{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:16:16Z","timestamp":1792638976291,"version":"4.5.0"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"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. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Mothers with mild to moderate depression in pregnancy are at risk of developing postpartum depression. Midwife-led continuity of care may support maternal mental health throughout the perinatal period. Research is needed to better understand how continuity of care may support mothers experiencing depression in pregnancy. This study aimed to investigate the perspectives of mothers with mild to moderate depression and clinicians regarding continuity of care in the perinatal period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Fourteen mothers and clinicians participated in individual interviews or a focus group. Analysis was conducted using inductive reflexive thematic analysis with a constructivist orientation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the perspectives of mothers and clinicians, continuity of care during the antenatal period benefitted mothers\u2019 mental health by providing connection and rapport, information about pregnancy and referral options, and reassurance about whether pregnancy symptoms were normal. The experience of seeing multiple clinicians was noted by mothers to increase distress while participants discussed the value of extending continuity of care into the postpartum period, including having someone familiar checking in on them. The importance of having a second opinion and not always relying on a single provider during pregnancy was highlighted by some mothers and clinicians. Mothers also described how multiple modes of communication with a midwife can be helpful, including the ease and accessibility of text or email.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mothers and clinicians perceived benefits of continuity of care for maternal mental health. Offering midwife-led continuity of care to mothers with mild to moderate depression during the perinatal period is recommended.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1385120","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T11:31:24Z","timestamp":1726745484000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Perinatal continuity of care for mothers with depressive symptoms: perspectives of mothers and clinicians"],"prefix":"10.3389","volume":"15","author":[{"given":"Karlen R.","family":"Barr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha A.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Pickup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Cibralic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Mendoza Diaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryanne","family":"Barnett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valsamma","family":"Eapen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.midw.2016.12.010","article-title":"Midwives\u2019 perceptions and experiences of caring for women who experience perinatal mental health problems: An integrative review","volume":"45","author":"Noonan","year":"2017","journal-title":"Midwifery"},{"key":"B2","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.bpobgyn.2013.08.017","article-title":"Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done","volume":"28","author":"Glover","year":"2014","journal-title":"Best Pract Res Clin Obstetrics Gynaecology"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1745506519844044","DOI":"10.1177\/1745506519844044","article-title":"Consequences of maternal postpartum depression: a systematic review of maternal and infant outcomes","volume":"15","author":"Slomian","year":"2019","journal-title":"Womens Health (Lond)"},{"key":"B4","doi-asserted-by":"publisher","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":"B5","volume-title":"Data opportunities in perinatal mental health screening","year":"2023"},{"key":"B6","volume-title":"NSW Health\/Families NSW Supporting Families Early Package - SAFE START Strategic Policy","year":"2009"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2018.02.002","article-title":"Survey of midwives\u2019 perinatal mental health knowledge, confidence, attitudes and learning needs","volume":"31","author":"Noonan","year":"2018","journal-title":"Women Birth"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00737-003-0034-4","article-title":"Antenatal screening and early intervention for \u201cperinatal\u201d distress, depression and anxiety: where to from here","volume":"7","author":"Austin","year":"2004","journal-title":"Arch Womens Ment Health"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression. 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