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INTRO: Welcome to the NSPCC Learning Podcast, where

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INTRO: we share learning and expertise in child protection

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INTRO: from inside and outside of the organisation.

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INTRO: We aim to create debate, encourage reflection and

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INTRO: share good practice on how we can all work together

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INTRO: to keep babies, children and young people safe.

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ALEXIS GOLDEN: Welcome to the NSPCC Learning Podcast.

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ALEXIS GOLDEN: I'm Alexis Golden, and I'm a project

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ALEXIS GOLDEN: development manager at the NSPCC.

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ALEXIS GOLDEN: I'm leading the development of our

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ALEXIS GOLDEN: Pregnancy in Mind service.

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ALEXIS GOLDEN: Pregnancy in Mind is a preventative service

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ALEXIS GOLDEN: designed to support parents who are at risk

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ALEXIS GOLDEN: of, or experiencing, perinatal mental

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ALEXIS GOLDEN: health difficulties.

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ALEXIS GOLDEN: NHS England defines perinatal mental health

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ALEXIS GOLDEN: problems as "problems which occurred during

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ALEXIS GOLDEN: pregnancy or in the first year following

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ALEXIS GOLDEN: the birth of a child".

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ALEXIS GOLDEN: Examples include postnatal and antenatal

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ALEXIS GOLDEN: depression; anxiety; OCD;

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ALEXIS GOLDEN: birth trauma and PTSD; and postpartum

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ALEXIS GOLDEN: psychosis.

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ALEXIS GOLDEN: Perinatal mental health difficulties have

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ALEXIS GOLDEN: the potential to have a big impact on

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ALEXIS GOLDEN: parents and their babies.

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ALEXIS GOLDEN: Persistent problems during the antenatal

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ALEXIS GOLDEN: period can affect the baby's development.

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ALEXIS GOLDEN: And after birth, if parents aren't getting

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ALEXIS GOLDEN: the support they need, this can affect

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ALEXIS GOLDEN: their ability to provide responsive care

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ALEXIS GOLDEN: for their children.

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ALEXIS GOLDEN: It's estimated that over 25% of new

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ALEXIS GOLDEN: and expectant mothers are affected by some

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ALEXIS GOLDEN: form of perinatal mental health difficulty,

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ALEXIS GOLDEN: and Black mothers are disproportionately

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ALEXIS GOLDEN: affected.

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ALEXIS GOLDEN: 13% more Black mothers experience

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ALEXIS GOLDEN: postpartum depression than any other group.

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ALEXIS GOLDEN: Furthermore, one in five Black mothers

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ALEXIS GOLDEN: reported they did not visit healthcare

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ALEXIS GOLDEN: professionals when they were experiencing

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ALEXIS GOLDEN: low mood. In this episode of the podcast,

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ALEXIS GOLDEN: recorded in January 2025, we're going to

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ALEXIS GOLDEN: look at why this is the case, what the

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ALEXIS GOLDEN: effect is on babies and young children, and

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ALEXIS GOLDEN: how healthcare professionals can do better

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ALEXIS GOLDEN: to support Black mothers with their mental

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ALEXIS GOLDEN: health. I'm joined by two guests, Chi and

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ALEXIS GOLDEN: Sandra.

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SANDRA IGWE: Hi everybody, I am Sandra Igwe

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SANDRA IGWE: and I am the founder and the chief exec at

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SANDRA IGWE: The Motherhood Group.

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SANDRA IGWE: The Motherhood Group is a grassroots

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SANDRA IGWE: organisation and social enterprise that

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SANDRA IGWE: really supports the black maternal experience

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SANDRA IGWE: through a number of way: peer-to-peer

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SANDRA IGWE: support, national campaigns, training,

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SANDRA IGWE: advocacy and research.

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SANDRA IGWE: It's great to be here with you.

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CHI MUMBI: Hello, I'm Chi, I'm a children's services

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CHI MUMBI: practitioner which is a social worker

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CHI MUMBI: role for the NSPCC, and I work in the London

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CHI MUMBI: and South East England team.

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CHI MUMBI: I help deliver Pregnancy in Mind, Letting

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CHI MUMBI: the Future In, which is our sexual abuse

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CHI MUMBI: recovery service, and Domestic Abuse Recovery

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CHI MUMBI: Together, which is our domestic abuse recovery

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CHI MUMBI: service.

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ALEXIS GOLDEN: Thank you both so much for being here with

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ALEXIS GOLDEN: us today. We're going to start with the

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ALEXIS GOLDEN: first question, which is: what is

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ALEXIS GOLDEN: perinatal mental health and why is it

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ALEXIS GOLDEN: important?

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SANDRA IGWE: From my experience working with and for Black

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SANDRA IGWE: mothers and Black women, perinatal mental

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SANDRA IGWE: health really refers to a mother's emotional

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SANDRA IGWE: and psychological wellbeing during her

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SANDRA IGWE: pregnancy and within the first year

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SANDRA IGWE: after birth. It's really, really important

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SANDRA IGWE: because this period really involves a

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SANDRA IGWE: significant amount of physical,

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SANDRA IGWE: hormonal and life changes as a whole, and it

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SANDRA IGWE: can really impact any person, especially

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SANDRA IGWE: mothers' mental health during this period.

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SANDRA IGWE: But good perinatal mental health is really

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SANDRA IGWE: important and essential for both the mother

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SANDRA IGWE: and also her baby's development, when

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SANDRA IGWE: it comes to bonding and looking at the

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SANDRA IGWE: overall long term wellbeing of the family.

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CHI MUMBI: Just to add on to what Sandra said, perinatal

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CHI MUMBI: health and infant mental health is obviously

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CHI MUMBI: very interlinked towards each other as well.

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CHI MUMBI: So it's hard to separate perinatal mental

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CHI MUMBI: health and infant mental health, because good

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CHI MUMBI: positive mental health for the mother means

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CHI MUMBI: good positive mental health for infant as well.

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ALEXIS GOLDEN: Just from both your practice perspectives,

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ALEXIS GOLDEN: how can perinatal mental health issues

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ALEXIS GOLDEN: affect babies and children, short term

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ALEXIS GOLDEN: or long term?

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CHI MUMBI: If mothers are experiencing high levels of

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CHI MUMBI: anxiety and depression, very often during

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CHI MUMBI: pregnancy there's a spike of stress hormones,

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CHI MUMBI: which means that there's more cortisol that is

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CHI MUMBI: being, kind of, let out — and we do tend to

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CHI MUMBI: think of cortisol as being the stress hormone,

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CHI MUMBI: but that's actually not true.

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CHI MUMBI: It's actually an anti-stress hormone, but it

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CHI MUMBI: does mean the release of cortisol is often

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CHI MUMBI: linked with babies having developmental

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CHI MUMBI: difficulties and there is an impact on infant

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CHI MUMBI: mental health. But also there are societal

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CHI MUMBI: difficulties, not just in terms of just

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CHI MUMBI: thinking about mental health as something that

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CHI MUMBI: just exists inside the mind.

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CHI MUMBI: If there's any trauma, any kind of abuse going

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CHI MUMBI: on, that is obviously going to impact the baby

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CHI MUMBI: as well. So it's really important, of course,

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CHI MUMBI: for mothers to have a really positive mental

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CHI MUMBI: health experience during their pregnancy

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CHI MUMBI: because it is linked to better outcomes for

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CHI MUMBI: infants and children as a whole.

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SANDRA IGWE: Just to piggyback off what Chi just said,

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SANDRA IGWE: it can really affect the baby and

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SANDRA IGWE: the children in so many different ways.

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SANDRA IGWE: It can even just affect the mother's ability

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SANDRA IGWE: of bonding. I've seen so many mothers in our

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SANDRA IGWE: organisation that come in that have struggled

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SANDRA IGWE: to bond with their baby or respond to their

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SANDRA IGWE: baby when they're struggling with their

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SANDRA IGWE: mental health. And this can really impact the

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SANDRA IGWE: baby's emotional development, how they grow

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SANDRA IGWE: up, how they form attachments; and as you

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SANDRA IGWE: mentioned, stress response systems as well

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SANDRA IGWE: that can really impact a baby when their

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SANDRA IGWE: mothers go through depression [and] anxiety.

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SANDRA IGWE: But also research shows that when mother's

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SANDRA IGWE: mental health goes untreated or the issues

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SANDRA IGWE: are left to the wayside, it can really

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SANDRA IGWE: influence children's emotional regulation,

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SANDRA IGWE: their behaviour as an overall sort of

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SANDRA IGWE: standing point, but also their cognitive

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SANDRA IGWE: brain development as well, long term as

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SANDRA IGWE: well.

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ALEXIS GOLDEN: Thank you both.

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ALEXIS GOLDEN: Moving on to the second question, why

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ALEXIS GOLDEN: are Black mothers more likely to experience

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ALEXIS GOLDEN: perinatal mental health issues, including

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ALEXIS GOLDEN: postnatal depression?

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SANDRA IGWE: I mean, I'm happy to answer that question.

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SANDRA IGWE: We can really be here all day if I share

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SANDRA IGWE: all that we've heard and learned through our

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SANDRA IGWE: own research over the last eight [or] nine

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SANDRA IGWE: years of running The Motherhood Group.

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SANDRA IGWE: But just to simplify, the, I guess,

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SANDRA IGWE: core main reason is when we experience higher

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SANDRA IGWE: rates of racism within health care settings,

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SANDRA IGWE: that naturally will impact the way we

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SANDRA IGWE: receive care, want to receive care, or

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SANDRA IGWE: also when it comes to accessing culturally

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SANDRA IGWE: appropriate care; it really impacts that.

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SANDRA IGWE: Also, when you've had previous traumatic

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SANDRA IGWE: experiences, you know, we're more likely to

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SANDRA IGWE: have higher maternal mortality rates, i.e.

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SANDRA IGWE: we're likely to be unalived in pregnancy or

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SANDRA IGWE: maternity care settings, as well as our

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SANDRA IGWE: babies having a higher increase of neonatal

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SANDRA IGWE: death, miscarriages, stillbirth.

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SANDRA IGWE: We're more like to have hypertension,

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SANDRA IGWE: emergency C-sections. All of this, all of

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SANDRA IGWE: these numbers that I've just shared, all this

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SANDRA IGWE: data will obviously impact a mother's

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SANDRA IGWE: rate of postnatal depression.

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SANDRA IGWE: But also just the cumulative impact of all

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SANDRA IGWE: of this; knowing that you're more likely to

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SANDRA IGWE: have horrible outcomes in maternity care,

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SANDRA IGWE: knowing that you face, sadly, discrimination,

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SANDRA IGWE: whether it's covert discrimination or overt

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SANDRA IGWE: or, you know, preassumptions, misconceptions,

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SANDRA IGWE: preconceptions. All of this will make you

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SANDRA IGWE: have a higher level of mental health

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SANDRA IGWE: challenges but also make you not want to have

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SANDRA IGWE: treatment because you don't have that trust

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SANDRA IGWE: in the healthcare system and also won't

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SANDRA IGWE: have access for many reasons such as

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SANDRA IGWE: socio-economical pressures as well as

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SANDRA IGWE: concerns not being taken seriously by

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SANDRA IGWE: healthcare providers as we've seen time and

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SANDRA IGWE: time again.

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CHI MUMBI: Absolutely what Sandra said.

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CHI MUMBI: I think that when you are racialised in the way

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CHI MUMBI: that Black women are, which in a very specific

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CHI MUMBI: way can often be sexualisation, but very

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CHI MUMBI: often health professionals have historically

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CHI MUMBI: thought that Black woman can withstand pain

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CHI MUMBI: more compared to other women, which is

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CHI MUMBI: obviously not true. But because of that idea,

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CHI MUMBI: it's meant that when Black women are

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CHI MUMBI: experiencing pain giving birth or anything

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CHI MUMBI: related to any symptoms they may be having

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CHI MUMBI: during their pregnancy, that's often ignored.

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CHI MUMBI: There's also, if you are racialised, there is a

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CHI MUMBI: sense of becoming disconnected from your body,

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CHI MUMBI: and, of course, being pregnant is a very

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CHI MUMBI: embodied experience. It's very hard to run away

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CHI MUMBI: from all the sensations, the feelings,

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CHI MUMBI: everything. And because of that kind of

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CHI MUMBI: disconnection, you could end up not wanting to

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CHI MUMBI: go and get support because you're just in

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CHI MUMBI: survival mode all the time.

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CHI MUMBI: And it's very to connect to your baby if you're

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CHI MUMBI: in survival mode.

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CHI MUMBI: So I think these things can lead to increased

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CHI MUMBI: mental health problems which, yeah, there's a

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CHI MUMBI: very specific way of being racialised in this

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CHI MUMBI: country as a black woman.

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ALEXIS GOLDEN: I think this topic dovetails nicely into

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ALEXIS GOLDEN: the next question, which is about The

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ALEXIS GOLDEN: Motherhood Group.

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ALEXIS GOLDEN: What role does The Motherhood Group play in

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ALEXIS GOLDEN: supporting the black maternal experience?

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SANDRA IGWE: Yeah, so we see ourselves as a bridge.

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SANDRA IGWE: A bridge between the community of Black

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SANDRA IGWE: mothers and pregnant women, and then the

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SANDRA IGWE: wider system: healthcare practitioners,

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SANDRA IGWE: maternity services, policy advisors,

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SANDRA IGWE: and just wider stakeholders as a whole.

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SANDRA IGWE: And the reason why we see ourselves as bridges

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SANDRA IGWE: is because for many years, as I mentioned

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SANDRA IGWE: earlier, there has been a breakdown of trust

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SANDRA IGWE: between the community and the system as a

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SANDRA IGWE: whole. So we see ourselves as ways of

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SANDRA IGWE: rebuilding that trust and also ways

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SANDRA IGWE: that mothers— ports that mothers can get, you

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SANDRA IGWE: know, culturally-specific support.

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SANDRA IGWE: We provide safe spaces where Black mothers

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SANDRA IGWE: can really share their experiences, share

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SANDRA IGWE: resources and ways of accessing information.

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SANDRA IGWE: We do this through our Black Maternal Health

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SANDRA IGWE: Conference, our annual conference that allows

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SANDRA IGWE: Black mothers to finally have a platform to

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SANDRA IGWE: speak about all of the intricate details that

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SANDRA IGWE: matter to us in our maternity care, in our

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SANDRA IGWE: motherhood experience and in our pregnancy as

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SANDRA IGWE: well. We have our peer-to-peer support and we

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SANDRA IGWE: have our newly launched Black Mums app now,

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SANDRA IGWE: that uses AI to connect Black mothers

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SANDRA IGWE: with similar lived experiences so that you

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SANDRA IGWE: don't have to face this journey alone.

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SANDRA IGWE: You know that isolation can contribute

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SANDRA IGWE: negatively to mental health experiences

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SANDRA IGWE: as a whole.

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SANDRA IGWE: So we help bridge gaps in traditional health

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SANDRA IGWE: care services by providing this sort of

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SANDRA IGWE: tailored, informed peer support, as well as

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SANDRA IGWE: our training that equips health care staff to

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SANDRA IGWE: really support us and acknowledge the unique

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SANDRA IGWE: challenges that Black mothers face.

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CHI MUMBI: Why did you start up The Motherhood Group?

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CHI MUMBI: Why did you think it was important?

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CHI MUMBI: I mean, obviously it's important, but I'm just

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CHI MUMBI: interested in the why.

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SANDRA IGWE: Yes, no, thank you for that question, Chi.

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SANDRA IGWE: Do you know what? It came out of lived

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SANDRA IGWE: experience. So eight and a half years ago,

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SANDRA IGWE: when I was pregnant with my first daughter, I

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SANDRA IGWE: saw that there was a massive gap in the

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SANDRA IGWE: system and I was quite frustrated because I

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SANDRA IGWE: didn't feel like a lot of my concerns were

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SANDRA IGWE: spoken about as a Black British-born mother,

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SANDRA IGWE: first time mother. And so I would Google
'Black

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SANDRA IGWE: mum support group' and nothing would pop up

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SANDRA IGWE: on Google, only things maybe in America.

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SANDRA IGWE: And so, I thought, "okay, why can't I see

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SANDRA IGWE: any prominent safe spaces for Black mothers?"

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SANDRA IGWE: Just because when I did go to some of these

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SANDRA IGWE: classes or programmes or mummy and baby

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SANDRA IGWE: groups, I was always the only Black mother in

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SANDRA IGWE: the space. For many people that might be

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SANDRA IGWE: okay, but actually that exasperated my

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SANDRA IGWE: undiagnosed postnatal depression.

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SANDRA IGWE: I definitely did not go and get any

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SANDRA IGWE: traditional clinical support for that

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SANDRA IGWE: because, like I mentioned, I had, you know, a

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SANDRA IGWE: breakdown in trust where my healthcare

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SANDRA IGWE: practitioner treated me differently because

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SANDRA IGWE: of the colour of my skin and at the time I

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SANDRA IGWE: didn't know the data surrounding Black women.

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SANDRA IGWE: I just knew that I was treated differently

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SANDRA IGWE: and I had substandard care in my

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SANDRA IGWE: birthing experience. I was sent home five

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SANDRA IGWE: times. I was told that I was exaggerating my

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SANDRA IGWE: pain. I didn't get pain relief after begging

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SANDRA IGWE: and pleading for hours.

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SANDRA IGWE: My daughter passed a meconium stool on the

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SANDRA IGWE: way out. She is fine now, but the trust

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SANDRA IGWE: admitted to a breach of duty.

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SANDRA IGWE: All of these experiences, using my

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SANDRA IGWE: legal background, I really wanted to stand

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SANDRA IGWE: for change; but also seeing that there were

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SANDRA IGWE: so many mums that looked like me, who were

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SANDRA IGWE: speaking about the exact same thing, so this

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SANDRA IGWE: couldn't just be a coincidence.

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SANDRA IGWE: There obviously was a critical issue that

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SANDRA IGWE: wasn't really being addressed in the

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SANDRA IGWE: mainstream to my knowledge at the time.

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SANDRA IGWE: So that's the reason why I started it.

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CHI MUMBI: Thank you so much for sharing that.

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CHI MUMBI: I mean, it sounds like such a difficult

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CHI MUMBI: experience, I can't imagine.

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CHI MUMBI: And it must be kind of quite easy — you

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CHI MUMBI: know, I don't look down at people at all for

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CHI MUMBI: doing this — but it might be quite easy after

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CHI MUMBI: those experiences just to not talk about it.

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CHI MUMBI: You know, just think "this is just something

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CHI MUMBI: that happens. I want to move on. I want to

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CHI MUMBI: experience my new baby and move on with life."

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CHI MUMBI: But then to use quite a traumatic experience,

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CHI MUMBI: it sounds like, to then create a group and then

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CHI MUMBI: also help other women who have had those

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CHI MUMBI: experiences and also hopefully prevent other

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CHI MUMBI: Black women having to go through those traumas.

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CHI MUMBI: I think, yeah, that's such an amazing thing.

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CHI MUMBI: So thank you.

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SANDRA IGWE: Thank you so much for acknowledging that,

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SANDRA IGWE: thank you.

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ALEXIS GOLDEN: The work that The Motherhood Group does is

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ALEXIS GOLDEN: fantastic and we did have a chance to

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ALEXIS GOLDEN: attend your conference last year and it was

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ALEXIS GOLDEN: really great to hear just the sharing of

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ALEXIS GOLDEN: awareness, the spreading of knowledge and

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ALEXIS GOLDEN: information, and just having a shared space

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ALEXIS GOLDEN: with Black mums — so, yeah, The Motherhood

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ALEXIS GOLDEN: Group is wonderful. We're really glad to be

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ALEXIS GOLDEN: in partnership together.

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ALEXIS GOLDEN: So we've talked about the stats, we've

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ALEXIS GOLDEN: talked about the research; but what can

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ALEXIS GOLDEN: professionals do, working with expectant

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ALEXIS GOLDEN: parents, to support perinatal mental

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ALEXIS GOLDEN: health issues?

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SANDRA IGWE: Yeah, I think just one thing I would say:

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SANDRA IGWE: professionals should really prioritise

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SANDRA IGWE: understanding, listening to the concerns and

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SANDRA IGWE: recognise that there are biases in care.

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SANDRA IGWE: Maybe five, six, seven years ago, this wasn't

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SANDRA IGWE: really a thing to openly discuss

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SANDRA IGWE: the role that race... how it plays a part in

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SANDRA IGWE: maternal experiences, perinatal mental health

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SANDRA IGWE: experiences. And so just acknowledging that

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SANDRA IGWE: it exists, but also taking the proactive

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SANDRA IGWE: steps in putting yourself in training.

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SANDRA IGWE: There's so many. We deliver cultural

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SANDRA IGWE: competency training. And then making sure

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SANDRA IGWE: that you provide a judgement-free environment

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SANDRA IGWE: for Black mothers to really share their

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SANDRA IGWE: experiences.

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CHI MUMBI: Absolutely and I think not having a

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CHI MUMBI: one-size-fits-all approach to perinatal

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CHI MUMBI: care is really important.

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CHI MUMBI: Definitely more awareness around those outdated

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CHI MUMBI: stereotypical beliefs about Black women, pain,

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CHI MUMBI: what we can tolerate. And ensuring that

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CHI MUMBI: there's, kind of, a presence inside

365
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CHI MUMBI: perinatal services so that Black women, and

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CHI MUMBI: other women from different ethnic minority

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CHI MUMBI: groups, can like they're supported, feel like

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CHI MUMBI: there's a space they can go to.

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CHI MUMBI: I know that in some hospitals they have now

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CHI MUMBI: started doing antenatal classes that are only

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CHI MUMBI: for Black and mixed race mums, which I think is

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CHI MUMBI: a really positive step, but also for those,

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CHI MUMBI: it's a bit of a postcode lottery. So for those

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CHI MUMBI: mums who are in perhaps majority white areas,

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CHI MUMBI: it is really important even in those spaces to

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CHI MUMBI: make sure that professionals keep it a safe

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CHI MUMBI: space, have those difficult conversations at

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CHI MUMBI: time, and really make expectant mothers and

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CHI MUMBI: partners feel like it's a safe space for them

380
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CHI MUMBI: and they're safe to give birth.

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CHI MUMBI: It's a really stressful time.

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CHI MUMBI: I think that's definitely number one.

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ALEXIS GOLDEN: Thinking about Pregnancy in Mind (PiM) in

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ALEXIS GOLDEN: particular — Chi, how do you think

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ALEXIS GOLDEN: Pregnancy in Mind can help new mothers, or

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ALEXIS GOLDEN: just new parents in general?

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CHI MUMBI: Yeah, I think it helps that it isn't a

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CHI MUMBI: one-size-fits-all kind of approach and it isn't

389
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CHI MUMBI: manualised. So we really do look at

390
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CHI MUMBI: the group of women that we have and who are

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CHI MUMBI: working one-to-one and think "what will help

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CHI MUMBI: this group of women in particular?" And we do

393
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CHI MUMBI: focus as well on neurodivergence now, but also

394
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CHI MUMBI: how are we going to adjust the content to be as

395
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CHI MUMBI: inclusive as possible to all expectant parents.

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CHI MUMBI: I think it's also unique in that we do include

397
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CHI MUMBI: partners; other perinatal mental

398
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CHI MUMBI: health services don't always do that, but it's

399
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CHI MUMBI: helpful to have a holistic idea of the family

400
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CHI MUMBI: but also to show how important partners are

401
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CHI MUMBI: for expectant mums.

402
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CHI MUMBI: And if they don't have that support identifying

403
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CHI MUMBI: what support they can have, so we can also

404
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CHI MUMBI: include who we call 'supporters', who could be

405
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CHI MUMBI: expectant parents' grandmothers or sisters or

406
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CHI MUMBI: friends that can come on on the group, because

407
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CHI MUMBI: it's really all about community.

408
00:16:08,860 --> 00:16:11,839
CHI MUMBI: There is of course lots of conversations

409
00:16:11,840 --> 00:16:14,839
CHI MUMBI: around the loneliness epidemic that affect all

410
00:16:14,840 --> 00:16:17,310
CHI MUMBI: different groups of people across the UK, but

411
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CHI MUMBI: in particular, being a lonely mother is

412
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CHI MUMBI: extremely difficult.

413
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CHI MUMBI: It takes a village to raise a child and that's

414
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CHI MUMBI: absolutely true. Having different sources of

415
00:16:26,240 --> 00:16:28,759
CHI MUMBI: support, both professional, but also personal,

416
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CHI MUMBI: is really important for mothers.

417
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CHI MUMBI: And I think PiM helps provide that space so

418
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CHI MUMBI: they feel that "actually, we're not alone." We

419
00:16:36,240 --> 00:16:39,199
CHI MUMBI: had this really wonderful moment in one of the

420
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CHI MUMBI: PiM groups where they all each quite naturally

421
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CHI MUMBI: opened up saying that they had had experiences

422
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CHI MUMBI: of anxiety and depression.

423
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CHI MUMBI: I spoke to one of the mums afterwards and she

424
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CHI MUMBI: was talking about how the taboo was kind of

425
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CHI MUMBI: over and she felt like, "oh, I'm not alone

426
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CHI MUMBI: actually. What I'm feeling isn't strange.

427
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CHI MUMBI: It isn't— it doesn't make me a terrible mum.

428
00:16:57,950 --> 00:16:59,809
CHI MUMBI: It's just actually something that I'm

429
00:16:59,810 --> 00:17:02,269
CHI MUMBI: experiencing, I'm getting support with, and

430
00:17:02,270 --> 00:17:03,665
CHI MUMBI: yeah, I'm not the only person in the world

431
00:17:03,666 --> 00:17:05,129
CHI MUMBI: [experiencing this]." Which I think in the age

432
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CHI MUMBI: of social media, which is helpful in so many

433
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CHI MUMBI: ways, but I can imagine as an expectant parent

434
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CHI MUMBI: looking at all these seemingly perfect images

435
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CHI MUMBI: and videos of ideal motherhood can

436
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CHI MUMBI: be really, really difficult.

437
00:17:18,310 --> 00:17:20,949
CHI MUMBI: So yeah, I think we try to keep it an open,

438
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CHI MUMBI: inclusive space for everyone and really try to

439
00:17:23,329 --> 00:17:26,549
CHI MUMBI: think about people's individual experiences,

440
00:17:26,550 --> 00:17:29,669
CHI MUMBI: adverse experiences, as well as empowering

441
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CHI MUMBI: parents to feel like they can do this and

442
00:17:31,570 --> 00:17:32,889
CHI MUMBI: they're an expert on their body and their

443
00:17:32,890 --> 00:17:35,229
CHI MUMBI: babies; which I think is especially important

444
00:17:35,230 --> 00:17:37,749
CHI MUMBI: when working with Black women, because I think

445
00:17:37,750 --> 00:17:40,919
CHI MUMBI: that... there can be that idea of

446
00:17:40,920 --> 00:17:43,199
CHI MUMBI: not being an expert in your own body and not

447
00:17:43,200 --> 00:17:45,719
CHI MUMBI: taking ownership of your own body, which we try

448
00:17:45,720 --> 00:17:47,695
CHI MUMBI: to promote as much as possible in PiM.

449
00:17:47,696 --> 00:17:50,489
ALEXIS GOLDEN: Chi, what are the next steps for Pregnancy

450
00:17:50,490 --> 00:17:53,329
ALEXIS GOLDEN: in Mind as a service across the UK?

451
00:17:53,330 --> 00:17:54,989
CHI MUMBI: Yes, so we're expanding.

452
00:17:54,990 --> 00:17:57,871
CHI MUMBI: So we're currently active in West Sussex [and]

453
00:17:57,872 --> 00:18:00,849
CHI MUMBI: Slough, and the hope is that we're going to

454
00:18:00,850 --> 00:18:04,089
CHI MUMBI: expand into two London boroughs as

455
00:18:04,090 --> 00:18:05,969
CHI MUMBI: well. So our reach is extending.

456
00:18:05,970 --> 00:18:08,989
CHI MUMBI: But also the NSPCC has scale-up, where we

457
00:18:08,990 --> 00:18:12,209
CHI MUMBI: will sell programmes — so programmes like

458
00:18:12,210 --> 00:18:13,609
CHI MUMBI: DART (Domestic Abuse, Recovering Together) for
example, but now

459
00:18:13,610 --> 00:18:15,369
CHI MUMBI: it'll be PiM (Pregnancy in Mind) — and that

460
00:18:15,370 --> 00:18:17,109
CHI MUMBI: will mean that PiM can go to different

461
00:18:17,110 --> 00:18:19,569
CHI MUMBI: organisations, different places all over the

462
00:18:19,570 --> 00:18:21,879
CHI MUMBI: country, so it won't just be concentrated

463
00:18:21,880 --> 00:18:23,699
CHI MUMBI: inside our area in London and the Southeast,

464
00:18:23,700 --> 00:18:26,439
CHI MUMBI: which is really exciting as well to see how

465
00:18:26,440 --> 00:18:27,799
CHI MUMBI: it's gonna blossom and develop.

466
00:18:30,020 --> 00:18:32,239
ALEXIS GOLDEN: Is Pregnancy in Mind being delivered across

467
00:18:32,240 --> 00:18:35,329
ALEXIS GOLDEN: the NSPCC in other areas as well?

468
00:18:35,330 --> 00:18:37,649
CHI MUMBI: So yeah, PiM is currently being delivered in

469
00:18:37,650 --> 00:18:39,709
CHI MUMBI: several different areas.

470
00:18:39,710 --> 00:18:42,109
CHI MUMBI: But if you look on the NSPCC website for

471
00:18:42,110 --> 00:18:44,549
CHI MUMBI: Pregnancy in Mind, you can check to see if it's

472
00:18:44,550 --> 00:18:46,429
CHI MUMBI: being delivered anywhere near you.

473
00:18:46,430 --> 00:18:47,729
ALEXIS GOLDEN: We'll be sure to leave a link underneath

474
00:18:47,730 --> 00:18:50,079
ALEXIS GOLDEN: the podcast so that you can see where we're

475
00:18:50,080 --> 00:18:51,779
ALEXIS GOLDEN: being delivered right now.

476
00:18:51,780 --> 00:18:54,359
ALEXIS GOLDEN: Sandra, what are the interesting projects

477
00:18:54,360 --> 00:18:57,179
ALEXIS GOLDEN: coming up for The Motherhood Group in 2025

478
00:18:57,180 --> 00:18:58,469
ALEXIS GOLDEN: and beyond?

479
00:18:58,470 --> 00:19:00,629
SANDRA IGWE: Yeah, so we have quite a few.

480
00:19:00,630 --> 00:19:03,069
SANDRA IGWE: We have, as I mentioned, our launch of our

481
00:19:03,070 --> 00:19:05,569
SANDRA IGWE: new digital app called Black Mums.

482
00:19:05,570 --> 00:19:08,949
SANDRA IGWE: The title literally is what it says it is.

483
00:19:08,950 --> 00:19:11,589
SANDRA IGWE: It's a safe space for Black mums to connect

484
00:19:11,590 --> 00:19:13,769
SANDRA IGWE: virtually. We often have a lot of these

485
00:19:13,770 --> 00:19:16,409
SANDRA IGWE: wonderful platforms — you know, like Peanut,

486
00:19:16,410 --> 00:19:19,289
SANDRA IGWE: Netmums, Bounty — these are wonderful online

487
00:19:19,290 --> 00:19:21,549
SANDRA IGWE: digital spaces that connects mums, but none

488
00:19:21,550 --> 00:19:24,949
SANDRA IGWE: of it really addresses the unique needs

489
00:19:24,950 --> 00:19:26,409
SANDRA IGWE: that Black women face.

490
00:19:26,410 --> 00:19:28,309
SANDRA IGWE: And so we've created our own version of that,

491
00:19:28,310 --> 00:19:30,049
SANDRA IGWE: where we can speak about all the challenges

492
00:19:30,050 --> 00:19:32,929
SANDRA IGWE: that matter to us, but also connect us with

493
00:19:32,930 --> 00:19:35,829
SANDRA IGWE: like-minded mums locally and nearby.

494
00:19:35,830 --> 00:19:38,869
SANDRA IGWE: We also have the launch of our Black Maternal

495
00:19:38,870 --> 00:19:41,989
SANDRA IGWE: Mental Health Project in collaboration with

496
00:19:41,990 --> 00:19:44,249
SANDRA IGWE: Maternal Mental Health Alliance and Centre

497
00:19:44,250 --> 00:19:45,489
SANDRA IGWE: for Mental Health.

498
00:19:45,490 --> 00:19:48,449
SANDRA IGWE: And so looking at the last eight years

499
00:19:48,450 --> 00:19:50,629
SANDRA IGWE: of our engagement, what are the common themes

500
00:19:50,630 --> 00:19:53,719
SANDRA IGWE: that are important or crucial or essential to

501
00:19:53,720 --> 00:19:55,759
SANDRA IGWE: make the mental health of Black mothers

502
00:19:55,760 --> 00:19:58,059
SANDRA IGWE: thrive. What does good spaces look like?

503
00:19:58,060 --> 00:19:59,493
SANDRA IGWE: What does good communication look like?

504
00:19:59,494 --> 00:20:02,459
SANDRA IGWE: So we'll be launching that at our Black

505
00:20:02,460 --> 00:20:04,259
SANDRA IGWE: maternal health conference in March.

506
00:20:04,260 --> 00:20:06,179
SANDRA IGWE: And then of course, September, our annual

507
00:20:06,180 --> 00:20:08,959
SANDRA IGWE: Black Maternal Mental Health Week, which Chi

508
00:20:08,960 --> 00:20:11,379
SANDRA IGWE: spoke at last year — she was fantastic.

509
00:20:11,380 --> 00:20:14,619
SANDRA IGWE: And we look at common themes relating to,

510
00:20:14,620 --> 00:20:17,199
SANDRA IGWE: you know, helping to bridge the gap, but also

511
00:20:17,200 --> 00:20:18,502
SANDRA IGWE: looking at some of the barriers that Black

512
00:20:18,503 --> 00:20:20,739
SANDRA IGWE: mother's face in mental health or maternal

513
00:20:20,740 --> 00:20:23,569
SANDRA IGWE: mental health but sometimes also wonderful

514
00:20:23,570 --> 00:20:25,469
SANDRA IGWE: solutions and recommendations for

515
00:20:25,470 --> 00:20:27,989
SANDRA IGWE: improvement; such as the role that stigma

516
00:20:27,990 --> 00:20:30,589
SANDRA IGWE: plays, how to connect with grassroots

517
00:20:30,590 --> 00:20:33,649
SANDRA IGWE: community-led organisations, the

518
00:20:33,650 --> 00:20:35,889
SANDRA IGWE: role that, you know, faith and religion, how

519
00:20:35,890 --> 00:20:38,509
SANDRA IGWE: that can be a bridge, but also a barrier in

520
00:20:38,510 --> 00:20:40,969
SANDRA IGWE: seeking support. So please do get involved in

521
00:20:40,970 --> 00:20:44,159
SANDRA IGWE: our daily webinars during that week as well.

522
00:20:44,160 --> 00:20:45,879
ALEXIS GOLDEN: Sounds like there's a lot of things coming

523
00:20:45,880 --> 00:20:46,880
ALEXIS GOLDEN: up.

524
00:20:48,070 --> 00:20:49,829
ALEXIS GOLDEN: I've run out of questions, but I'm just

525
00:20:49,830 --> 00:20:51,429
ALEXIS GOLDEN: coming up with this one off the cuff.

526
00:20:51,430 --> 00:20:54,189
ALEXIS GOLDEN: If either of you had to give three big

527
00:20:54,190 --> 00:20:57,149
ALEXIS GOLDEN: takeaways to our listeners today, what

528
00:20:57,150 --> 00:20:58,199
ALEXIS GOLDEN: would they be?

529
00:20:58,200 --> 00:21:01,359
SANDRA IGWE: I'd say one: if you are a professional

530
00:21:01,360 --> 00:21:04,519
SANDRA IGWE: working with expectant parents that

531
00:21:04,520 --> 00:21:06,959
SANDRA IGWE: are from Black or Brown communities, really,

532
00:21:06,960 --> 00:21:08,999
SANDRA IGWE: as I mentioned, listen; it sounds so simple,

533
00:21:09,000 --> 00:21:11,659
SANDRA IGWE: but it's very, very rarely done quite well.

534
00:21:11,660 --> 00:21:14,439
SANDRA IGWE: So actively listen to all the concerns, but

535
00:21:14,440 --> 00:21:16,859
SANDRA IGWE: also recognise again that some of these

536
00:21:16,860 --> 00:21:19,459
SANDRA IGWE: barriers that might not be relevant to you,

537
00:21:19,460 --> 00:21:22,599
SANDRA IGWE: they are really important for a mother that

538
00:21:22,600 --> 00:21:25,719
SANDRA IGWE: wants to receive good quality, adequate

539
00:21:25,720 --> 00:21:28,371
SANDRA IGWE: care. Then make a mother feel safe.

540
00:21:28,372 --> 00:21:31,509
SANDRA IGWE: So provide safe spaces, bring on diverse

541
00:21:31,510 --> 00:21:34,889
SANDRA IGWE: staff to support them, make sure that you're

542
00:21:34,890 --> 00:21:37,929
SANDRA IGWE: able to offer support or care that helps

543
00:21:37,930 --> 00:21:40,989
SANDRA IGWE: to bridge the traditional health services

544
00:21:40,990 --> 00:21:42,580
SANDRA IGWE: by providing those relevant

545
00:21:44,110 --> 00:21:46,109
SANDRA IGWE: support networks and culturally relevant

546
00:21:46,110 --> 00:21:47,902
SANDRA IGWE: resources so that a mother can receive that

547
00:21:47,903 --> 00:21:49,149
SANDRA IGWE: as well.

548
00:21:49,150 --> 00:21:50,887
SANDRA IGWE: And then finally, three: recognise

549
00:21:52,340 --> 00:21:55,279
SANDRA IGWE: that not everybody has the right language to

550
00:21:55,280 --> 00:21:57,499
SANDRA IGWE: articulate that they are struggling with

551
00:21:57,500 --> 00:21:58,840
SANDRA IGWE: perinatal mental health issues.

552
00:21:58,841 --> 00:22:00,839
SANDRA IGWE: In some languages and some cultures, there is

553
00:22:00,840 --> 00:22:03,539
SANDRA IGWE: no word for perinatal mental health or

554
00:22:03,540 --> 00:22:04,859
SANDRA IGWE: postpartum depression.

555
00:22:04,860 --> 00:22:07,639
SANDRA IGWE: And so being open to exploring what that

556
00:22:07,640 --> 00:22:09,619
SANDRA IGWE: might look like for each community and what

557
00:22:09,620 --> 00:22:10,959
SANDRA IGWE: might be the better word.

558
00:22:10,960 --> 00:22:13,379
SANDRA IGWE: Is it wellbeing? Is it care?

559
00:22:13,380 --> 00:22:14,839
SANDRA IGWE: How do you feel?

560
00:22:14,840 --> 00:22:17,079
SANDRA IGWE: Just make sure that you are looking at that

561
00:22:17,080 --> 00:22:19,499
SANDRA IGWE: person as an individual and not seeing them

562
00:22:19,500 --> 00:22:21,329
SANDRA IGWE: as a monolithic group.

563
00:22:21,330 --> 00:22:23,829
ALEXIS GOLDEN: Wonderful, thank you so much, Sandra.

564
00:22:23,830 --> 00:22:25,639
ALEXIS GOLDEN: Chi, anything to add?

565
00:22:25,640 --> 00:22:28,079
CHI MUMBI: I absolutely agree with Sandra.

566
00:22:28,080 --> 00:22:30,179
CHI MUMBI: I would say that number one for professionals

567
00:22:30,180 --> 00:22:33,199
CHI MUMBI: for me would be to be curious and to continue

568
00:22:33,200 --> 00:22:35,659
CHI MUMBI: to be curious about expectant mothers'

569
00:22:35,660 --> 00:22:38,719
CHI MUMBI: experiences, and really

570
00:22:38,720 --> 00:22:40,179
CHI MUMBI: taking a non-judgmental stance.

571
00:22:40,180 --> 00:22:43,159
CHI MUMBI: So when you're hearing a woman

572
00:22:43,160 --> 00:22:45,679
CHI MUMBI: talk about her difficulties, or you feel like

573
00:22:45,680 --> 00:22:47,419
CHI MUMBI: something else is going on, instead of becoming

574
00:22:47,420 --> 00:22:49,379
CHI MUMBI: judgmental, really trying to unpick that with

575
00:22:49,380 --> 00:22:52,559
CHI MUMBI: her in a caring, thoughtful way that

576
00:22:52,560 --> 00:22:54,819
CHI MUMBI: will not make her turn away and make her feel

577
00:22:54,820 --> 00:22:56,949
CHI MUMBI: like, "I'm feeling judged, I need to leave",

578
00:22:56,950 --> 00:22:59,109
CHI MUMBI: and not actually being able to get that support

579
00:22:59,110 --> 00:23:01,689
CHI MUMBI: later on. I would say number two is recognise

580
00:23:01,690 --> 00:23:03,289
CHI MUMBI: the importance of community.

581
00:23:03,290 --> 00:23:04,989
CHI MUMBI: I mean as Sandra was talking about The

582
00:23:04,990 --> 00:23:06,669
CHI MUMBI: Motherhood Group, I mean it's so amazing — the

583
00:23:06,670 --> 00:23:08,809
CHI MUMBI: power of community and having other people

584
00:23:08,810 --> 00:23:11,709
CHI MUMBI: around you who maybe won't have exactly the

585
00:23:11,710 --> 00:23:14,749
CHI MUMBI: same experiences as you but will understand and

586
00:23:14,750 --> 00:23:17,169
CHI MUMBI: can listen to you and can help care for you.

587
00:23:17,170 --> 00:23:18,569
CHI MUMBI: I think recognising the importance of

588
00:23:18,570 --> 00:23:21,269
CHI MUMBI: community, and as a professional asking

589
00:23:21,270 --> 00:23:23,889
CHI MUMBI: parents, "okay, what support do you have?" And

590
00:23:23,890 --> 00:23:25,289
CHI MUMBI: if they don't have any support and they're

591
00:23:25,290 --> 00:23:27,709
CHI MUMBI: lonely, what support can we provide or can we

592
00:23:27,710 --> 00:23:30,149
CHI MUMBI: help you with? And I do understand the

593
00:23:30,150 --> 00:23:33,069
CHI MUMBI: pressures on NHS staff and all

594
00:23:33,070 --> 00:23:36,049
CHI MUMBI: over the caring sector, but I think

595
00:23:36,050 --> 00:23:38,849
CHI MUMBI: it is really important to recognise and to

596
00:23:38,850 --> 00:23:41,849
CHI MUMBI: identify lonely mums and ways that you

597
00:23:41,850 --> 00:23:45,069
CHI MUMBI: can support them. And I would say third: to

598
00:23:45,070 --> 00:23:47,309
CHI MUMBI: not lose sight of the mental health of the

599
00:23:47,310 --> 00:23:48,949
CHI MUMBI: infant as well.

600
00:23:48,950 --> 00:23:50,829
CHI MUMBI: I know the concept of...

601
00:23:50,830 --> 00:23:53,529
CHI MUMBI: To me anyway, the concept of pregnancy is quite

602
00:23:53,530 --> 00:23:55,269
CHI MUMBI: abstract and when we're working with

603
00:23:55,270 --> 00:23:57,609
CHI MUMBI: participants, we do a lot of connecting to your

604
00:23:57,610 --> 00:23:59,129
CHI MUMBI: baby exercises.

605
00:23:59,130 --> 00:24:00,669
CHI MUMBI: And for some parents, it's the first time they

606
00:24:00,670 --> 00:24:03,229
CHI MUMBI: really thought about questions like, "what

607
00:24:03,230 --> 00:24:05,049
CHI MUMBI: music do you think your baby would like?" Or

608
00:24:05,050 --> 00:24:07,629
CHI MUMBI: "what food you think you baby would enjoy?" And

609
00:24:07,630 --> 00:24:09,389
CHI MUMBI: they are quite abstract questions but it does

610
00:24:09,390 --> 00:24:11,689
CHI MUMBI: help you connect more with your baby.

611
00:24:11,690 --> 00:24:13,949
CHI MUMBI: The purpose of those connecting to you baby

612
00:24:13,950 --> 00:24:16,749
CHI MUMBI: exercises is so that we're thinking about the

613
00:24:16,750 --> 00:24:18,549
CHI MUMBI: baby and bringing the baby into the room, but

614
00:24:18,550 --> 00:24:20,229
CHI MUMBI: also thinking about the potential mental health

615
00:24:20,230 --> 00:24:23,639
CHI MUMBI: of the baby and linking the mental health of

616
00:24:23,640 --> 00:24:26,319
CHI MUMBI: the parents to their child as well.

617
00:24:26,320 --> 00:24:28,919
ALEXIS GOLDEN: Wonderful. Well, thank you both for those

618
00:24:28,920 --> 00:24:30,459
ALEXIS GOLDEN: key takeaways. I think you've given our

619
00:24:30,460 --> 00:24:33,039
ALEXIS GOLDEN: listeners a lot to take in.

620
00:24:33,040 --> 00:24:35,759
ALEXIS GOLDEN: I'll close here, but I just wanted to say a

621
00:24:35,760 --> 00:24:37,999
ALEXIS GOLDEN: big thank you to both Chi and Sandra for

622
00:24:38,000 --> 00:24:39,619
ALEXIS GOLDEN: your time today and for sharing your

623
00:24:39,620 --> 00:24:42,839
ALEXIS GOLDEN: experiences. We have a lot of information

624
00:24:42,840 --> 00:24:44,719
ALEXIS GOLDEN: to share with our audience.

625
00:24:44,720 --> 00:24:47,459
ALEXIS GOLDEN: If you want to learn more about Pregnancy

626
00:24:47,460 --> 00:24:49,959
ALEXIS GOLDEN: in Mind or The Motherhood Group, we will be

627
00:24:49,960 --> 00:24:52,565
ALEXIS GOLDEN: sure to put those in our podcast notes.

628
00:24:53,760 --> 00:24:55,979
ALEXIS GOLDEN: Chi and Sandra, thank you so much for your

629
00:24:55,980 --> 00:24:56,969
ALEXIS GOLDEN: time.

630
00:24:56,970 --> 00:24:58,329
CHI MUMBI: Thank you so much.

631
00:24:58,330 --> 00:24:59,790
SANDRA IGWE: Thank you for having us. Thank You.

632
00:25:03,960 --> 00:25:06,299
OUTRO: Thanks for listening to this NSPCC Learning

633
00:25:06,300 --> 00:25:07,679
OUTRO: Podcast.

634
00:25:07,680 --> 00:25:10,199
OUTRO: At the time of recording, this episode's content

635
00:25:10,200 --> 00:25:12,959
OUTRO: was up to date, but the world of safeguarding and

636
00:25:12,960 --> 00:25:15,339
OUTRO: child protection is ever-changing.

637
00:25:15,340 --> 00:25:17,339
OUTRO: So, if you're looking for the most current

638
00:25:17,340 --> 00:25:19,639
OUTRO: safeguarding and child protection training,

639
00:25:19,640 --> 00:25:22,559
OUTRO: information or resources,

640
00:25:22,560 --> 00:25:25,279
OUTRO: please visit our website for professionals at

641
00:25:25,280 --> 00:25:27,731
OUTRO: nspcc.org.uk/learning.

