Half of all anxiety and depression cases among new and expectant mothers are going undiagnosed, according to a new report. Although 10-20% of women develop mental health problems, which can include anxiety and depression, during pregnancy or within the first year after having a baby, 50% of cases are being missed – despite contact with professionals, the report by the Royal College of Midwives (RCM) found. The report suggested that mental health needs are still secondary to physical health during pregnancy, and has called for a boost in midwife numbers to help spot more cases of mental ill health. Amanda Mansfield, professional advisor to the RCM and one of the lead authors of the report, said the 20% of new or expectant mothers who have mental health issues will experience a range of symptoms. “Often the ‘baby blues’ is normalised because it’s something lots of people get, and women are told, ‘You’ll be fine’,” Mansfield told PA Media. “That can contribute to the fact that significant numbers of women downplay their symptoms – in some reports, up to 70% of women don’t feel able to disclose how they feel, they may feel judged. “Some women feel it may affect their ability to mother, or they may be concerned their baby may be taken away.” Mansfield added that some women may feel unable to share their symptoms with a health professional, because they’re worried about how they’re going to be perceived. “But it really is ok to not be ok, rather than women playing down and diluting their feelings,” she added. It’s a good idea for everyone to be aware of mental health risks during pregnancy and beyond. Here are seven signs that somebody might need mental health support, and how to talk about it… 1. DepressionPregnant women or new mums may feel low, unhappy and tearful for much or all of the time. Mansfield said: “It’s looking for the variation in normal patterns of behaviour. Family and friends should ask, in a very compassionate, non-judgmental way, how the woman’s feeling.” If friends and family don’t feel confident about having such conversations, they should encourage the woman to talk to her health professional, Mansfield added. 2. Anxiety Feelings of anxiety can manifest in many ways, and physical symptoms can include a racing pulse, breathlessness and sweating. But whether there are physical symptoms or not, it’s vital for women to talk about how they’re feeling, said Mansfield. “A woman may say she feels particularly anxious about the birth, or relatives coming over, or the in-laws, and having the space to talk about it is really important, to share the anxiety with a midwife that she has a relationship with.” If these anxious feelings don’t improve over time, Mansfield said they can be referred to a specialist midwife who’s an expert in perinatal mental health, and who may be able to offer additional interventions and support. 3. Altered sleep patterns All new parents will of course find their sleep is affected, but if there is also an underlying mental health issue going on, exhausted women may find it even hard to fall or stay asleep. “Women may have significantly disrupted sleep patterns, but we often normalise that with later pregnancy and new parents having difficulty sleeping,” Mansfield pointed out. “It’s really important that if you’re having problems sleeping, and you may be unable to settle and find your mood is a lot lower, you talk to your health professional about that.” 4. Appetite changes “Some people do find their appetite is affected,” said Mansfield. This may mean women lose their appetite and forget to eat or, conversely, comfort eat and possibly put weight on. 5. Difficulty concentrating It’s common for women to describe having ‘brain fog’ when they’re pregnant or have just had a baby, but sometimes an inability to concentrate can be a sign of a deeper problem. Mansfield explained: “A woman’s ability to concentrate can be markedly affected, and we often downplay that – it can be a subtlety that we ally with having a baby or being pregnant, but these can be really important signs and symptoms to share with your health professional, as they may suggest there’s something that needs exploring further.” 6. Obsessive compulsive behaviour Starting to behave obsessively or compulsively, or symptoms of any pre-existing obsessive compulsive disorder (OCD) getting worse, can be linked to perinatal mental ill health too. “Some women may be excessively tidying, for example, or be fixated on something and they may become more anxious,” said Mansfield. “Very commonly, obsessive compulsive disorder may become worsened. Certainly if someone does have compulsive disorders, it’s important not to put them to one side, but share them with your midwife. Picking it up early is so important.” 7. Unusual thoughts Of course, new parents will have lots of new things to think about – but when those thoughts are perhaps a little unusual, it’s worth talking to family, friends and your midwife or health visitor about them. Mansfield said: “Women may present with different thoughts they haven’t experienced before, and often they downplay that because they’re not sure whether they’re normal or not, or they might think they’re just part of being pregnant and having a baby. “The challenge for us as midwives is when you only have 15/20 minutes antenatally to do the whole health assessment – the physical and mental health assessment. It’s about understanding the subtlety of behaviour change.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live This Morning’s Dr Zoe Williams: Why gut health could be more important than you think this summer Vitamin D intake ‘may reduce cancer mortality in the population by 15%’ – study Men who cycle, jog or swim could cut risk of nine cancers – study

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There is suddenly a little bit of tension about one of the most ambitious plans in football. High-placed sources say this week brings a lot of discussion between Saudi Arabian representatives and those of top players in order to try and convince them to join the planet’s most disruptive competition. Some involved see it as a key period for the Saudi Pro League in terms of keeping the momentum going by getting truly big players. Interest in Neymar and David De Gea is now well known, but representatives are also looking at Riyad Mahrez and Bernardo Silva, and there are offers for a series of Chelsea players. Among them are N’Golo Kante, Edouard Mendy, Romelu Lukaku, Kalidou Koulibaly, Pierre-Emerick Aubameyang and Hakim Ziyech. It would represent quite the analgesic for what had been a real headache at Stamford Bridge. Throughout the last few months, the major question at Stamford Bridge, beyond the manager, was who was going to buy the players they needed to sell to trim the squad and meet Financial Fair Play requirements. Everyone “knew they were coming”, to use the industry phrase. Clubs were going to go in low and well under the asking price, as Manchester United have attempted with Mason Mount. Now, a solution has suddenly presented itself. Chelsea could clear a lot of players for big money, allowing Mauricio Pochettino a much cleaner slate to start working with. It has raised a lot of chatter within the game as well as outside. Football officials have privately pointed to the strong relationship between Chelsea majority owners Clearlake and Saudi Arabia’s Public Investment Fund [PIF], who have billions of pounds worth of assets managed by the American firm. Many within the game are now asking about Saudi influence on Chelsea but it has long been stressed there was no involvement in Clearlake’s 2022 purchase, and consequently no concern about potential conflicts of interest given the ownership of Newcastle United. The Owners and Directors test would also require that any influence be declared. It is being insisted now at Stamford Bridge that the only discussions taking place are “transactional conversations about players they’re interested in”. Chelsea and the Premier League have been approached for comment. The London club look to have just benefitted from good timing, although the biggest question now is how many players will actually be convinced to move, and “what actually gets done”. Lukaku is already reluctant. Manchester City’s Bernardo Silva would be unlikely to even consider a proposal if it arrives. The very fact such discussions are being had does raise two wider issues for the game. One, in the abstract, is the growing influence of private equity in football. Part of the reason such questions are being asked is that it’s unclear what money funds private equity in such takeovers. The Premier League, for example, doesn’t have to know. There are an increasing number of people in football who see private equity’s influence - going right up to possible deals with Serie A and La Liga - as just as problematic as state ownership, especially with how the potential is there for the two to overlap. There is then the big story of the summer, which revolves around one of the most ambitious and biggest of those states. Offers from the Saudi Pro League are expected to escalate in the next few weeks, as this is viewed as a key stage of the project. Bringing Ruben Neves from Wolves was a coup but they want bigger than that. It is also why there was some disappointment about the “complacency” of Uefa president Aleksander Ceferin about the extent the Saudi Pro League’s growth could distort the game. The Slovenian official gave an interview in the Netherlands on the eve of the Nations League final, in which he said the European game should not be concerned about any player exodus. “No, no, no… I think that it's mainly a mistake for Saudi Arabian football. Why is that a problem for them? Because they should invest in academies, they should bring coaches, and they should develop their own players." “The system of buying the players that almost ended their career is not the system that develops football. It was a similar mistake in China when they all brought players who are at the end of their career.” “Tell me one player who is top, top age and who starts his career and went to play in Saudi Arabia? But it's not about money only. Players want to win top competitions. And top competition is in Europe.” That question is something currently being tested, but a growing view is that Ceferin is wrong to make the comparison to China. Saudi Arabia has a much more developed football culture, with a good level of quality, and part of this project is improving that. There is then the wider issue of the football authorities' general lack of regulation and foresight on the influence of states and private equity groups. The next few days will nevertheless tell a lot, but this is really about the next few years. Read More First golf, now football? Saudi Arabia’s grand plan and the 72 hours that changed everything Sportswashing is about to change football beyond anything you can imagine The year that sportswashing won: A season that changed football forever Saudi Arabia can help Chelsea solve headache — but talks raise issues Carabao Cup 2023/24 fixture dates and schedule revealed Chelsea fixtures released for Premier League 2023/24 season

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Lionel Messi has confirmed he will complete a free transfer move to American side Inter Miami, ending rumours he would join former rival Cristiano Ronaldo in Saudi Arabia. The Argentinian World Cup-winner leaves Paris Saint-Germain after two years in Ligue 1 and now heads to MLS, his first senior club outside of Europe having spent his entire career at Barcelona prior to joining PSG. Speaking in an exclusive interview to Sport and Mundo Deportivo, Messi confirmed: “I’m going to join Inter Miami. The decision is 100% confirmed. “If it had been a matter of money, I’d have gone to Saudi Arabia or elsewhere. It seemed like a lot of money to me. The truth is that my final decision goes elsewhere and not because of money”. With the deal yet to officially go through, exact details of length of contract and how much he will earn are still to be confirmed Inter Miami is owned by David Beckham and Jorge Mas, an American businessman, and are currently competing in just their fourth-ever season as an MLS club. They currently sit bottom of the Eastern Conference and fired former England defender and Lionesses manager Phil Neville as head coach at the start of June. Messi has won 174 caps with the Argentina national team, scoring 102 goals along the way – both national team records by an enormous distance. After going close to success with the Albiceleste on more than one occasion, he finally tasted glory with his nation when they won the 2021 Copa America, before following that up last year and triumphing at the 2022 World Cup. More to follow... Read More First golf, now football? Saudi Arabia’s plan after 72 hours that changed everything Messi agrees ‘in principle’ on next move after PSG exit Why has Saudi Arabia become big player in world sport and what does future hold?

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