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Dr Gibson-Helm |
Three different at-risk populations with evidence of poor
pregnancy outcomes are the focus of Dr Melanie Gibson-Helm’s research program,
funded by an NHMRC Early Career Fellowship.
In collaboration with Monash Health clinicians and Monash
University researchers Dr Jacqueline Boyle and Professor Helena Teede, Dr
Gibson-Helm from the Monash Centre for Health Research and Implementation
(MCHRI) leads research aiming to improve pregnancy care for women of refugee
background, Aboriginal and Torres Strait Islander women and women with Polycystic
Ovary Syndrome (PCOS).
“There is considerable evidence that women in these
populations can experience poorer health than the general population, are at
greater risk of long-term health problems, and may not receive the health care
they need,” said Dr Gibson-Helm.
MCHRI, a partnership between Monash University and Monash
Health, is the only Centre in Australia with dedicated women’s public health
research programs in refugee health, Aboriginal and Torres Strait Islander
health and PCOS.
Dr Gibson-Helm said high-quality and appropriate pregnancy
care is of particular importance for women who may have poor general health,
experience barriers accessing health care generally or may benefit from support
to change health behaviours.
“Pregnancy is a period of frequent contact with a level of
health care not typically accessed otherwise and is also an opportune time to
initiate lifestyle change.”
One study in this program that recently received a Monash
University Faculty Strategic Grant and Monash Health seed funding aims to address
a current gap in pregnancy care delivery in Victoria by designing, implementing
and evaluating a mental health screening program in pregnancy for women of
refugee background.
“A key gap we have previously identified is a lack of
screening and facilitated referral pathways for diagnosis and management of
anxiety and depression in pregnancy, despite screening being part of
recommended pregnancy care for all women in Australia.”
“Under-recognition of anxiety or depression may mean that
women do not receive the support and treatment they need and this is a
challenge for many health services in Australia.”
“Providing
high-quality, appropriate pregnancy care can be complex, but also presents a
vital opportunity to improve both short and long-term wellbeing of women and
their babies,” added Dr Gibson-Helm.
Dr
Gibson-Helm’s project will be conducted at Monash Health and was co-developed
by a multidisciplinary team of researchers and clinicians at MCHRI, Monash
Women's Maternity Services, Monash Refugee Health and Wellbeing and the Monash
University Centre for Developmental Psychiatry & Psychology.