{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:56:21Z","timestamp":1789480581840,"version":"build-2803163510"},"reference-count":56,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Womens Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The COVID-19 pandemic posed a significant lifecourse rupture, not least to those who had specific physical vulnerabilities to the virus, but also to those who were suffering with mental ill health. Women and birthing people who were pregnant, experienced a perinatal bereavement, or were in the first post-partum year (i.e., perinatal) were exposed to a number of risk factors for mental ill health, including alterations to the way in which their perinatal care was delivered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A consensus statement was derived from a cross-disciplinary collaboration of experts, whereby evidence from collaborative work on perinatal mental health during the COVID-19 pandemic was synthesised, and priorities were established as recommendations for research, healthcare practice, and policy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The synthesis of research focused on the effect of the COVID-19 pandemic on perinatal health outcomes and care practices led to three immediate recommendations: what to retain, what to reinstate, and what to remove from perinatal mental healthcare provision. Longer-term recommendations for action were also made, categorised as follows: Equity and Relational Healthcare; Parity of Esteem in Mental and Physical Healthcare with an Emphasis on Specialist Perinatal Services; and Horizon Scanning for Perinatal Mental Health Research, Policy, &amp;amp; Practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The evidence base on the effect of the pandemic on perinatal mental health is growing. This consensus statement synthesises said evidence and makes recommendations for a post-pandemic recovery and re-build of perinatal mental health services and care provision.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fgwh.2024.1347388","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:38:14Z","timestamp":1708493894000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":17,"title":["A consensus statement on perinatal mental health during the COVID-19 pandemic and recommendations for post-pandemic recovery and re-build"],"prefix":"10.3389","volume":"5","author":[{"given":"Leanne","family":"Jackson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari","family":"Greenfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elana","family":"Payne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Burgess","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munira","family":"Oza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Storey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si\u00e2n M.","family":"Davies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaat","family":"De Backer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora E.","family":"Kent-Nye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Pilav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semra","family":"Worrall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bridle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Khazaezadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daghni","family":"Rajasingam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Carson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"De Pascalis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Fallon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie M.","family":"Hartley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Montgomery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Newburn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire A.","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne A.","family":"Harrold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise M.","family":"Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Sandall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura A.","family":"Magee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayleigh S.","family":"Sheen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio A.","family":"Silverio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"B1","year":"2020"},{"key":"B2","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1007\/s10654-021-00722-y","article-title":"COVID-19 mortality in the UK biobank cohort: revisiting and evaluating risk factors","volume":"36","author":"Elliott","year":"2021","journal-title":"Eur J Epidemiol"},{"key":"B3","year":"2021"},{"key":"B4","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1002\/wps.20768","article-title":"Addressing mental health needs: an integral part of COVID-19 response","volume":"19","author":"Adhanom Ghebreyesus","year":"2020","journal-title":"World Psychiatry"},{"key":"B5","doi-asserted-by":"publisher","first-page":"880","DOI":"10.1111\/1471-0528.16547","article-title":"Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care","volume":"128","author":"Jardine","year":"2021","journal-title":"BJOG"},{"key":"B6","doi-asserted-by":"publisher","first-page":"4014","DOI":"10.1080\/14767058.2020.1843155","article-title":"COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis","volume":"35","author":"Hessami","year":"2022","journal-title":"J Matern Fetal Neonatal Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1002\/imhj.21959","article-title":"When the bough breaks: a systematic review and meta-analysis of mental health symptoms in mothers of young children during the COVID-19 pandemic","volume":"43","author":"Racine","year":"2021","journal-title":"Infant Ment Health J"},{"key":"B8","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1111\/cdep.12387","article-title":"Child development during the COVID-19 pandemic through a life course theory lens","volume":"14","author":"Benner","year":"2020","journal-title":"Child Dev Perspect"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.dcn.2022.101091","article-title":"Early experience unpredictability in child development as a model for understanding the impact of the COVID-19 pandemic: a translational neuroscience perspective","volume":"54","author":"Liu","year":"2022","journal-title":"Dev Cogn Neurosci"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e371","DOI":"10.1016\/S2468-2667(20)30143-2","article-title":"Spotlight on child abuse and neglect response in the time of COVID-19","volume":"5","author":"Thomas","year":"2020","journal-title":"Lancet Public Health"},{"key":"B11","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1186\/s12978-023-01582-3","article-title":"Abortion services during the COVID-19 pandemic: a systematic review","volume":"20","author":"Qaderi","year":"2023","journal-title":"Reprod Health"},{"key":"B12","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1111\/aogs.14329","article-title":"Management and implications of severe COVID-19 in pregnancy in the UK: data from the UK obstetric surveillance system national cohort","volume":"101","author":"Vousden","year":"2022","journal-title":"Acta Obstet Gynecol Scand"},{"key":"B13","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/S2214-109X(20)30456-3","article-title":"Counting stillbirths and COVID-19\u2014there has never been a more urgent time","volume":"9","author":"Homer","year":"2021","journal-title":"Lancet Glob Health"},{"key":"B14","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1001\/jama.2020.12746","article-title":"Change in the incidence of stillbirth and preterm delivery during the COVID-19 pandemic","volume":"324","author":"Khalil","year":"2020","journal-title":"JAMA"},{"key":"B15","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1016\/j.ijnurstu.2014.11.006","article-title":"Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout","volume":"52","author":"Sheen","year":"2015","journal-title":"Int J Nurs Stud"},{"key":"B16","doi-asserted-by":"publisher","first-page":"e061505","DOI":"10.1136\/bmjopen-2022-061505","article-title":"Which events are experienced as traumatic by obstetricians and gynaecologists, and why? A qualitative analysis from a cross-sectional survey and in-depth interviews","volume":"12","author":"Sheen","year":"2022","journal-title":"BMJ Open"},{"key":"B17","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1111\/1471-0528.16076","article-title":"Work-related post-traumatic stress symptoms in obstetricians and gynaecologists: findings from INDIGO a mixed methods study with a cross\u2013sectional survey and in-depth interviews","volume":"127","author":"Slade","year":"2020","journal-title":"BJOG"},{"key":"B18","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1007\/978-981-10-5251-4_100","article-title":"Consensus methods: nominal group technique","volume-title":"Handbook of Research Methods in Health Social Sciences","author":"Manera","year":"2019"},{"key":"B19","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.jpsychires.2021.01.048","article-title":"Psychosocial experiences of postnatal women during the COVID-19 pandemic. A UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety","volume":"136","author":"Fallon","year":"2021","journal-title":"J Psychiatr Res"},{"key":"B20","year":"2020"},{"key":"B21","year":"2020"},{"key":"B22","year":"2021"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-021-03597-9","article-title":"A validation of the postpartum specific anxiety scale 12 item research short-form for use during global crises with five translations","volume":"21","author":"Silverio","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-021-04071-2","article-title":"Postpartum women\u2019s psychological experiences during the COVID-19 pandemic: a modified recurrent cross-sectional thematic analysis","volume":"21","author":"Jackson","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"B25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0285270","article-title":"The antenatal psychological experiences of women during two phases of the COVID-19 pandemic: a recurrent, cross-sectional, thematic analysis","volume":"18","author":"Jackson","year":"2023","journal-title":"PLoS One"},{"key":"B26","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/j.jad.2022.08.017","article-title":"Rates of depressive and anxiety symptoms in the perinatal period during the COVID-19 pandemic: comparisons between countries and with pre-pandemic data","volume":"316","author":"Mateus","year":"2022","journal-title":"J Affect Disord"},{"key":"B27","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-023-04998-0","article-title":"Validation of the Iranian version of the postpartum specific anxiety scale 12-item research short-form for use during global crises (PSAS-IR-RSF-C)","volume":"23","author":"Mashayekh-Amiri","year":"2023","journal-title":"BMC Psychiatry"},{"key":"B28","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.wombi.2022.05.002","article-title":"Navigating uncertainty alone: a grounded theory analysis of women\u2019s psychosocial experiences of pregnancy and childbirth during the COVID-19 pandemic in London","volume":"36","author":"Montgomery","year":"2023","journal-title":"Women Birth"},{"key":"B29","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.1111\/1471-0528.16313","article-title":"Provision of obstetrics and gynaecology services during the COVID-19 pandemic: a survey of junior doctors in the UK national health service","volume":"127","author":"Rimmer","year":"2020","journal-title":"BJOG"},{"key":"B30","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1186\/s12884-021-04292-5","article-title":"Preliminary findings on the experiences of care for parents who suffered perinatal bereavement during the COVID-19 pandemic","volume":"21","author":"Silverio","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"B31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/ijerph19031777","article-title":"Supporting perinatal mental health and wellbeing during COVID-19","volume":"19","author":"Bridle","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B32","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1007\/s00737-021-01108-5","article-title":"Challenges and opportunities of the COVID-19 pandemic for perinatal mental healthcare: a mixed-methods study of mental healthcare staff","volume":"24","author":"Wilson","year":"2021","journal-title":"Arch Women\u2019s Ment Health"},{"key":"B33","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/ijerph19041975","article-title":"Experiences of perinatal mental healthcare among minority ethnic women during the COVID-19 pandemic in London: a qualitative study","volume":"19","author":"Pilav","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2020-039583","article-title":"Cohort profile: the eLIXIR partnership\u2014a maternity\u2013child data linkage for life course research in south London, UK","volume":"10","author":"Carson","year":"2020","journal-title":"BMJ Open"},{"key":"B35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1192\/bjo.2022.66","article-title":"Changes in the identification and management of mental health and domestic abuse among pregnant women during the COVID-19 lockdown: regression discontinuity study","volume":"8","author":"Hildersley","year":"2022","journal-title":"BJPsych Open"},{"key":"B36","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2022-061550","article-title":"Multicountry study protocol of COCOON: continuing care in COVID-19 outbreak global survey of new, expectant, and bereaved parent experiences","volume":"12","author":"Loughnan","year":"2022","journal-title":"BMJ Open"},{"key":"B37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjsrh-2022-201763","article-title":"Contraceptive use and pregnancy planning in Britain during the first year of the COVID-19 pandemic: findings from a large, quasi-representative survey (Natsal-COVID)","volume":"49","author":"Baxter","year":"2023","journal-title":"BMJ Sex Reprod Health"},{"key":"B38","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1002\/ijgo.13377","article-title":"Legal and policy responses to the delivery of abortion care during COVID-19","volume":"151","author":"Romanis","year":"2020","journal-title":"Int J Gynaecol Obstetr"},{"key":"B39","year":"2023"},{"key":"B40","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1080\/02646838.2020.1734167","article-title":"What\u2019s so special about perinatal mental health?","volume":"38","author":"Alderdice","year":"2020","journal-title":"J Reprod Infant Psychol"},{"key":"B41","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1002\/wps.20769","article-title":"Perinatal mental health: a review of progress and challenges","volume":"19","author":"Howard","year":"2020","journal-title":"World Psychiatry"},{"key":"B42","year":"2022"},{"key":"B43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-023-05641-2","article-title":"Reflective, pragmatic, and reactive decision-making by maternity service providers during the SARS-CoV-2 pandemic health system shock: a qualitative, grounded theory analysis","volume":"23","author":"Silverio","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"B44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/ijerph191811699","article-title":"Managing children\u2019s fears during the COVID-19 pandemic: strategies adopted by Italian caregivers","volume":"19","author":"Landoni","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B45","author":"Hogg","year":"2022","journal-title":"Casting long shadows: The ongoing impact of the COVID-19 pandemic on babies, their families and the services that support them"},{"key":"B46","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-021-10182-4","article-title":"Addressing inequities in maternal health among women living in communities of social disadvantage and ethnic diversity","volume":"21","author":"Fernandez Turienzo","year":"2021","journal-title":"BMC Public Health"},{"key":"B47","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12939-023-01948-w","article-title":"Targeted health and social care interventions for women and infants who are disproportionately impacted by health inequalities in high-income countries: a systematic review","volume":"22","author":"Khan","year":"2023","journal-title":"Int J Equity Health"},{"key":"B48","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-023-17505-7","article-title":"Inside the \u201cimperfect mosaic\u201d: minority ethnic women\u2019s qualitative experiences of race and ethnicity during pregnancy, childbirth, and maternity care in the United Kingdom","volume":"23","author":"Silverio","year":"2023","journal-title":"BMC Public Health"},{"key":"B49","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-022-04698-9","article-title":"A qualitative study of minority ethnic women\u2019s experiences of access to and engagement with perinatal mental health care","volume":"22","author":"Pilav","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2023.12.004","article-title":"Women\u2019s experiences of early pregnancy loss services during the pandemic: a qualitative investigation","author":"George-Carey","year":"2024","journal-title":"Women Birth"},{"key":"B51","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1016\/j.jnn.2022.10.002","article-title":"The relationship between prematurity and maternal mental health in the first postpartum year","volume":"29","author":"Worrall","year":"2023","journal-title":"J Neonatal Nurs"},{"key":"B52","doi-asserted-by":"publisher","first-page":"123","DOI":"10.3917\/eslm.159.0123","article-title":"Vivre un d\u00e9c\u00e8s p\u00e9rinatal en contexte de pand\u00e9mie [Experiencing a perinatal death in the context of a pandemic]","volume":"159","author":"deMontigny","year":"2023","journal-title":"\u00c9tudes Mort"},{"key":"B53","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1080\/0167482x.2022.2119958","article-title":"Emotional experiences of women who access early pregnancy assessment units: a qualitative investigation","volume":"43","author":"Silverio","year":"2022","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"B54","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.eclinm.2022.101433","article-title":"On race and ethnicity during a global pandemic: an \u201cimperfect mosaic\u201d of maternal and child health services in ethnically-diverse south London, United Kingdom","volume":"48","author":"Silverio","year":"2022","journal-title":"eClinicalMedicine"},{"key":"B55","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1136\/bmjsrh-2021-201164","article-title":"Impact of the SARS-CoV-2 pandemic on access to contraception and pregnancy intentions: a national prospective cohort study of the UK population","volume":"48","author":"Balachandren","year":"2022","journal-title":"BMJ Sex Reprod Health"},{"key":"B56","doi-asserted-by":"publisher","first-page":"526","DOI":"10.12968\/bjom.2022.30.9.526","article-title":"Lack of policy consideration for breastfeeding co-mothers in maternity services","volume":"30","author":"Greenfield","year":"2022","journal-title":"Br J Midwifery"}],"container-title":["Frontiers in Global Women's Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2024.1347388\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:38:16Z","timestamp":1708493896000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2024.1347388\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,21]]},"references-count":56,"alternative-id":["10.3389\/fgwh.2024.1347388"],"URL":"https:\/\/doi.org\/10.3389\/fgwh.2024.1347388","relation":{},"ISSN":["2673-5059"],"issn-type":[{"value":"2673-5059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,21]]},"article-number":"1347388"}}