{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:29:29Z","timestamp":1789046969141,"version":"build-2803163510"},"reference-count":60,"publisher":"Walter de Gruyter GmbH","issue":"7","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0301_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Perinatal mental health has long been acknowledged as fundamental to the well-being of mothers and infants, yet the recognition of disorders such as postpartum depression, anxiety, and \u2013 far less commonly \u2013 psychosis still lags behind clinical need. Even where validated screening tools exist, detection remains inconsistent, and many women navigate pregnancy and the postpartum period with symptoms that go unspoken or unnoticed. In some high-income settings, suicide has emerged as a leading contributor to maternal mortality, a reminder that the health consequences of these conditions extend beyond emotional distress and reflect deeper systemic failings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0301_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this opinion paper, we draw on recent developments across epidemiology, neuroscience, psychology, and health-system research to consider why perinatal mental health continues to occupy an uncertain place in routine care. Fragmented service pathways, variability in provider training, and uneven adoption of evidence-supported interventions create persistent gaps between what is known and what is practiced. We highlight examples \u2013 stepped-care models, collaborative teams, and digital supports \u2013 that illustrate how more coherent systems could function, even if implementation remains uneven.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0301_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although a wide range of effective interventions exists, their practical reach is limited by sociocultural norms, structural constraints, and resource imbalances. Understanding these influences together \u2013 not in isolation \u2013 helps clarify why progress has been slower than the evidence might suggest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0301_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Meaningful improvement will depend on strengthening cross-sector integration, expanding scalable technologies, and tailoring policy responses to local realities. Sustained investment in perinatal mental health offers long-term benefits for families and communities and should be regarded as central to modern maternal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0301","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T10:24:26Z","timestamp":1778581466000},"page":"1095-1108","source":"Crossref","is-referenced-by-count":0,"title":["Mental health in the perinatal period: bridging the gaps in care, evidence, and policy"],"prefix":"10.1515","volume":"54","author":[{"given":"Mochammad Besari","family":"Adi Pramono","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Medical Faculty of Diponegoro University, Dr. Kariadi Hospital , Semarang , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9062-8501","authenticated-orcid":false,"given":"Wiku","family":"Andonotopo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Women Health Center, Ekahospital BSD City , Tangerang , Banten , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1710-3909","authenticated-orcid":false,"given":"Muhammad Adrianes","family":"Bachnas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Medical Faculty of Sebelas Maret University, Dr. Moewardi Hospital , Solo, Surakarta , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wisnu","family":"Prabowo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Medical Faculty of Sebelas Maret University, Dr. Moewardi Hospital , Solo, Surakarta , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Edwin","family":"Yuliantara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Medical Faculty of Sebelas Maret University, Dr. Moewardi Hospital , Solo, Surakarta , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Dewantiningrum","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Medical Faculty of Diponegoro University, Dr. Kariadi Hospital , Semarang , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efendi","family":"Lukas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division, Faculty of Medicine , Hasanuddin University , Makassar , 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Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Ilham","family":"Aldika Akbar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Faculty of Medicine , Airlangga University, Dr. Soetomo Hospital , Surabaya , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dudy","family":"Aldiansyah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division, Faculty of Medicine , Sumatera Utara University, H. Adam Malik General Hospital , Medan , North Sumatera , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dovy","family":"Djanas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division, Faculty of Medicine , Andalas University, M. Djamil General Hospital , Padang , West Sumatera , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aloysius","family":"Suryawan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division, Faculty of Medicine , Maranatha Christian University , Bandung , West Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ridwan Abdullah","family":"Putra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division, Faculty of Medicine , Maranatha Christian University , Bandung , West Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita Deborah","family":"Anwar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Faculty of Medicine , Padjajaran University, Hasan Sadikin General Hospital , Bandung , West Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cut Meurah","family":"Yeni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Faculty of Medicine , Syiah Kuala University, Dr. Zainoel Abidin General Hospital , Aceh , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuswil","family":"Bernolian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Faculty of Medicine , Sriwijaya University, Dr. Mohammad Hoesin General Hospital , Palembang , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry Kurniawan","family":"Gondo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology , Wijaya Kusuma University , Surabaya , East Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1495-5293","authenticated-orcid":false,"given":"Laksmana Adi","family":"Krista Nugraha","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine , Universitas Diponegoro , Semarang , Central Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2181-3442","authenticated-orcid":false,"given":"Waskita Ekamaheswara","family":"Kasumba Andanaputra","sequence":"additional","affiliation":[{"name":"Department of Medicine, Undergraduate Program in Medical Science, Faculty of Medicine , Padjajaran University , Bandung , West Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wibisana Andika","family":"Krista Dharma","sequence":"additional","affiliation":[{"name":"Department of Medicine, Undergraduate Program in Medical Science, Faculty of Medicine , Gajah Mada University , Yogyakarta , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri","family":"Sulistyowati","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fetomaternal Division , Medical Faculty of Sebelas Maret University, Dr. Moewardi Hospital , Solo, Surakarta , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Stanojevic","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Rare Diseases , Medical University of Warsaw , Warsaw , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asim","family":"Kurjak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Medical School University of Zagreb , Zagreb , Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"2026091012590226988_j_jpm-2025-0301_ref_001","doi-asserted-by":"crossref","unstructured":"Gavin, NI, Gaynes, BN, Lohr, KN, Meltzer-Brody, S, Gartlehner, G, Swinson, T. 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