Introduction: technical issues in perinatal therapy / Joan Raphael-Leff -- The experience of having a baby: a developmental view / Dana Birksted-Breen -- Pregnancy and the internal world / Elizabeth Bradley -- 'Is there something wrong?': the impact of technology in pregnancy / Alessandra Piontelli -- Pregnancy after stillbirth or neonatal death: psychological risks and management / Emmanuel Lewis, Sanford Bourne -- 'Climbing the walls': therapeutic intervention for past-partum disturbance / Joan Raphael-Leff -- Puerperal psychosis: vulnerability and aftermath / Richard Lucas