TY - JOUR
AU - J. Dewantiningrum
AU - W. Andonotopo
AU - E. Lukas
AU - M. B. Adi Pramono
AU - W. Prabowo
AU - M. A. Bachnas
AU - I. N. Hariyasa Sanjaya
AU - A. A. G. Putra Wiradnyana
AU - Aanj Kusuma
AU - K. E. Gumilar
AU - E. Darmawan
AU - M. I. A. Akbar
AU - D. Aldiansyah
AU - A. Suryawan
AU - R. A. Putra
AU - A. D. Anwar
AU - L. A. K. Nugraha
AU - W. E. K. Andanaputra
AU - W. A. K. Dharma
AU - S. Sulistyowati
AU - M. Stanojevic
AU - A. Kurjak
A1 - 
AB - OBJECTIVE: Perinatal anxiety is one of the most common yet least systematically addressed complications of preg- nancy and childbirth. Despite abundant evidence that collaborative and integrated care models improve maternal outcomes, obstetric practice still lacks a defined operational standard for addressing anxiety alongside routine obstetric care. Fragmented screening, insufficient referral systems, and financing barriers continue to delay intervention, widening inequities across populations and settings. METHODS: This opinion article synthesizes recent evidence (2010-2025) from PubMed, Google Scholar, and professional guidelines to propose a practical framework for embedding mental health care within obstetric workflows. Drawing upon studies from high- and low-resource contexts, we outline a ten-point minimum standard for perinatal-anxiety management and a three-tier maturity model that describes the progressive integration of collaborative care-from basic screening to digitally supported, team-based systems. The model identifies measurable implementation metrics and policy levers that enable sustainability and equity. RESULTS: Rather than advocating new research, this article translates two decades of findings into a clinically actionable standard. It emphasizes the central role of ob- stetric teams in early detection, stepped care, and follow-up through coordination with mental-health professionals. CONCLUSIONS: Integrating mental health into obstetric practice is both a moral and operational imperative. By adopting the proposed minimum standard and maturity model, health systems can transform perinatal anxiety care from discre- tionary innovation to routine expectation-achieving faster response, broader access, and better maternal-infant out- comes worldwide.
AD - Fetomaternal Division, Department of Obstetrics and Gynecology, Medical Faculty of Diponegoro University, Dr. Kariadi Hospital, Semarang, Indonesia.; Fetomaternal Division, Women Health Center, Department of Obstetrics and Gynecology, Eka Hospital, Tangerang, Indonesia.; Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University of Makassar, Makassar, Indonesia.; Fetomaternal Division, Department of Obstetrics and Gynecology, Medical Faculty of Sebelas Maret University, Dr. Moewardi Hospital, Surakarta, Indonesia.; Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Udayana University, Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia.; Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Dr. Soetomo Hospital, Surabaya, Indonesia.; Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Sumatera Utara University, H. Adam Malik General Hospital, Medan, Indonesia.; Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia.; Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Padjajaran University, Hasan Sadikin General Hospital, Bandung, Indonesia.; Department of Medicine, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia.; Department of Medicine, Undergraduate Program in Medical Science, Faculty of Medicine, Padjajaran University, Bandung, Indonesia.; Department of Medicine, Undergraduate Program in Medical Science, Faculty of Medicine, Gajah Mada University, Yogyakarta, Indonesia.; Department of Neonatology and Rare Diseases, Medical University of Warsaw, Warsaw, Poland.; Department of Obstetrics and Gynecology, Medical School University of Zagreb, Zagreb, Croatia.
AN - 41261445
BT - J Perinat Med
C5 - Healthcare Disparities
DA - Nov 21
DO - 10.1515/jpm-2025-0300
DP - NLM
ET - 20251121
JF - J Perinat Med
LA - eng
N2 - OBJECTIVE: Perinatal anxiety is one of the most common yet least systematically addressed complications of preg- nancy and childbirth. Despite abundant evidence that collaborative and integrated care models improve maternal outcomes, obstetric practice still lacks a defined operational standard for addressing anxiety alongside routine obstetric care. Fragmented screening, insufficient referral systems, and financing barriers continue to delay intervention, widening inequities across populations and settings. METHODS: This opinion article synthesizes recent evidence (2010-2025) from PubMed, Google Scholar, and professional guidelines to propose a practical framework for embedding mental health care within obstetric workflows. Drawing upon studies from high- and low-resource contexts, we outline a ten-point minimum standard for perinatal-anxiety management and a three-tier maturity model that describes the progressive integration of collaborative care-from basic screening to digitally supported, team-based systems. The model identifies measurable implementation metrics and policy levers that enable sustainability and equity. RESULTS: Rather than advocating new research, this article translates two decades of findings into a clinically actionable standard. It emphasizes the central role of ob- stetric teams in early detection, stepped care, and follow-up through coordination with mental-health professionals. CONCLUSIONS: Integrating mental health into obstetric practice is both a moral and operational imperative. By adopting the proposed minimum standard and maturity model, health systems can transform perinatal anxiety care from discre- tionary innovation to routine expectation-achieving faster response, broader access, and better maternal-infant out- comes worldwide.
PY - 2025
SN - 0300-5577
ST - Integrating mental health into obstetric practice: a review of collaborative care models for perinatal anxiety
T1 - Integrating mental health into obstetric practice: a review of collaborative care models for perinatal anxiety
T2 - J Perinat Med
TI - Integrating mental health into obstetric practice: a review of collaborative care models for perinatal anxiety
U1 - Healthcare Disparities
U3 - 10.1515/jpm-2025-0300
VO - 0300-5577
Y1 - 2025
ER -