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Postnatal contraception provision in an inpatient perinatal mental health unit

© Author(s) (or their employer(s)) 2022. No commercial reuse. See rights and permissions. Published by BMJ. BACKGROUND Increasing postnatal contraception (PNC) uptake supports effective interpregnancy spacing, prevents unplanned repeat pregnancy following childbirth, improves subsequent obstetric outcomes and is a topical service development focus in sexual and reproductive healthcare. Provision offers high return on investment in postnatal women as well as the general population. 3 Recent years have seen substantial progress in increasing PNC provision through coordinated programmes in the UK, particularly via maternity services. However, across the UK there is a long way to go to realising universal direct, convenient access to the full range of contraceptive methods for PNC, including longacting reversible contraception (LARC) for eligible women desiring these methods. Improving access for women poorly served through mainstream sexual health, maternity and primary care services remains a particular priority. A key group for whom unintended pregnancy may pose significant obstetric and psychosocial risk are women with chronic psychiatric illness or previous serious perinatal mental illness. 10 Here we report on an initiative designed to offer direct PNC to women admitted to a Mother & Baby Unit (MBU). While similar initiatives run elsewhere, reporting on their setup, outcomes and patient and staff experiences of their delivery has been limited.