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Women were recruited at their first appointment for antenatal care and assessed for mental disorders using the Structured Clinical Interview DSM-IV Axis I\/II Disorders for Research. Clinical, sociodemographic and psychosocial characteristics were collected. Mental health service use data were collected for the period from study entry to 3 months postpartum.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Two hundred women met diagnostic criteria for a mental disorder. Fifty-five (34%) of these had at least one contact with mental health services. Moderate depression (OR 7.44, CI 2.03\u201327.28, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), severe depression (OR 10.5, CI 2.68\u201341.12, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), past psychiatric hospital admission (OR 3.76, CI 1.05\u201313.44, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), symptoms of anxiety (OR 3.95, CI 1.86\u20138.37, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and perceived low levels of social support (OR 0.43, CI 0.18\u20131.01, <jats:italic>p<\/jats:italic>\u2009=\u20090.05) were associated with an increased likelihood of contact with mental health services in univariate analyses. However, only moderate (OR 5.92, CI 1.31\u201326.78, <jats:italic>p<\/jats:italic>\u2009=\u20090.02) and severe depression (OR 6.04, CI 1.08\u201333.72, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) remained significant in the multivariate regressions analyses.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Only a third of women with a diagnosable mental disorder at their first antenatal appointment had any contact with mental health services during pregnancy or up to 3 months postpartum. Further research is warranted to elicit perinatal women\u2019s views about the potential barriers to accessing professional mental health care.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00127-022-02331-w","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T04:54:15Z","timestamp":1659070455000},"page":"2229-2240","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Mental health service use among pregnant and early postpartum women"],"prefix":"10.1007","volume":"57","author":[{"given":"Leonie","family":"Lee-Carbon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selina","family":"Nath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylee","family":"Trevillion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Byford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise M.","family":"Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona L.","family":"Challacombe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3094-9255","authenticated-orcid":false,"given":"Margaret","family":"Heslin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,29]]},"reference":[{"key":"2331_CR1","volume-title":"Maternal mental health \u2014 women\u2019s voices","author":"K Russell","year":"2017","unstructured":"Russell K et al (2017) Maternal mental health \u2014 women\u2019s voices. 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