Abstract

Perinatal mental health is a major public health concern. Antenatal depression (AND) affects approximately 13% of women and is associated with psychological and physical morbidity, including poor birth outcomes and an increased risk of maternal suicide.

Qualitative studies suggest that women highly value peer support. Such studies have explored some of the mechanisms of peer support that have benefitted woman. These include being able to speak openly to a peer who has experienced similar feelings of alienation, of feeling abnormal, isolated, and experiencing stigma. Findings from these studies have included feelings of increased social support, confidence, selfesteem and hope for recovery.

The aim of this randomised controlled trial (RCT) was to assess whether the provision of support in the form of six weekly, one-hour visits from a PSW to women with antenatal depression (AND) was an effective and acceptable intervention with the potential to reduce AND.