Maternal Mental Health

Ellie Reeves Excerpts

Wednesday 10th March 2021 Westminster Hall

[Ellie Reeves (Lewisham West and Penge) (Lab) [V]]

I thank the hon. Member for Richmond Park (Sarah Olney) for securing this important debate today.

Maternal mental health problems are prevalent and are not talked about often enough. One in five women will develop some form of mental health problem during their pregnancy or in the year after giving birth, and research suggests that as many as seven in 10 mothers will underplay the severity of their feelings, due to stigma surrounding mental health.

Sadly, all of this has been exacerbated by the impact of the pandemic. As someone who has spoken in the House about prenatal depression while pregnant with my first child, this is an extremely important issue for me.

From a personal perspective, my second child was only four months old when we went into the first lockdown. My plans for baby yoga, music classes and meeting other mums for coffee to get through the sleep deprivation were suddenly out the window. Instead, the ensuing weeks were spent with him mostly in a sling while I home-schooled the eldest. With much of his little life spent in lockdown, his one-year check was done on the phone, he has not been weighed since he was six weeks old, and I cannot remember the last time he saw a health visitor.

Yet I feel lucky: lucky that he was born just before the pandemic hit, so my husband was able to be there the whole time I was in labour; lucky that he was my second child, so at least I had a vague idea about what I was doing; and lucky that we had those four months together before going into lockdown. For many of my constituents, having a baby during lockdown has been incredibly challenging. One of my constituents, Nina, wrote to me last autumn:

“I was pregnant for the entirety of the first lockdown and had to attend all scans for the twins I was carrying alone. This was bearable when I looked around and saw everyone making huge sacrifices.

When I gave birth to the twins in August, continued restrictive rules meant that my husband could not be with me on the labour ward. Add to the mix a fast-moving induction and I ended up giving birth to my babies with only midwives I’d never seen before in the room.



My husband simply wasn’t able to make it in time. If he’d been able to stay on the ward I would have had his much needed support through labour. As it was, I have had to recover mentally from a fairly traumatic experience.

And yet...I brought the twins home while everyone was still ‘eating out to help out’. How can this be right? Why do women’s and particularly mothers’ needs fall so far down the Government’s priority list?”

Nina’s story and many others show the profound impact that the pandemic has had. In September, the Government allowed families with a child under one to form a support bubble and the NHS now allows the birth partner to be present during labour and the birth, but for many families those changes came too late. The Government must be ambitious in their plans to support the babies born in lockdown and their families. That will be a huge task. For example, if health visitors are to catch up with the huge backlog in missed face-to-face appointments and provide a full service, proper funding will be needed. They provide an amazing service and invaluable support to parents, but about one in five were lost between 2015 and 2019 due to public health budget cuts.

As a result, in February, before the pandemic hit, almost a third of health visitors reported that they were responsible for between 500 and 1,000 children. The Institute of Health Visiting considers the optimal maximum for the work to be fully effective to be 250 children. Similarly, since 2010, cuts of 66% have led to the loss of over 1,000 Sure Start and children’s centres, which provide huge support to families, particularly those who are vulnerable or hard to reach. Funding needs to be restored, so that there is a one-stop shop for parents to get support for themselves and their children.



Early years and nursery providers provide huge support for parents, but according to the Institute for Fiscal Studies, they ran at a significant loss during the first lockdown, receiving less than £4 of income for every £5 of costs. In addition, playgroups and baby activities are often run by small businesses, and restrictions mean that their doors have largely been shut. I would like the Government to look urgently at sector-specific grant funding for early years, to maintain the viability of the sector as we come out of the pandemic.

It is clear that the added stresses of lockdown and the pandemic have exacerbated maternal mental health problems. A recent UK-wide study published in the Journal of Psychiatric Research found that during the first lockdown, 43% of new mothers met the criteria for clinically relevant depression and 61% met the criteria for anxiety. Given the consistent evidence that shows that postnatal depression and anxiety are linked to a range of negative outcomes for children’s health, development and behaviour, it is imperative that the Government do everything they can to protect maternal mental wellbeing.

That begins with many of the measures that I have outlined, but also by improving and maintaining access to perinatal mental healthcare. Although NHS resources and staff are under huge strain, investment is needed to ensure that mental health interventions can be timely and effective to prevent the escalation of symptoms and the formation of a larger burden on the NHS and other public services. That is not beyond our capabilities, and we owe it to the babies born in lockdown and their families to put that at the top of the agenda.

[Sir Edward Leigh in the Chair]