English: Llyr just stole my line. Of course, it's great timing: we are talking about this report on the eve, I think, of Time to Talk Day, because obviously you produced your report in October and then the Government responded in November. So, well done to the leader of the house that she timetabled this discussion for today. Having a baby is a messy business. One minute you're a booted, suited woman with a job to go to, and the next minute you're a sleep-deprived milk machine entirely dependent on other people to enable you to begin the lifelong journey of motherhood. And that's assuming you have those support mechanisms, because if you don't, or the support is given to you conditionally or grudgingly or resentfully, the journey is much more challenging. So, I think this is a really important subject. I think nobody's mentioned so far that you are, of course, at increased risk of domestic violence if you are pregnant. Those who've been previously abused are four times more likely to be abused during pregnancy than women with no history of violence. Other risk factors of single mothers are lower education, lower socioeconomic status, alcohol abuse and unintended pregnancy. Perinatal mental illness - there's a strong association with domestic violence, both perinatally and during your whole lifetime. They're not necessarily always present. You can obviously have postnatal depression without having an abusive partner. The reasons you've got your depression can be completely unrelated to anything like that. But we have to be aware that there are these risks, and that mothers are really, really vulnerable when they first have a baby. So, I think your recommendation 19, continuity of care from a midwife or a health visitor, is absolutely essential. In my day, you had up to 10 days of visiting at home, unless you agreed collectively that you didn't need it because you had good support mechanisms. But these days I know it's not that consistent, and parenting doesn't come with instructions. Mothers desperately need independent professional advice without the emotional baggage you often get from other family members. Recommendation 16 feels a bit like groundhog day to me. I'm pleased to hear that Llyr thinks that this is going to be a ground-breaking report, and that we're really, really going to change things, but I can remember discussing this, I'm afraid, a very long time ago. The Edinburgh postnatal depression scale has been around for at least 30 years and it's a really, really simple tool for asking women how they're feeling, which enables you to assess the potential risk; obviously, not losing sight of your ability to observe the woman and ensure that you've understood - . You already know the person, so you're able to also observe whether or not you think there may be depression going on. But I find it really depressing that we're still talking about the need for midwives and health visitors and GPs and any other health professional who comes into touch with postnatal women to have these skills, and also to actually ask the question, because it is completely essential for safeguarding of the mother and the child that we are asking these questions. Lynne Neagle asked if we can afford not to provide these services, and the answer is that we absolutely cannot afford not to, because of not just the impact on the mother but the impact on the baby. The baby starts communicating the minute it's out of the womb, and, if the mother, who's the main person that the baby's in touch with, is not communicating with the baby, the impact is absolutely devastating. Why would the baby bother to communicate if they're getting no response from the adult? If the adult is utterly depressed, they won't be responding. So, it's completely essential that we have professionals involved, as well as family members, to ensure that, if the person is perinatally depressed, there are other people around to talk to the baby, because the consequences otherwise are lifelong: the failure to secure attachments, the impact on the infant's social, emotional, cognitive and language development, facilitating development of good mental health in childhood and adulthood - as you heard in your evidence. I'd be very interested to hear from the Cabinet Secretary about the family resilience assessment tool as a way of complementing the Edinburgh postnatal depression scale, because we absolutely have to ensure that the inverse care law doesn't apply here and that those who most need the services of professionals are getting them. One in five women - that means everybody needs this service and everybody needs to understand that we need to talk to women about their perinatal mental health.
Welsh: Mae Llyr newydd ddwyn fy lein. Wrth gwrs, mae'n amseru gwych: rydym yn sôn am yr adroddiad hwn ar y noswyl Diwrnod Amser i Siarad rwy'n credu, oherwydd yn amlwg fe gynhyrchoch chi eich adroddiad ym mis Hydref ac yna fe ymatebodd y Llywodraeth ym mis Tachwedd. Felly, da iawn arweinydd y tŷ am amserlennu'r drafodaeth hon heddiw. Mae cael babi yn fusnes blêr. Un funud rydych chi'n fenyw yn eich siwt a swydd i fynd iddi, a'r funud nesaf rydych yn beiriant llaeth nad yw'n cael digon o gwsg ac yn gwbl ddibynnol ar bobl eraill i'ch galluogi i ddechrau ar y daith gydol oes o fod yn fam. A hynny gan dybio bod gennych fecanweithiau i'ch cefnogi, oherwydd os nad oes, neu os yw'r cymorth yn cael ei roi i chi'n amodol neu'n anfoddog neu'n ddigofus, mae'r daith yn llawer mwy heriol. Felly, rwy'n credu bod hwn yn bwnc pwysig iawn. Credaf nad oes neb wedi sôn cyn belled eich bod, wrth gwrs, mewn mwy o berygl o drais yn y cartref os ydych yn feichiog. Mae'r rhai sydd wedi cael eu cam-drin o'r blaen bedair gwaith yn fwy tebygol o gael eu cam-drin yn ystod beichiogrwydd na menywod heb hanes o drais. Ffactorau risg eraill ymhlith mamau sengl yw lefelau addysgol is, statws economaidd-gymdeithasol is, cam-drin alcohol a beichiogrwydd anfwriadol. Salwch meddwl amenedigol - ceir cysylltiad cryf â thrais yn y cartref, yn y cyfnod amenedigol a thrwy gydol eich oes. Nid ydynt o reidrwydd bob amser yn bresennol. Yn amlwg, gallwch gael iselder ôl-enedigol heb fod gennych bartner treisiol. Gallai'r rhesymau dros eich iselder fod heb gysylltiad o gwbl ag unrhyw beth fel hynny. Ond rhaid inni fod yn ymwybodol bod y risgiau hyn yn bodoli, a bod mamau'n agored iawn i niwed mewn gwirionedd pan fyddant yn cael eu babi cyntaf. Felly, rwy'n meddwl bod eich argymhelliad 19, gofal parhaus gan fydwraig neu ymwelydd iechyd, yn gwbl hanfodol. Pan oeddwn i yn y sefyllfa hon, byddech yn cael hyd at 10 diwrnod o ymweld â'r cartref, oni bai eich bod yn cytuno ar y cyd nad oeddech ei angen am fod gennych fecanweithiau cymorth da. Ond y dyddiau hyn gwn nad yw mor gyson â hynny, ac nid oes cyfarwyddiadau'n dod gyda rhianta. Mae taer angen cyngor proffesiynol annibynnol ar famau heb yr ychwanegiadau emosiynol a gewch yn aml gan aelodau eraill o'r teulu. Mae argymhelliad 16 yn teimlo fel pe baem yn mynd dros yr un tir eto fyth. Rwy'n falch o glywed bod Llyr yn credu bod hwn yn mynd i fod yn adroddiad arloesol, a'n bod o ddifrif yn mynd i newid pethau, ond mae arnaf ofn fy mod yn cofio trafod hyn amser maith yn ôl. Mae graddfa iselder ôl-enedigol Caeredin wedi bod mewn defnydd ers o leiaf 30 mlynedd ac mae'n offeryn syml iawn ar gyfer gofyn i fenywod sut y maent yn teimlo, sy'n eich galluogi i asesu risg posibl; yn amlwg, heb golli golwg ar eich gallu i arsylwi ar y fenyw a sicrhau eich bod wedi deall - . Rydych chi eisoes yn adnabod y person, felly gallwch arsylwi hefyd a ydych chi'n credu bod yna iselder ai peidio. Ond mae'n destun gofid ein bod yn dal i sôn am yr angen i fydwragedd ac ymwelwyr iechyd a meddygon teulu ac unrhyw weithwyr iechyd proffesiynol eraill sy'n dod i gysylltiad â menywod ôl-enedigol gael y sgiliau hyn, a hefyd i ofyn y cwestiwn mewn gwirionedd, oherwydd mae'n gwbl hanfodol ar gyfer diogelu'r fam a'r plentyn ein bod yn gofyn y cwestiynau hyn. Gofynnodd Lynne Neagle a allwn fforddio peidio â darparu'r gwasanaethau hyn, a'r ateb yw na allwn fforddio peidio ar unrhyw gyfrif, nid yn unig oherwydd yr effaith ar y fam ond oherwydd yr effaith ar y babi. Mae'r babi'n dechrau cyfathrebu y funud y mae'n gadael y groth, ac os nad yw'r fam, sef y prif berson y mae'r baban mewn cysylltiad â hi, yn cyfathrebu â'r baban, mae'r effaith yn gwbl ddinistriol. Pam y byddai'r baban yn trafferthu cyfathrebu os nad yw'n cael unrhyw ymateb gan yr oedolyn? Os yw'r oedolyn yn dioddef o iselder mawr, nid yw'n mynd i ymateb. Felly, mae'n gwbl hanfodol fod gennym weithwyr proffesiynol yn rhan o hyn, yn ogystal ag aelodau'r teulu, er mwyn sicrhau, os yw'r person yn dioddef o iselder ysbryd amenedigol, fod pobl eraill o amgylch i siarad â'r baban, oherwydd fel arall mae'r canlyniadau'n rhai gydol oes: y methiant i sicrhau ymlyniad ag eraill, yr effaith ar ddatblygiad cymdeithasol, emosiynol, gwybyddol a ieithyddol y baban, hwyluso datblygiad iechyd meddwl da yn ystod plentyndod ac fel oedolyn - fel y clywsoch yn eich tystiolaeth. Byddai'n ddiddorol iawn clywed gan Ysgrifennydd y Cabinet am yr offeryn asesu gwytnwch teuluoedd fel ffordd o ategu graddfa iselder ôl-enedigol Caeredin, oherwydd rhaid inni sicrhau nad yw deddf gofal gwrthgyfartal yn berthnasol yma a bod y rhai sydd fwyaf o angen gwasanaethau gweithwyr proffesiynol yn eu cael. Un o bob pump o fenywod - mae hynny'n golygu fod pawb angen y gwasanaeth hwn ac mae angen i bawb ddeall bod angen inni siarad â menywod am eu hiechyd meddwl amenedigol.