“Perinatal mental health in rural contexts: risk factors, barriers, and pathways to support”

Perinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy, with rural populations facing heightened risk. Semi-structured qualitative interviews conducted with 33 participants in Montana revealed that risk factors for PMADs are multifaceted, and that the impact of PMADs are profound. Positive supports – such as relational support from partners, family, and friends; education from perinatal providers; and flexible service delivery (telehealth, home visits) – were identified as protective factors and a promising avenue for potential interventions. Findings highlight the urgent need for targeted interventions, improved screening, culturally competent care, and expanded access to mental health resources.