The substantial progress in bringing perinatal mental health to the forefront is undeniable. However, progress towards integrated care shows staggering disparities across countries. It is impeded by barriers and emerging threats along the care pathway. Perinatal mental disorders are common complications of childbirth that impose significant short- and long-term effects. These affect mental and physical health, relationships and socioeconomic status, having a profound impact on women’s overall functionality and quality of life. Their rising prevalence and disease burden signal a need for action and policy reform. This editorial sheds light on the status of perinatal mental health, highlights progress and existing roadblocks, and charts the way ahead for policy and practice.

The Ukrainian refugee crisis highlights the many issues associated with trauma, distress, mental and physical health, culturally competent assessments, and meaningful support and interventions. This crisis requires international support and a global response, as hosting countries have specific competencies and capacities. The authors hope that the groundswell of international concern over the crisis in Ukraine will lead not only to a comprehensive response to the needs of refugees from that country but also to a recognition of the needs of other asylum seekers and refugees and to our collective moral obligation to address those needs equitably.