{"id":49117,"date":"2020-11-27T08:42:39","date_gmt":"2020-11-27T07:42:39","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49117"},"modified":"2020-12-01T17:40:44","modified_gmt":"2020-12-01T16:40:44","slug":"trudi-seneviratne-collaborative-support-from-healthcare-professionals-is-vital-in-helping-parents-understand-the-importance-of-the-early-years","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/11\/27\/trudi-seneviratne-collaborative-support-from-healthcare-professionals-is-vital-in-helping-parents-understand-the-importance-of-the-early-years\/","title":{"rendered":"Trudi Seneviratne: Collaborative support from healthcare professionals is vital in helping parents with the early years"},"content":{"rendered":"

New report highlights importance of early years for children’s physical and mental wellbeing\u2014we must listen<\/em><\/p>\n

We\u2019ve all heard it before\u2014being a parent can be the most rewarding, not to mention challenging, job in the world. Clinical studies into the early years have provided invaluable insights into just how crucial the period from conception through to the first five years is, and the impact of this developmental period in determining our emotional and psychological wellbeing for the rest of our lives should not be underestimated.\u00a0<\/span><\/p>\n

What is missing is a wider conversation on how the public sees the importance of the early years, and the people who guide children through them, in shaping the society of tomorrow. Without an open dialogue between the health and social care sectors, and the wider public, it\u2019s not possible to identify the key areas where support is needed most, or to provide the tools that would make the most difference.\u00a0<\/span><\/p>\n

A new report from The Royal Foundation of The Duke and Duchess of Cambridge<\/a>, conducted by Ipsos MORI, has asked important questions about attitudes to and perceptions of the early years. The findings represent an essential piece of the puzzle\u2014listening to the public\u2019s lived experience of parenting. The work gives us the unique opportunity to identify the gaps in awareness of the importance of the early years, and trigger a shift in how we support those in our care through those first five years of parenthood and beyond. An online survey launched by The Duchess of Cambridge received over 500,000 responses, demonstrating the enormous appetite for this conversation\u2014and it can\u2019t start soon enough.<\/span><\/p>\n

One of the key findings of The Royal Foundation\u2019s study is that the majority of people\u2014three in four\u2014don\u2019t fully understand the specific importance of the early years. While 98% of people believe nurture has a significant role in a child\u2019s progress, there remains a strong emphasis on a baby\u2019s physical development, and although efforts have been made to widen the focus into the psychological sphere, there\u2019s more to be done. Society has made great strides in terms of placing physical and mental health on an equal footing, but this progress has yet to translate to the early years.<\/span><\/p>\n

We need a collaborative, concerted effort between all health and social care professionals to empower parents in their understanding that a baby\u2019s social, emotional and cognitive evolution starts\u2014and can be affected\u2014in utero. Teaching parents how much development takes place from birth to the age of five is a crucial step in ensuring they are equipped to give their children the best possible start in life.<\/span><\/p>\n

At the heart of development during the early years is parents\u2019 wellbeing, and the new research found that 90% of people recognise their mental health has an impact on their child\u2014a hugely significant acknowledgement.\u00a0<\/span><\/p>\n

But it\u2019s no secret that taking a moment for yourself as a parent, both during and following pregnancy, is easier said than done. The research shows that only 10% of parents cited taking the time to look after themselves as a way of getting ready to welcome a baby, and the notion that mentally preparing for a new arrival is just as important as something like buying a cot is a conversation that, although central to work in the early years and longer term wellbeing, isn\u2019t being had.\u00a0<\/span><\/p>\n

A mother\u2019s mental health directly affects the baby, and untreated perinatal mental health issues can have a devastating impact on a child\u2019s development. While services have increased in England in recent years, The Royal Foundation\u2019s findings prove what those of us who practice in this area have long known to be true\u2014support for the mental health of parents, during pregnancy and after birth, needs to become a greater priority when it comes to raising the next generation.\u00a0\u00a0\u00a0<\/span><\/p>\n

And something that has a considerable impact on a parent\u2019s mental health is a sense of inadequacy, and the new research tells us that 70% of parents feel judged by others. The environment around parents and social attitudes feed directly into issues of parenting\u2014especially during the early years. It often seems that there is a never-ending list of reasons to feel like you\u2019ve failed in your role as a parent. Anything from the type of delivery a mother chooses, to the rate at which their child is reaching key milestones, can cause parents to feel insecure and anxious. The reality is that low self-esteem of parents\u2014whether they feel judged, or are judging themselves\u2014can influence how they interact with their children, and set off negative behaviour patterns that have a detrimental effect during the early years.<\/span><\/p>\n

Concerningly, fear of judgement can prevent parents from seeking help when they need it, and the Ipsos Mori research shows that during the pandemic, the number of parents who feel uncomfortable asking for help for how they\u2019re feeling has risen from 18% to 34%. It is crucial that, as a sector and as a society, we tackle these feelings of judgement so that parents don\u2019t suffer in silence and intervention can come at the right time.<\/span><\/p>\n

We must take this opportunity to consider how these findings influence the way in which we care for expectant and new parents, and how we can normalise seeking support. The task falls under so many practices\u2014primary care, midwifery, obstetrics, paediatrics, mental health services and more\u2014and it\u2019s vital that a clear message is communicated to the public if we are to effect real, positive change. Crucially, this study adds the public voice to decades of clinical research, and for the sake of generations to come, we need to listen.<\/span><\/p>\n

Trudi Seneviratne<\/strong> is a consultant adult and perinatal psychiatrist, and Registrar at the Royal College of Psychiatrists.<\/span><\/i><\/p>\n

Competing interests<\/strong>: none declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

New report highlights importance of early years for children’s physical and mental wellbeing\u2014we must listen We\u2019ve all heard it before\u2014being a parent can be the most rewarding, not to mention […]<\/p>\n

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