Complexities in perinatal mental health care: a salutogenic approach

This article explores the complexities of perinatal mental health care through the lens of Antonovsky's salutogenic model and his ‘six Cs’: complexity, conflict, chaos, coherence, coercion and civility. Drawing on contemporary research, policy and reports, the authors critique the pathology-focused model that dominates current perinatal mental health services and advocates for a shift towards a health-promoting paradigm. The article examines systemic challenges, including poor interdisciplinary collaboration, inequitable service provision and education gaps for midwives, and highlights the potential of general and specific resistance resources to build a sense of coherence and improve care quality. It further argues for psychologically safe, civil work environments to counteract coercive cultures that impair safety and innovation. Ultimately, it calls for a balanced approach that supports staff manageability and meaningful engagement, improving outcomes for women experiencing perinatal mental health challenges