Nagar N. Multidisciplinary closed-loop care for perinatal anxiety and depression: Reflections on a structured intervention model. World J Psychiatry 2026; 16(7): 117802 [DOI: 10.5498/wjp.117802]
Corresponding Author of This Article
Nirmal Nagar, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Changar Palasiyan, Noa, Bilaspur 174037, Himachal Pradesh, India. nagarnirmal4@gmail.com
Research Domain of This Article
Obstetrics & Gynecology
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review-article
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Nagar N. Multidisciplinary closed-loop care for perinatal anxiety and depression: Reflections on a structured intervention model. World J Psychiatry 2026; 16(7): 117802 [DOI: 10.5498/wjp.117802]
World J Psychiatry. Jul 19, 2026; 16(7): 117802 Published online Jul 19, 2026. doi: 10.5498/wjp.117802
Multidisciplinary closed-loop care for perinatal anxiety and depression: Reflections on a structured intervention model
Nirmal Nagar
Nirmal Nagar, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bilaspur 174037, Himachal Pradesh, India
Author contributions: Nagar N wrote the original draft, contributed to conceptualization, writing, reviewing and editing. The author has read and approved the final version of the manuscript.
AI contribution statement: ChatGPT was used for language polishing.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Corresponding author: Nirmal Nagar, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Changar Palasiyan, Noa, Bilaspur 174037, Himachal Pradesh, India. nagarnirmal4@gmail.com
Received: December 18, 2025 Revised: February 5, 2026 Accepted: April 13, 2026 Published online: July 19, 2026 Processing time: 191 Days and 11.7 Hours
Abstract
The study presents a systematic and clinically grounded multidisciplinary closed-loop intervention model for pregnant women experiencing anxiety and depression. The program incorporates coordinated obstetric, psychological, nutritional, and rehabilitative care to improve pregnancy outcomes and postpartum recovery. The intervention significantly reduced caesarean section rates, adverse maternal events, and neonatal complications, while enhancing vaginal delivery progression and pelvic floor muscle recovery. The model places emphasis on structured psychological support, team-based education, and continuous follow up, allowing timely adjustment of care. The authors propose a comprehensive management pathway that strengthens intervention continuity and clinical responsiveness. This approach offers a practical framework for improving perinatal mental health and maternal wellbeing, supporting its wider adoption in clinical settings.
Core Tip: This study shows that multidisciplinary closed-loop care can improve labour outcomes, reduce obstetric and neonatal complications, and support postpartum functional recovery in women with perinatal anxiety and depression. Its structured, continuous model offers an effective pathway for integrating psychological care into routine maternal health services, multidisciplinary closed-loop care improves labour, postpartum and neonatal outcomes.
