Some new and expectant mothers finding the Covid-19 crisis ‘very challenging’

This article from the journal.ie website https://www.thejournal.ie/ looks at how new and expectant mothers may find themselves struggling with mental health issues in the current pandemic situation. Remember if you are struggling with any issues you can contact Donegal Parent Support line on FREEPHONE 1800 112277.

You can also click the link to download Aware NI A guide to looking after the mental health of you and your baby

Some new and expectant mothers finding Covid-19 crisis ‘very challenging’

NEW AND EXPECTANT mothers should not hesitate to seek help for mental health issues, especially as they may worsen due to the pandemic, a consultant in the Rotunda Hospital has advised.

The hospital provides a specialist psychiatry service for women who are thinking of conceiving, those who are pregnant and for women up to a year after they give birth as part of its mental health hub.

Up to one in five women experience mental health difficulties in pregnancy or after birth, according to the HSE.

A consultant of perinatal psychiatry at the Rotunda Hospital, Dr Richard Duffy, said that the pandemic has had a negative impact on many peoples’ mental health so far.

Perinatal refers to any time from conception up to around a year after birth.

“A lot of the women who attend our service, some are in direct provision, homeless and some are in quite cramped accommodation and it’s very difficult for people in such circumstances to manage at a time like this after giving birth,” Duffy told TheJournal.ie. 

“For people in those situations, it has definitely been very challenging.

“A lot of people are very reliant on their parents – the mothers and fathers are relying on their parents for support and when they’re deprived of seeing them it adds an extra pressure.”

Depression and anxiety are the most common mental health problems in pregnancy, affecting about 10-15% of pregnant women.

The mental health hub in the Rotunda can help to treat a wide range of pre-existing and newly developed conditions including anxiety, depression, obsessive compulsive disorder, post-traumatic stress disorder and birth trauma.

Duffy said in the first few weeks of the pandemic, some new mothers found it a bit easier as there was no pressure to see a lot of people after the birth of their child.

However, he said overall this time has had a negative impact on the mental wellbeing of pregnant people and mothers with newborn babies.

“We are seeing women who may be in hospital for four or five days or potentially longer for their birth with no visitors… This can be stressful,” Duffy said.

For any new or expectant mothers experiencing mental health difficulties, Duffy recommends contacting a GP or the service directly sooner rather than later.

“For a lot of mental health services, people feel there are a lot of barriers. We try to remove as many of the barriers as possible for women,” he said.

I think a lot of people are afraid of attending our services. It’s in no way a reflection of somebody’s ability to parent if they are experiencing mental health issues, it’s really common and in most places it’s very treatable.

“For people who are pregnant, it’s really important they try and treat mental health difficulties while they are pregnant instead of waiting to see if it goes away when the baby is born,” Duffy said.

The mental health hub in the Rotunda also provides some specialist services to Cavan General Hospital and Our Lady of Lourdes Hospital in Drogheda.

This hub is comprised of consultants, non-consultant hospital doctors, mental health nurses, psychologists, social workers and administration staff members.

In terms of adjusting some services during the pandemic, a lot of consultations are done over the phone and some therapy is provided via video link.

A specialist clinic for birth trauma and tokophobia, which is the fear of birth, is also being developed in the Rotunda.

“Our midwives and our psychologist have really led the way with these clinics and it’s an emerging area,” Duffy said.

Remember if you need to talk to someone about any of these issue or other parenting challenges which are stressing you at the moment just FREEPHONE 1800 112277 for the Donegal Parent Support line.

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Safer Internet Day takes place next Tuesday, 7th February 2023. Sadly more than 1 in 4 young people in Ireland have experienced cyberbullying, yet only 60% of victims tell their parents. As teenagers and children spend more time on the internet, ensuring it's a safe space is ever more important. To encourage conversation about life online and help parents keep their children safe, I'd like to share a free resource created by Switcher.ie. It's a comprehensive guide which includes things like:
  • How to reduce the risks online
  • How to recognise cyber bullying and grooming
  • How to educate children on cyber safety
  • How to set up parental controls on devices
I thought it may be useful to share the link to the guide - https://switcher.ie/broadband/guides/how-to-keep-your-children-safe-online/ - which you can include on your website ahead of Safer Internet Day, to help parents and children who may need some extra support. We've also put together some handy top tips you can use on your website: 10 tips to keep your children safe online
  1. Talk about it:Make time to chat about online risks and how to use the internet safelyas soon as they're old enough to go online. Encourage your children to speak to you about what they view online and empower them to act if they're worried about anything.
  2. Recognise the risks: Educate yourself about the potential dangers children could face online so  it’s easier to spot warning signs. Get to know what platforms your children use, and learn about dangers such as phishing, grooming and cyberbullying.
  3. Teach the do's and don'ts: Be clear about the non-negotiables.  For example, teach your child not to share personal details or photos with strangers and instruct them not to click on links to unknown websites or texts. Do encourage your child to question what they see and only accept friend requests from people they know.
  4. Spot the signs: Pay attention to your children's behaviour whilst on and off their devices. Being alert to changes in your child can help prevent problems from escalating. Some warning signs are withdrawing from friends or family, sleeping and eating problems or losing interest in previously loved hobbies or interests.
  5. Set boundaries:Let your children know what they can and can't do on the internet from the get-go. Agree on what devices they can use, when, and how long they can spend online. As they get older, explaining and negotiating boundaries may be more effective.
  6. Take 'parental' control: These ready-made boundaries put parents in control of what children can see online. They can be set up through your internet provider at device level to block specific websites and filter out inappropriate content.
  7. Be social media savvy:  The popularity of social media apps like TikTok and Snapchat makes it harder to keep track of what your child is accessing online.  Fortunately, each social media platform has its own privacy settings and safety tips for parents. Check them out before you let children have their own accounts.
  8. Protect from harm:Install antivirus software on family devices to minimise the risk of cyber attacks or scams. Use two-factor authentication (2FA) for extra security on your online accounts. This can also stop children from signing into services they're not allowed to use.
  9. Set a great example:  You're the greatest 'influencer' in your children's lives when they're young.  Limiting your time online, discussing dangers you've come across, and questioning what you view can help reinforce the rules you are setting for your children and, in turn, influence their online behaviour.
  10. Seek support:The more you learn about online dangers, the better equipped you'll be to handle them. There are some great resources like  webwise.ieinternetmatters.organd cybersafekids.ie to help you recognise and reduce online dangers and seek advice if you think your child is experiencing cyberbullying or is at risk online.
        Short videos on the Importance of Play have recently launched which was a collaboration between North Central CFSN and Lifestart Services.   Volume 1 https://youtu.be/xl2F2vZXhbg Volume 2 https://youtu.be/OOy4lmWggtM Volume 3 https://youtu.be/tmv40--l7fA Volume 4 https://youtu.be/Wr9bfTWddts Volume 5 https://youtu.be/7HLkBXvVTFE Volume 6 https://youtu.be/NuUXb51qZY0

Infant Mental Health Awareness Week runs from June 13th-19th.           

This week provides an opportunity to focus attention on the wellbeing, social and emotional development of our babies and young children. It highlights the importance of early relationships and a relationship based approach to interventions with infants and families. As our understanding of IMH and its evidence base develops, so also does our knowledge of how to apply this knowledge and an ‘IMH lens’ to interactions with infants, parents and caregivers in health and social services. 

What is infant mental health?

Infant Mental health (IMH) refers to the healthy social and emotional development of Infants starting at conception up to three years of age.

The first 1000 days of life are recognised as a critical period of opportunity to support infant mental health. Decades of research have shown that it is the quality of the early caregiver relationship that is a significant determinant of the infant’s healthy social and emotional development and in turn physical health, right up to adulthood.

 

The National Healthy Childhood Programme has embedded IMH as the foundation of the development of its resources and in the approach of the delivery of the universal child health service. This embedding of key messages can be seen in the My Child suite of books (www.mychild.ie/books) and also on www.MyChild.ie  where key messages around bonding and relationship building have been embedded for the parent/caregiver.

 

In clinical practice the topic of IMH has been included for the first time in the National Standardised Child Health Record. To build on this, the National Healthy Childhood Programme have just completed a suite of three eLearning units which are now available on HSEland for healthcare practitioners / caregivers who are working with children and families.  

 

Throughout the week you will see videos and key IMH messaging being promoted on the HSE MyChild social media pages ( Facebook / Instagram ). Keep an eye out in the National Newspapers for articles from our experts also. (IrishTimes article)  

 

In addition The National Healthy Childhood Programme have developed a series of ten practical videos with HSE expert advice which are now available on YouTube and on the relevant pages on the www.mychild.ie website.

These videos (2-3 minutes each) are aimed at parents/guardians of children (0 – 3 years).

These new video resources are available here while lots more expert advice for every step of pregnancy, baby and toddler health can also be found at www.mychild.ie

There are a suite of posters available focusing on the promotion of IMH messaging to order from healthy.childhood@hse.ie

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