Table 5: Toolkit WazzUp Mama?! For midwives.

Guideline

(1) Clinical pathway for consultation and referral

(2) Case-finding questions* to be used throughout the whole antenatal care period.

(3) Scoring system of perceived burden or emotional stamina (according the same cut-off points as the web-based program for women)

Regional healthcare map

All relevant caregivers and health initiatives aimed at psychological and emotional wellbeing:

1)    Self-management resources

2)    Local individual and group support:

      (i) lay

      (ii) professional

      (iii) alternative

Posters for practices (for waiting and consultation rooms)

Advertising the tailored website

Credit card-sized cards

To hand out to women with the URL of the web-based tailored program

A set of pocket cards

Functional format and convenient size (credit card-size) including:

(1) Clinical pathway

(2) Case-finding questions*

(3) Scoring system of perceived burden or emotional stamina (according the same cut-off points as the web-based program for women)

(4) Card to write down relevant phone numbers

Training

- Prevalence and causes

- Predisposing factors maternal distress

- Consequences

- Recognition/signs and symptoms (psychological, behavioural,  biological/ vital, social)/differentiation physiological mood changes and maternal distress

- Assessment predisposing factors and emotional wellbeing

- Assessment negative birth experience

- Problem and emotion focussed questions based on sense of coherence

- Local healthcare map

- SBAR

- Interpretation EDS scores and cut-off points

- Interpretation VAS scores perceived burden or emotional stamina

- SSRI usage

- Use toolkit

- Reading material (EPDS [39,40]/Distress-thermometer [36]/Salutogenesis model [47,48]/Post partum Post Traumatic Stress Syndrome [49]/NICE guideline Antenatal and Postnatal Health [50]/Guideline SSRI use [51])