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This guide helps parents distinguish between normal newborn behaviours, when to seek reassurance, and when urgent medical care is needed.

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Try putting the back of your hand on your baby’s tummy, this will tell you if they are hot or cold. It is common for babies to have cold hands and feet.

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As many as 25% of women and birthing people consider their birth as traumatic and many partners also feel this way. Some part of your experience may have left you feeling intensely afraid, helpless or out of control. You may also have previous experience of trauma, unrelated to birth, which could resurface in the perinatal period. Have a read of the resources and support below if this is something you have experienced.

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Unfortunately, loss in the perinatal period can affect many women, birthing people and partners. It is a shocking and difficult time. We have resources for those who have experienced a miscarriage, ectopic or molar pregnancy, pregnancy termination, stillbirth or neonatal death.

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Abuse can come in many forms: physical, sexual, verbal, emotional, financial, and many more. If you are currently experiencing abuse, and need support, there is help out there for you. A history of past abuse can bring up complex emotions in the perinatal period. Have a look at the resources and support services below if you are or have experienced this.

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Looking After Your Mental Health After Pregnancy Loss

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Looking After Your Mental Health After Pregnancy Loss

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This leaflet provides information on how to manage your mental health after pregnancy loss.

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Becoming a new parent can be a really exciting time for mums and their partners, however partners often report feeling left out, unsure or overwhelmed. Partners can also struggle with perinatal mental illness too, but there is support out there. Have a read of the resources below.

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The changes, stress and emotions that come with the perinatal period can sometimes put a strain on relationships and families. But there is support out there. Have a read of the resources and support below if this is something you are experiencing.

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Find information and support below related to breastfeeding, formula feeding, mixed feeding and weaning.

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https://www.hestia.org/domestic-abuse

Hestia offer support for victims of domestic abuse. They provide 31 refuges across 7 London boroughs, among lots of other support.

Have a look at what services they offer near you on this map: https://www.hestia.org/where-we-work

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It is common for most new parents to experience anxieties around pregnancy, childbirth and being a new parent. However, if this anxiety doesn’t ease or pass after some time it may be a sign of perinatal anxiety. Worries may become constant and have an effect on your day-to-day life. These could be worries about the child for example concerns that harm will come to them, or concerns for yourself. Have a read of the resources below if this is something you are experiencing.

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As many as 1 in 5 women experience mental ill health in the perinatal period. Just like at other times, women can experience many different types of mental illness and severity can vary. Some women may already have a mental illness when they get pregnant, others worry about mental health problems they have had in the past, and some women develop mental health problems for the first time in pregnancy or after birth. It is important that you get the support you need if this is something you are experiencing or are at risk of experiencing - we are here for you. Have a read of the resources below to see what other support is out there.

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Depression affects over 1 in 10 women in the perinatal period. You can experience it antenatally or postnatally. We understand that this can be an extremely difficult experience, and we are here for you. Have a read of the resources below if this is something you are struggling with.

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This resource describes some common reactions to birth trauma, how people cope with birth trauma, and the help available.

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This booklet from Mind explains perinatal mental health problems, including possible causes, treatments and support options.

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Perinatal OCD consists of a cycle of obsessions (unwanted thoughts, images, or impulses that occur over and over again, feel outside of the person’s control, and cause them intense and uncomfortable feelings such as fear, disgust, and/or doubt) and compulsions (repetitive behaviours or thoughts that a person uses to try to get rid of or counteract their obsessions). In the perinatal period, these obsessions can often focus on the new or unborn baby. Understandably, these thoughts can be really scary for new mums. Have a read of the resources blow to learn more.

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Postpartum psychosis is a severe mental illness that usually starts suddenly within the first 2 weeks after giving birth. Symptoms vary, and can change rapidly. They can include high mood (mania), depression, confusion, hallucinations and delusions. If you or he people around you feel you may be experiencing psychosis, or are worried that you are at risk of it, you should talk to a health professional. Read the resources below to find out more.

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This list of resources was kindly written by Chloe, a service user whose son Rafe sadly died at 4 days old following a traumatic birth and admission to neonatal care. These are resources (books, websites, podcasts and social media accounts) which Chloe has found helpful at various points after Rafe’s death and she was happy to share these with other parents in the hope some of them may be helpful.

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Click on the different sections of this factographic to learn more about the support available to you as a new Dad, and that you are not alone if you are struggling.

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Have a look at this factsheet from Anxiety UK to learn more about perinatal anxiety, and support available.

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This resource provides information on PTSD (not necessarily related to birth) - a normal reaction to abnormal events.

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Have a read of the specialised resources and support below aimed at parents who are aged 24 and under.

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The bond between babies and their caregiver's can have a lasting positive impact on their social, emotional and cognitive development. It is important to nurture and develop a secure attachment with your baby. If you aren't feeling bonded to your baby or your bump, it is important to seek support. Have a read of the resources and support below.

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This resource gives advice for looking after your mental health after a traumatic birth.

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"A baby is a blessing so why do I feel this way" - click on the different sections of this Factographic to learn you're not alone and about support available.

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This workbook is aimed at women struggling with depression during pregnancy. It provides a practical approach to help you cope with some of the low thoughts and feelings that you may be having.

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Whether it's your sleep that is disturbed, your babies sleep, or both, sleep deprivation can have a huge impact on our mental health in the perinatal period. Read the resources below to learn more and get support.

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This workbook is aimed at women struggling with depression after birth. It provides a practical approach to help you cope with some of the low thoughts and feelings that you may be having.

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Have a read of the specialised resources and support below aimed at neurodivergent parents.

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Have a read of the specialised resources and support below aimed at LGBTQIA parents.

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Have a read of the specialised resources and support below aimed at global majority parents.

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Tokophobia is defined as an overwhelming, preoccupying, debilitating fear or dread of childbirth. The fear of childbirth exists on a continuum from mild to severe/clinical, with tokophobia being the most extreme. Have a read of the resources and support below if this is something you are experiencing.

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This guide for new fathers from Mental Health Foundation helps dads to make sense of what it can be like to be a dad, look after themselves and those around them, and to do the best possible job of becoming a confident father.

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https://www.nationaldahelpline.org.uk/

The National Domestic Abuse Helpline, run by Refuge, is available on 0808 2000 247, 24/7. The helpline is answered by fully trained female support workers and volunteers who will answer your call in confidence.

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The use of medication in the perinatal period can be an anxiety-provoking subject for many women. It is important to weigh up the potential benefits to your health and wellbeing against any possible risks to you or your baby. If you would like a medical review with a doctor in our team to help you make decisions about your treatment, let your care professional in the team know.

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In the perinatal period, there are many situations and events which can lead to feeling overwhelmed by emotions, such as fear, sadness, guilt, shame, anger and panic. This may make it harder to cope with the physical and emotional demands that come with pregnancy and motherhood, so it is important to get support. Have a read of the resources below if you are struggling with emotional regulation.

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Read more about our service here:

Perinatal mental health service (swlstg.nhs.uk)

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https://maternalmentalhealthalliance.org/resources/mums-and-families/

Maternal Mental Health Alliance has self-help guides specific to those experiencing postnatal depression and postpartum psychosis. They also provide links to other national and local organisations that can offer support.

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https://www.bestbeginnings.org.uk/

Best Beginnings is a charity that looks at providing information to maintain physical and mental health of pregnant and new families to maintain baby’s development. Their Baby Buddy app can be used to build confidence and understanding through videos, informative tips and a 24 hours text support service.

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https://apni.org/leaflets/post-natal-depression/#

Association for Post Natal Illness (APNI) has a website with thorough information surrounding postnatal depression and book suggestions for coping with postnatal depression. APNI also has a telephone helpline and webchat service.

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https://pandasfoundation.org.uk/

Postnatal Depression Awareness & Support (PANDAS) provides pre and postnatal depression information and support through a telephone, text, email and online Facebook support groups.

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https://www.app-network.org/

Action on Postpartum Psychosis is a charity that provides postpartum psychosis information and a peer support through online forums, social groups and one-to-one email support.

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https://www.tommys.org/baby-loss-support

Tommy's is a charity that provide information and resources for anyone who has lost a baby, whether it's through miscarriage, stillbirth, neonatal death, or termination for medical reasons. They also have a facebook peer support group.

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https://www.birthtraumaassociation.org.uk/

Birth Trauma Association is a charity that provides birthing individuals and partners with information and birth stories of those who have experienced a traumatic birth. Support is also available through a Facebook support group. They also offer eye movement desensitisation and reprocessing sessions for individuals and couples via Butterfly Hugs for Mums.

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Our Instagram handle is @southwestlondonperinatal, check it out to learn more about our team, what we do, and more!

https://instagram.com/southwestlondonperinatal?igshid=MzRlODBiNWFlZA==

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https://thedadpad.co.uk/

DadPad is a guide for new dads, developed with the NHS. It provide knowledge and practical skills to dads to support them to give their baby the best possible start in life.

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This is a resource for friends and family of someone who is experiencing PTSD (not necessarily related to birth). This should help the people around you understand what you are experiencing and why. It helps them realise this is a normal reaction and explains how they can support you.

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www.home-start.org.uk

Home-start is A family support charity that helps families with young children deal with the challenges they face, such as money issues, mental health, isolation and illness. They also run local support networks.

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www.gingerbread.org.uk

Gingerbread provides advice, information and practical support for single parents – from dealing with a break-up to going back to work or organising financial issues. Their helpline is 0808 802 0925, 10am-6pm Mon, 10am-4pm Tu, Thu & Fri, 10am-1pm & 5pm-7pm Wed.

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www.relate.org.uk

Relate offers counselling and workshops on relationships and family issues. They offer online chat or you can book a counselling appointment through their website.

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www.cry-sis.org.uk

Cry-sis Offers advice and information on how to cope with a sleepless and/or crying baby. They have a telephone helpline and guides on their website.

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Pregnancy and Sleep (sleepio.com)

Sleepio is a free sleep app. The link above is their guide specifically for sleep during pregnancy.

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www.lullabytrust.org.uk/safer-sleep-advice

The Lullaby Trust offers expert advice on safer sleep for babies, as well as support for bereaved families.

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www.mums-aid.org

Mums Aid provides inclusive and accessible psychological therapies for mothers experiencing a broad spectrum of emotional and mental health difficulties during pregnancy or postnatally. They also offer specific support and befriending for young mums.

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www.nationalbreastfeedinghelpline.org.uk

UK National Breastfeeding Helpline is a helpline run by volunteers who are mums who have breastfed and have been trained in giving breastfeeding support. Call 0300 100 0212, 9.30am-9.30pm daily, they also have an online messaging service.

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www.nct.org.uk

National Childbirth Trust (NCT) gives practical and emotional support with bottle feeding or breastfeeding your baby, and can help with any concerns or questions. Call 0300 330 0700, daily, 8am-midnight.

They also offer resources on lots of pregnancy, birth and parenthood related topics and offer local groups and services.

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Understanding and Managing Overwhelming Emotions Workbook

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Understanding and Managing Overwhelming Emotions Workbook

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This workbook is a self-help resource to support women in the perinatal period to understand, manage and cope with overwhelming emotions.

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Intrusive thoughts are normal, we all experience thoughts that we don't want popping into our head every day. For women in the perinatal period, intrusive thoughts are really common. However, they can feel really distressing, especially when they are related to your baby. Have a read of the resources below if you are struggling with this.

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Postpartum Intrusive Thoughts of Harm Resource

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Postpartum Intrusive Thoughts of Harm Resource

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This resource discusses, explains and normalises intrusive thoughts of harm after having a baby.

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Pregnancy, Birth and Parenthood after Childhood Sexual Abuse 

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Pregnancy, Birth and Parenthood after Childhood Sexual Abuse 

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This resource is for anyone who has experienced childhood sexual abuse and has questions or concerns about being pregnant, having a baby or becoming a parent. It is also for partners or friends who support you.

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https://fertilitynetworkuk.org/

Fertility Network provide resources and support groups/events for those who are experiencing loss in the context of ongoing fertility struggles.

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https://maternalocd.org/

Maternal OCD is a charity founded by mothers with lived experience of perinatal OCD. They supply informative resources on OCD and places to find support such as OCD Action’s online support group.

They also have success stories on their site: https://maternalocd.org/success-stories/

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Scroll to the heading along the top that is relevant to you or you would like to learn more about.

You can then scroll down to see information, resources and support services related to this topic.

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Our service runs a group called Circle of Security Parenting (COSP). This group is a weekly online, group reflective space where videos linked to attachment theory are shared and these are discussed as a group.

Watch a video explaining the circle of security here: https://www.youtube.com/watch?v=1wpz8m0BFM8

Each cycle of COSP is 8 weeks long and we run the course multiple times throughout the year. Talk to your care professional in the team if you are interested.

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https://www.positivebirthmovement.org/

The Positive Birth Movement provides online articles providing advice for all points throughout the pregnancy. Their website also has a directory where useful services can be found.

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https://www.tommys.org/pregnancy-information/im-pregnant/mental-wellbeing/tokophobia-fear-giving-birth

Tommy's provides information about the fear you may be experiencing and suggests possible options to help reduce the anxiety. They also have a selection of real-life stories from mothers who also experienced tokophobia.

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https://www.makebirthbetter.org/

Make Birth Better raise awareness about birth trauma and provide support for those who have experienced birth trauma (including their partners).

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https://www.sands.org.uk/

Sands is a charity that offer bereavement support services available through a freephone helpline, a mobile app, an online community and resources.

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https://www.miscarriageassociation.org.uk

Miscarriage Association provides information about miscarriages and how to process your feelings and emotions after this time. Their website has a range of stories from individuals who have experienced a pregnancy loss. You can also find support through forums and their telephone helpline.

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https://www.arc-uk.org/

ARC provide information and support for those who are making/have made a decision about a medical termination after discovering their baby has a genetic/physical condition and may not be developing as expected. They offer information booklets and stories from other parents.

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https://twinstrust.org/bereavement.html

Twins Trust Bereavement Service supports parents/carers of twins/triplets etc. who have died during pregnancy or after birth. They offer information and an online community and befriending service.

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Partners of women and birthing people under our service are able to participate in a support group for fathers or partners, with their babies. The last round started in January, so please mention your interest a care professional in our team to hear more about the next round.

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https://www.nhs.uk/start-for-life/baby/weaning/

Start for Life have helpful guides on how to start weaning safely. They also have recipe guides with nearly a hundred recipes and meal ideas for you to try with your baby: https://www.nhs.uk/start-for-life/baby/recipes-and-meal-ideas/

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Top Tips for Soothing Maternal Rage from Dr Caroline Boyd

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Top Tips for Soothing Maternal Rage from Dr Caroline Boyd

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This article explores different ways to deal with anger as a mother.

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Anger is such a stigmatised emotion - thanks to the Supermum myth, 'good' mums aren't allowed to be angry.

But we know Anger is a normal, defensive emotion. Anger is a normal reaction to a perceived threat, triggering our Fight, Flight & Freeze response. Our brain and body's way of protecting us and keeping us safe.

Because of the stigma and shame, we try to suppress our Anger. But this only adds to the stress, keeping Anger bubbling under the surface.

It's also a myth that venting Anger helps us feel better (Zillman; Tavris). Given the seductive nature of Anger, it may FEEL satisfying, but lashing out or retaliating only fires up our emotional arousal further, making us feel more angry, not less. Goleman, who writes brilliantly on emotions, cites a Tibetan teacher, Chogyam Trungpa, for handling Anger: "Don't suppress it. But don't act on it."

So how can we discharge it safely?

🌟See my top tips in the cards below.

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Top tips for soothing maternal rage - AKA losing your shit - Dr Caroline Boyd

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Anger is such a stigmatised emotion - thanks to the Supermum myth, 'good' mums aren't allowed to be angry. But we know Anger is a normal, defensive emotion.

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This Padlet includes a wealth of information on Autism, and specifically Autism in the Perinatal Period. It also includes a section on support services available.

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https://www.autisticparentsuk.org/

Autistic Parents UK offer online peer support groups, monthly webinars and live Q&A sessions, local peer support groups and volunteer-led one to one peer support sessions for Autistic Parents.

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Autistic Pregnancy, Birth and Beyond Videos

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Autistic Pregnancy, Birth and Beyond Videos

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A collection of videos on different aspects of the perinatal period for autistic people.

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All Videos: Autistic Pregnancy, Birth and Beyond: Your Questions Answered

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These videos are part of a series created for Autistic Pregnancy, Birth and Beyond: Your Questions Answered, in collaboration with Swansea University, APUK,…

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The National Autistic Society have a page with information on Autism in the perinatal period, support strategies, insight from autistic people and resources.

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https://www.instagram.com/lgbt_mummies

LGBT Mummies offer lots of support groups, including support groups for those TTC or who have experienced loss, non-biological parents support groups, fostering and adoption support groups, trans parents support groups and more.

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Sands charity offer specific support for parents and families in Black and South Asian communities who have experienced baby loss, which includes support groups.

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Infant Massage is a wonderful way to promote your relationship with your baby. Our nursery nurses run this course multiple times throughout the year. Talk to your care professional in the perinatal mental health team for more information and to find out when the next group starts.

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https://ocdaction.org.uk/online-support-groups/

OCD Action provide support and resources on OCD. They offer a perinatal specific support group on the second Tuesday of the month at 7pm, and offer support groups for partners of someone suffering OCD / BDD.

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Best Use of Medicines in Pregnancy Leaflets

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Best Use of Medicines in Pregnancy Leaflets

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https://www.medicinesinpregnancy.org/Medicine--pregnancy/

Best use of medicines in pregnancy (BUMPS) provides evidence-based information leaflets on a huge range of medications in pregnancy.

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Psychology and Psychotherapy Feedback Form

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Psychology and Psychotherapy Feedback Form

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https://forms.office.com/e/S6p5jTLxjW

Please fill in this anonymous feedback questionnaire if you have had therapy with our service!

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QRCode for Your Experience of Psychological Therapy or 'Talking Therapy' with the Perinatal Service

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Our Understanding Your Baby Group is a great way to meet other mums, and learn to understand your baby better. It is run multiple times a year by our nursery nurses. Talk to your care professional in the team with any questions or to find out when the next group is.

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https://www.zerotothree.org/resources/for-families/

Zero to Three are an organisation focused on promoting emotionally nourishing relationships to lay the foundation for lifelong health and well-being in the first 3 years of life. They provide resources to support parents in promoting their children’s growth and development.

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https://www.mind.org.uk/information-support/types-of-mental-health-problems/postnatal-depression-and-perinatal-mental-health/about-maternal-mental-health-problems/

Mind is a mental health charity that provides information, support, stories and self-help tools for various perinatal mental health conditions (depression, anxiety, psychosis, PTSD, OCD).

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Tommy's - Helpline for Black and Black Mixed Heritage women

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Tommy's - Helpline for Black and Black Mixed Heritage women

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Tommy's is a charity offering 1:1 calls with a midwife for specialist pregnancy support for Black and Black Mixed Heritage women and birthing people.

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This practical self-help guide provides an active route out of feeling anxious. Step-by-step, the book teaches you to apply cognitive behaviour therapy (CBT) techniques in the particular context of pregnancy and becoming a new parent in order to overcome maternal anxiety in all its forms. One of the authors, Catherine Green, is a Consultant Clinical Psychologist and is the Lead for Psychology and Psychotherapies for the SWLSTG Perinatal Mental Health and Maternal Mental Health Services.

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The PTLT team is our sister service. They provide psychological support to individuals who have experienced loss, birth trauma, or Tokophobia (fear of birth).

Read more about them in the leaflet above.

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PTLT - Patient Information Leaflet - updated March 2024

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Have a read of the resources below that we've put together on the transition to motherhood.

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Matrescence: On the Metamorphosis of Pregnancy, Childbirth and Motherhood by Lucy Jones

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Matrescence: On the Metamorphosis of Pregnancy, Childbirth and Motherhood by Lucy Jones

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In this book, journalist and author Lucy Jones investigates the concept of 'matrescence' - the transition to motherhood and the profound effects it has on the mind, brain and body.

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*A New Statesman and Daily Mail BOOK OF THE YEAR*
*Longlisted for the 2024 Women’s Prize for Non-Fiction* ‘The best book I’ve ever read about motherhood’ Jude Rogers, Observer’I kept scribbling in the margins: ‘We need to know this stuff!″ Joanna Pocock, Spectator A radical new examination of the transition into motherhood and how it affects the mind, brain and body During pregnancy, childbirth, and early motherhood, women undergo a far-reaching physiological, psychological and social metamorphosis. There is no other time in a human’s life course that entails such dramatic change-other than adolescence. And yet this life-altering transition has been sorely neglected by science, medicine and philosophy. Its seismic effects go largely unrepresented across literature and the arts. Speaking about motherhood as anything other than a pastel-hued dream remains, for the most part, taboo. In this ground-breaking, deeply personal investigation, acclaimed journalist and author Lucy Jones brings to light the emerging concept of ‘matrescence’. Drawing on new research across various fields - neuroscience and evolutionary biology; psychoanalysis and existential therapy; sociology, economics and ecology - Jones shows how the changes in the maternal mind, brain and body are far more profound, wild and enduring than we have been led to believe. She reveals the dangerous consequences of our neglect of the maternal experience and interrogates the patriarchal and capitalist systems that have created the untenable situation mothers face today. Here is an urgent examination of the modern institution of motherhood, which seeks to unshackle all parents from oppressive social norms. As it deepens our understanding of matrescence, it raises vital questions about motherhood and femininity; interdependence and individual identity; as well as about our relationships with each other and the living world.

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A new way to think about the transition to motherhood | Alexandra Sacks 

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A new way to think about the transition to motherhood | Alexandra Sacks 

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In this TED Talk, reproductive psychiatrist Alexandra Sacks discusses the intense emotional transition of becoming a mother and the concept that encompasses this transition, 'matrescence'.

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A new way to think about the transition to motherhood | Alexandra Sacks

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What No One Tells You - Alexandra Sacks and Catherine Birndorf

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What No One Tells You - Alexandra Sacks and Catherine Birndorf

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This book is a practical guide to help new mothers feel less guilt and more self-esteem, less isolation and more kinship, less resentment and more intimacy, less exhaustion and more pleasure, and learn other tips to navigate the ups and downs of this exciting, demanding time.

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When you are pregnant, you get plenty of advice about your growing body and developing baby. Yet so much about motherhood happens in your head. What everyone really wants to know: Is this normal?

Even after months of trying, is it normal to panic after finding out you're pregnant?

Is it normal not to feel love at first sight for your baby?

Is it normal to fight with your parents and partner?

Is it normal to feel like a breastfeeding failure?

Is it normal to be zonked by "mommy brain?

In What No One Tells You, two of America's top reproductive psychiatrists reassure you that the answer is yes. With thirty years of combined experience counseling new and expectant mothers, they provide a psychological and hormonal backstory to the complicated emotions that women experience, and show why it's natural for "matrescence"-the birth of a mother-to be as stressful and transformative a period as adolescence.

Here, finally, is the first-ever practical guide to help new mothers feel less guilt and more self-esteem, less isolation and more kinship, less resentment and more intimacy, less exhaustion and more pleasure, and learn other tips to navigate the ups and downs of this exciting, demanding time

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When you are pregnant, you get plenty of advice about your growing body and developing baby. Yet so much about motherhood happens in your head. What everyone really wants to know: Is this normal? Even after months of trying, is it normal to panic after finding out you're pregnant?

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https://www.pinkparents.org.uk/index.html

Pink Parents offer information and advice for gay and lesbian parents.

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This maternity passport is a resource which can help you to communicate your needs, it is designed for individuals who are autistic and expecting.

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Available in Bexley and Greenwich, aims to fill the gap in diverse third sector support. Involves peer support amongst the mums, as well as opportunities to talk with an NHS midwife, whilst the child can play in dedicated play areas.

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Mummas Together Group | Motivational Mums Club

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Mummas Together Group Trauma, Mindfulness and Meditation session for Mothers and Mums to be with an NHS Mental Health Specialist who’s also a Mother. Book & Join Us We Are Here For You In partnership with South East London Integrated Care and Greenwich Family Hubs, The Motivational Mums Club presents ‘Mummas Together Group’. We aim […]