Abstract：
BACKGROUND: Anxiety in pregnancy and postnatally is highly prevalent but under-recognized. To identify perinatal anxiety, assessment tools must be acceptable to women who are pregnant or postnatal.
METHODS: A qualitative study of women\'s experiences of anxiety and mental health assessment during pregnancy and after birth and views on the acceptability of perinatal anxiety assessment. Semi-structured interviews were conducted with 41 pregnant or postnatal women. Results were analysed using Sekhon et al.\'s acceptability framework, as well as inductive coding of new or emergent themes.
RESULTS: Women\'s perceptions of routine assessment for perinatal anxiety were generally favourable. Most participants thought assessment was needed and that the benefits outweighed potential negative impacts, such as unnecessary referrals to specialist services. Six themes were identified of: (1) Raising awareness; (2) Improving support; (3) Surveillance and stigma; (4) Gatekeeping; (5) Personalized care and (6) Trust. Assessment was seen as a tool for raising awareness about mental health during the perinatal period and a mechanism for normalizing discussions about mental health more generally. However, views on questionnaire assessments themselves were mixed, with some participants feeling they could become an administrative \'tick box\' exercise that depersonalizes care and does not provide a space to discuss mental health problems.
CONCLUSIONS: Routine assessment of perinatal anxiety was generally viewed as positive and acceptable; however, this was qualified by the extent to which it was informed and personalized as a process. Approaches to assessment should ideally be flexible, tailored across the perinatal period and embedded in continuity of care.
METHODS: A qualitative study of women\'s experiences of anxiety and mental health assessment during pregnancy and after birth and views on the acceptability of perinatal anxiety assessment. Semi-structured interviews were conducted with 41 pregnant or postnatal women. Results were analysed using Sekhon et al.\'s acceptability framework, as well as inductive coding of new or emergent themes.
RESULTS: Women\'s perceptions of routine assessment for perinatal anxiety were generally favourable. Most participants thought assessment was needed and that the benefits outweighed potential negative impacts, such as unnecessary referrals to specialist services. Six themes were identified of: (1) Raising awareness; (2) Improving support; (3) Surveillance and stigma; (4) Gatekeeping; (5) Personalized care and (6) Trust. Assessment was seen as a tool for raising awareness about mental health during the perinatal period and a mechanism for normalizing discussions about mental health more generally. However, views on questionnaire assessments themselves were mixed, with some participants feeling they could become an administrative \'tick box\' exercise that depersonalizes care and does not provide a space to discuss mental health problems.
CONCLUSIONS: Routine assessment of perinatal anxiety was generally viewed as positive and acceptable; however, this was qualified by the extent to which it was informed and personalized as a process. Approaches to assessment should ideally be flexible, tailored across the perinatal period and embedded in continuity of care.
摘要：
背景：怀孕和出生后的焦虑非常普遍，但认识不足。为了识别围产期焦虑，评估工具必须为孕妇或产后妇女所接受。
方法：对妇女孕期和产后焦虑和心理健康评估的经历进行了定性研究，并对围产期焦虑评估的可接受性进行了看法。对41名孕妇或产后妇女进行了半结构化访谈。使用Sekhon等人分析结果。的可接受性框架，以及新主题或新兴主题的归纳编码。
结果：妇女对围产期焦虑常规评估的看法总体上是有利的。大多数参与者认为需要进行评估，并且收益超过了潜在的负面影响，例如不必要的转介给专家服务。确定了六个主题：（1）提高认识；（2）改善支持；（3）监视和污名化；（4）门禁；（5）个性化护理和（6）信任。评估被视为在围产期提高对心理健康认识的工具，也是使有关心理健康的讨论更加规范的机制。然而,对问卷评估本身的看法参差不齐，一些参与者认为他们可能会成为一种行政的“勾号框”运动，使护理失去个性化，并不提供讨论心理健康问题的空间。
结论：围产期焦虑的常规评估通常被认为是积极和可接受的；然而，这取决于它作为一个过程被告知和个性化的程度。评估方法最好是灵活的，在围产期量身定制，并嵌入连续性护理。
方法：对妇女孕期和产后焦虑和心理健康评估的经历进行了定性研究，并对围产期焦虑评估的可接受性进行了看法。对41名孕妇或产后妇女进行了半结构化访谈。使用Sekhon等人分析结果。的可接受性框架，以及新主题或新兴主题的归纳编码。
结果：妇女对围产期焦虑常规评估的看法总体上是有利的。大多数参与者认为需要进行评估，并且收益超过了潜在的负面影响，例如不必要的转介给专家服务。确定了六个主题：（1）提高认识；（2）改善支持；（3）监视和污名化；（4）门禁；（5）个性化护理和（6）信任。评估被视为在围产期提高对心理健康认识的工具，也是使有关心理健康的讨论更加规范的机制。然而,对问卷评估本身的看法参差不齐，一些参与者认为他们可能会成为一种行政的“勾号框”运动，使护理失去个性化，并不提供讨论心理健康问题的空间。
结论：围产期焦虑的常规评估通常被认为是积极和可接受的；然而，这取决于它作为一个过程被告知和个性化的程度。评估方法最好是灵活的，在围产期量身定制，并嵌入连续性护理。
