Surely all mentally ill people should get the help and support they need? I dread to think how many people are in prison because they've committed crimes where their mental health is a factor.
Well yes. But that's for another thread isn't it? Its something we have to work on step by step.
A woman needing to terminate her pregnancy late on needs help whether the foetus/baby is born dead or alive. Or is providing an abortion going to be a magic wand to solve her problems?
It could be a start, if it means she is not giving birth to the child of her violent and abusive husband and she no longer has to have any contact with him in the future.
There were 184,571 abortions in England and Wales in 2014.
Only 211 of them were post 24 weeks. 202 of those were for congenital malformations.
46 of them were over 32 weeks. All 46 were for congenital malformations.
So what makes people believe that women would be rushing to abort foetuses that could survive?
So the law of 24 weeks was 'over ruled' in 9 cases for mental health. And based on the judgment of doctors there were no abortions on mental health grounds after 32 weeks.
To be honest there is a whacking great hole in all maternity care when it comes to maternal health though. God knows how many women are falling through the net in one way or another.
Acknowledging that we HAVE A PROBLEM ACROSS THE BOARD with maternal mental health service and the COMPLETE LACK OF RECOGNITION of problems needs to be done. If we are honest about this, this may well mean an abortion in a few cases.
The National Maternity Review pointed out the following.
Maternal mortality has declined progressively over time, to a level of nine deaths per 100,000 maternities in the UK in 2011-13.26 This number of deaths is too low for variation between different services to be meaningful; however the recent MBRRACE-UK Confidential Enquiry into maternal death found that about half of deaths would have had a different outcome with better care. Late maternal mortality in the period 2011-13 was 14 per 100,000 maternities. Notably, 23% of these deaths were from mental health related causes, with one in seven dying through suicide.
Mental health problems are relatively common at a time of significant change in life. Depression and anxiety affect 15-20% of women in the first year after childbirth, but about half of all cases of perinatal depression and anxiety go undetected. Almost one in five women said that they had not been asked about their emotional and mental health state at the time of booking, or about past mental health problems and family history. Many of those with mental health problems that are detected do not receive evidence-based treatment. There is a large geographical variation in service provision: an estimated 40% of women in England lack access to specialist perinatal mental health services. Given the contribution of mental health causes to late maternal mortality, this is a significant concern, as also set out in NHS England’s recently published Mental Health Taskforce report.
Further more, a report in Oct 2014 by the London School of Economic and Centre for Mental Health called ‘The costs of perinatal mental health problems’ found,
The costs of perinatal mental health problems’ finds that:
• Perinatal depression, anxiety and psychosis together carry a total long-term cost to society of about £8.1 billion for each one-year cohort of births in the UK.
• Nearly three-quarters (72%) of this cost relates to adverse impacts on the child rather than the mother.
• Over a fifth of total costs (£1.7 billion) are borne by the public sector, with the bulk of these falling on the NHS and social services (£1.2 billion).
• Other costs include loss of earnings/impact on someone’s ability to work and quality of life affects.
There is clear guidance from the National Institute for Health and Care Excellence (NICE) and other national bodies on the treatment of mental illness during and after pregnancy. Yet the current provision is best described as patchy, with significant variations in coverage around the country:
• About half of all cases of perinatal depression and anxiety go undetected and many of those which are detected fail to receive evidence-based forms of treatment.
• Specialist perinatal mental health services are needed for women with complex or severe conditions, but less than 15% of localities provide these at the full level recommended in national guidance and more than 40% provide no service at all.
And worst of all:
The NHS would need to spend just £337 million a year to bring perinatal mental health care up to the level recommended in national guidance.
I don't think its just an abortion issue this one, but a total and utter lack of awareness, recognition and systematic and institutionalised disregard for maternal mental health.
But yes, we could start recognising this, by acknowledging that some women who need help are actually being treated like criminals.