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An Evaluation of Mental Health Professionals’ Confidence in Performing Perinatal Assessments & The Need for the Development of an Assessment Tool

Published online by Cambridge University Press:  01 September 2022

A. Delvi*
Affiliation:
South London & Maudsley NHS Foundation Trust, Channi Kumar Mother & Baby Unit, Beckenham, United Kingdom
L. Blake
Affiliation:
South London & Maudsley NHS Foundation Trust, Channi Kumar Mother & Baby Unit, Beckenham, United Kingdom
A. Lapraik
Affiliation:
South London & Maudsley NHS Foundation Trust, Channi Kumar Mother & Baby Unit, Beckenham, United Kingdom
G. Lewis
Affiliation:
South London & Maudsley NHS Foundation Trust, Channi Kumar Mother & Baby Unit, Beckenham, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

Clinicians often do not have experience assessing perinatal patients unless they work as part of a perinatal team. Informal feedback points to a lack of confidence in performing perinatal assessments.

Objectives

The aim of the project was to assess clinicians’ confidence in performing perinatal assessments in outpatient and inpatient settings including the Emergency Department. Additionally, we wanted to assess whether access to a perinatal assessment tool was beneficial. We hypothesise that clinicians lack confidence in performing perinatal assessments and would benefit from using a perinatal assessment tool.

Methods

We designed a survey of 10 questions assessing the above. The survey was sent out to psychiatric trainees and nurses at South London & Maudsley NHS Foundation Trust. The participant’s confidence in completing perinatal assessments in various settings was assessed using a 5 point Likert scale.

Results

52 responses were received. 50% of participants felt not so confident in performing perinatal assessments in the outpatient setting. 40.38%(n=21) of participants felt not so confident in exploring the mother and foetal relationship. 71.15% (n=37) of participants felt that they would benefit from additional teaching with 48.1% of participants citing that they would benefit from access to an assessment tool.

Conclusions

As predicted, the results of the survey show that clinicians lack confidence in performing perinatal assessments. Therefore, we have commenced work on modifying the existing Stafford Interview. This is a structured interview that explores the obstetric and psycho-social background and psychiatric complications of pregnancy. The survey is due to be replicated in other project locations to allow transcultural comparison.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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