion, and low levels of social support. Even if relatively low levels of stress occur after the miscarriage, symptoms of PTSD including flashbacks, intrusive thoughts, dissociation and hyperarousal can later develop. Clinical depression also is associated with miscarriage. Past responses by clinicians have been to prescribe sedatives.