Factors that impact on the risk of experiencing postnatal mental health difficulties for women who had an unplanned pregnancy: A review of the literature

Section A is a systematic literature review, examining possible factors which may impact on the risk of experiencing postnatal mental health difficulties for women who had an unplanned pregnancy. Sixteen papers were found to be relevant for inclusion in the review. Findings are summarised under six key themes; pre-existing mental health difficulties, sociodemographic factors, mother’s perception of the pregnancy, obstetric factors, social factors and paternal
factors. Findings are discussed in relation to their clinical relevance, and recommended further
research is outlined.

Section B is an empirical study using Interpretative Phenomenological Analysis to explore the experience of a pregnancy that was not planned, for women postnatally. Eight first time mothers who had a baby aged between six and twenty-four months were interviewed. Five subordinate themes, with subthemes, are discussed in the findings. These include unique considerations for women who had a pregnancy that was not planned. Limitations of the study and research and clinical implications are considered.