A systematic review of ethnic minority women's experiences of perinatal mental health conditions and services in Europe.

Helen Watson,Deborah Harrop,Elizabeth Walton,Andy Young,Hora Soltani,Astrid M Kamperman

doi:10.1371/journal.pone.0210587

Helen Watson, Deborah Harrop + Show 4 more

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https://doi.org/10.1371/journal.pone.0210587

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Journal: PloS one	Publication Date: Jan 29, 2019
Citations: 82	License type: CC BY 4.0

Affiliation: Sheffield Hallam University, University of Sheffield

Abstract

BackgroundWomen from ethnic minority groups are at greater risk of developing mental health problems. Poor perinatal mental health impacts on maternal morbidity and mortality and can have a devastating impact on child and family wellbeing. It is important to ensure that services are designed to meet the unique needs of women from diverse backgrounds.AimThe aim of the review was to explore ethnic minority women's experiences of perinatal mental ill health, help-seeking and perinatal mental health services in Europe.Data sourcesSearches included CINAHL, Maternity and Infant Care, MEDLINE and PsycINFO with no language or date restrictions. Additional literature was identified by searching reference lists of relevant studies.DesignThis was a mixed method systematic review. Study selection, appraisal and data extraction were conducted by two researchers independently. A convergent approach was adopted for the analysis and the data were synthesised thematically.ResultsThe 15 eligible studies included women from a range of minority ethnic backgrounds and were all undertaken in the United Kingdom (UK). Seven overarching themes were identified; awareness and beliefs about mental health, isolation and seeking support, influence of culture, symptoms and coping strategies, accessing mental health services, experiences of mental health services and what women want.ConclusionLack of awareness about mental ill health, cultural expectations, ongoing stigma, culturally insensitive and fragmented health services and interactions with culturally incompetent and dismissive health providers all impact on ethnic minority women's ability to receive adequate perinatal mental health support in the UK. Future research should focus on in-depth exploration of the experiences of these women across multiple European settings and interventions to reduce health inequalities among vulnerable mothers and families affected by perinatal mental ill health.

Highlights

Mental ill health is an urgent European public health and socioeconomic challenge [1]
The 15 eligible studies included women from a range of minority ethnic backgrounds and were all undertaken in the United Kingdom (UK)
Future research should focus on in-depth exploration of the experiences of these women across multiple European settings and interventions to reduce health inequalities among vulnerable mothers and families affected by perinatal mental ill health

Summary

Introduction

Mental ill health is an urgent European public health and socioeconomic challenge [1]. Mental health disorders are among the most common morbidities of the perinatal period [2], and their incidence is reported to vary in different settings, approximately 10% of childbearing women are affected during pregnancy and 13% of women after birth [3]. Perinatal mental ill health is a significant risk factor for maternal mortality. Adverse consequences of perinatal mental health disorders are not limited to mothers. They can result in poor pregnancy outcomes including preterm birth and low birthweight, and poor maternal-infant interaction which is associated with child behavioural, emotional and cognitive problems [8]. Poor perinatal mental health impacts on maternal morbidity and mortality and can have a devastating impact on child and family wellbeing. It is important to ensure that services are designed to meet the unique needs of women from diverse backgrounds

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