Presentation Information

When Care Isn’t There: Lack of Access to Mental Health Services Is Costing Mothers’ Lives

• Speaker: Rebecca Feldman , CNM, PMHNP-BC
• Presentation Type:
• Duration: 60 Mins
• Credits: 1 CERP, 1 ACM CPD, 1 ACNM CEU, 0.1 Midwifery CEU

Abstract:

This presentation will offer actionable steps that midwives, nurses and all those who work with perinatal families can take to help prevent maternal deaths from suicide and overdose.

The United States has the highest maternal mortality rate in the industrialized world, and perinatal mental health disorders are the most common complications of pregnancy. Suicide and overdose are the leading causes of maternal death in the U.S., Australia, the United Kingdom, Canada, and Norway. Worldwide, the majority of maternal deaths related to mental health conditions remain underreported.

Mental health conditions are globally recognized as significant contributors to perinatal health complications. These deaths are largely preventable — yet most mothers who die receive no treatment for their mental health conditions. Though rates vary worldwide, one thing is consistent: all mothers need access to mental health care before, during, and after pregnancy.

Throughout this discussion, we will explore strategies for decreasing maternal mortality related to mental health conditions. Screening is critical, but ineffective without access to quality care. Social determinants of health must be addressed, and stigma around perinatal mood disorders—present across cultures—must be challenged at a societal level. In terms of substance use, most substance-related maternal deaths are due to fentanyl overdose. Frontline providers must be trained to treat perinatal patients, including offering opioid replacement therapy and harm reduction strategies.

With a unified effort from our multiple disciplines, which will be discussed throughout this talk, we can make meaningful strides in reducing preventable deaths and ensuring the well-being of mothers and their families.