To understand the key descriptors of the Top End Mental Health Service, Northern Territory's, perinatal mental health consultation service (PMHCS).A retrospective cross-sectional review of all referrals to the PMHCS in the 12 months period 1 January to 31 December 2021 inclusive was undertaken. The study was descriptive in nature.From January 2021 to December 2021, there were 266 women referred to the service. There was a large proportion of Aboriginal and Torres Strait Islanders. Mean age was 28.8 (SD = 6.04) years. A statistically significant difference was identified between the average age of the Aboriginal and Torres Strait Islander women ( = 53, M = 24.6 years, SD = 6.31) which was significantly less than Caucasian women ( = 161, M = 29.4037, SD = 4.982) and women of other cultural backgrounds ( = 52, M = 31.154, SD = 6.792), < .00,001. Sixty two percent of patients managed had a history of trauma with significantly more service contact.This data gives insight into a unique population group. It also highlights the impact that trauma has on patient care and management.