M. Miele, United Kingdom

St Mary's Hospital CNWL Perinatal Mental Health Services
Dr Miele has led the perinatal mental health (PMH) service at St Mary’s Hospital since 2009 and was Clinical Lead of the PMH Service (2016 – 2020). She has a clinical background in O&G and completed a PhD in neuroscience at Oxford University. She trained in General Adult Psychiatry at the Maudsley, Bethlem and St Mary’s Hospitals with an endorsement in Liaison Psychiatry. She trained in Infant Mental Health with Dr PO Svanberg. She has been a member of the Perinatal Faculty Executive and the Perinatal Quality Network Advisory Group of the RCPsych and the College representative for the Maternal Mental Health Alliance (2015-2018). Dr Miele has been heavily involved in service development and is the chair the North West London division of the London PMH Network (NHS England). She co-authored the London PMH Care Pathways and is the creative director of the animation movie Building Better Perinatal Mental Health services. She is the lead author of the Pre-conception advice: Best Practice Toolkit for Perinatal Mental Health Services. She is the lead trainer for the Parent Infant Interaction Observation Scale course at Warwick University Medical School, She is a trustee of the Association of Infant Mental Health and the Brazelton Centre

Presenter of 3 Presentations

Workshop: The Impact of the COVID-19 Pandemic on Women’s Mental Health and Service Delivery: What Have we Learnt? (ID 200) No Topic Needed
e-Poster Viewing (ID 1107) AS07. COVID-19 and related topics

EPV0207 - Locked in and Stressed Out: COVID-19 and Video-telemedicine in Community Perinatal Mental Health Services

Session Name
e-Poster Viewing (ID 1107)
Sun, 11.04.2021
Session Time
07:30 - 23:59
e-Poster Gallery
Lecture Time
07:30 - 07:30



The COVID-19 viral pandemic has taken the world by surprise. The pandemic has caused a great impact on the mental health and wellbeing of pregnant women with mental health difficulties. Healthcare providers veered towards video-telemedicine to safely and swiftly provide services to its users.


To determine impact of Video-telemedicine on:

1. Access to Care

2. Ease of Use

3. Quality of Care

4. Difficulties of Use

5. Future Prospects of Video Telemedicine


We have decided to conduct a targeted survey to 100 pregnant women who are known to Perinatal Mental Health services to assess the new methods of contact that the viral pandemic has enforced upon healthcare providers.


Pre-pandemic: video-telemedicine was ranked as least preferred

Post-pandemic it is ranked as second favourite.

70.4% of responders have confirmed that video-telemedicine significantly facilitated access to care.

23.3% of responders insisted video-telemedicine made the service better.

50% of responders thought it was much easier to use video options to access their care services needs

95.4% of responders felt that video-telemedicine alternatives should remain post-pandemic


Video-telemedicine options have significantly improved the access and quality of services provided by Community Health Services to pregnant women during the pandemic. Video options can also make it easier to reach critical care without negatively affecting the quality of wholistic care provided, in fact, it can sometimes improve it. It is important that the psychiatric field learn from this pandemic and implement these services permanently. Bigger and wider studies need to be done in the future to support these conclusions.

Workshop: The Impact of the COVID-19 Pandemic on Women’s Mental Health and Service Delivery: What Have we Learnt? (ID 200) No Topic Needed

W0038 - The Impact of the COVID-19 Pandemic on Women's Mental Health and Service Delivery: What Have We Learnt?

Session Icon
Pre-Recorded with Live Q&A, Section
Mon, 12.04.2021
Session Time
10:00 - 11:30
Channel 5
Lecture Time
10:42 - 10:56