Experiences of Perinatal Mental Health Care among Minority Ethnic Women during the COVID-19 Pandemic in London: A Qualitative Study

Int J Environ Res Public Health. 2022 Feb 10;19(4):1975. doi: 10.3390/ijerph19041975.

Abstract

(1) Background: Approximately one in five women will experience mental health difficulties in the perinatal period. Women from ethnic minority backgrounds face a variety of barriers that can prevent or delay access to appropriate perinatal mental health care. COVID-19 pandemic restrictions created additional obstacles for this group of women. This study aims to explore minority ethnic women's experiences of perinatal mental health services during COVID-19 in London. (2) Methods: Eighteen women from ethnic minority backgrounds were interviewed, and data were subject to a thematic analysis. (3) Results: Three main themes were identified, each with two subthemes: 'Difficulties and Disruptions to Access' (Access to Appointments; Pandemic Restrictions and Disruption), 'Experiences of Remote Delivery' (Preference for Face-to-Face Contact; Advantages of Remote Support); and 'Psychosocial Experiences' linked to COVID-19 (Heightened Anxiety; Social Isolation). (4) Conclusions: Women from ethnic minority backgrounds experienced disrupted perinatal mental health care and COVID-19 restrictions compounding their mental health difficulties. Services should take women's circumstances into account and provide flexibility regarding remote delivery of care.

Keywords: COVID-19; maternity services; minority ethnic women; perinatal mental health; qualitative analysis.

MeSH terms

  • COVID-19* / epidemiology
  • Child
  • Ethnicity
  • Female
  • Humans
  • Infant, Newborn
  • London / epidemiology
  • Mental Health
  • Minority Groups
  • Pandemics
  • Perinatal Care
  • Pregnancy
  • Qualitative Research
  • SARS-CoV-2