Examining the Screening Practices of Physicians for Postpartum Depression: Implications for Improving Health Outcomes

Evans, Melissa Goldin; Phillippi, Stephen; Gee, Rebekah E.

doi:10.1016/j.whi.2015.07.003

Cited by 58 publications

(40 citation statements)

References 40 publications

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“…Despite increased awareness of perinatal depression in recent decades and policy initiatives to promote universal screening, 37 , 38 , 39 , 40 , 41 only 8.7% of visits reported depression screening. This finding is consistent with other studies documenting suboptimal rates of postpartum depression screening, 42 , 43 , 44 but in stark contrast to clinician-reported depression screening practices during postpartum visits, because most clinicians report always screening for depression. 21 Initiatives over time have aimed at improving rates of depression screening, including screening mandates by several states 38 and work by health systems and practices to ensure more consistent screening protocols.…”

Section: Discussionsupporting

confidence: 90%

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

et al. 2020

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IMPORTANCEImproving care during the postpartum period is a clinical and policy priority. During the comprehensive postpartum visit, guidelines recommend delivery of a large number of assessment, screening, and counseling services. However, little is known about services provided during these visits. OBJECTIVE To examine rates of recommended services during the comprehensive postpartum visits and differences by insurance type. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study included 20 071 093 weighted office-based postpartum visits (645 observations) with obstetrical-gynecological or family medicine physicians from annual National Ambulatory Medical Care Surveys from December 28, 2008, to December 31, 2016, and estimated multivariate regression models to calculate the frequency of recommended services by insurance type, controlling for visit, patient, and physician characteristics.

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Section: Discussionsupporting

confidence: 90%

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

et al. 2020

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“…A study by Psaros et al reported that although about 61% of health care providers endorsed routine screening for postpartum depression, only 17% reported using a screening instrument [22]. One of the reasons for not screening is the lack of resources to implement universal screening and management of postpartum depression [23]. However, health care providers may be more apt to screen and provide targeted care to women with high risk conditions [24], such as a previous preterm birth.…”

Section: Introductionmentioning

confidence: 99%

Do Successive Preterm Births Increase the Risk of Postpartum Depressive Symptoms?

Ihongbe

Masho

2017

Journal of Pregnancy

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Background Postpartum depression and preterm birth (PTB) are major problems affecting women's health. PTB has been associated with increased risk of postpartum depressive symptoms (PDS). However, it is unclear if PTB in women with a prior history of PTB is associated with an incremental risk of PDS. This study aims to determine if PTB in women with a prior history of PTB is associated with an incremental risk of PDS. Methods Data come from the 2009–2011 national Pregnancy Risk Assessment Monitoring System. Study sample included 55,681 multiparous women with singleton live births in the index delivery. Multiple logistic regression was used to examine the association between PTB and PDS. Results The risk of PDS was 55% higher in women with PTB in both deliveries (aRR = 1.55; 95% CI = 1.28–1.88) and 74% higher in women with PTB in the index delivery only (aRR = 1.74; 95% CI = 1.49–2.05), compared to women with term deliveries. Conclusions Preterm birth is a risk factor for PDS. PTB in women with a prior history of PTB is not associated with an incremental risk of PDS. Routine screening for PDS should be conducted for all women and closer monitoring should be done for high risk women with PTB.

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“…Sub-population screening can be more cost-effective in the short term, but the challenge of missing mothers at risk of developing depression while no antenatal risk factors remains. [24] The effects of PND on the mother, her marital relationship, and her children make it an important condition to diagnose, treat and prevent. [10,11,18,24,25] If postpartum depression is to be prevented by clinical or public health intervention, its risk factors need to be reliably identified.…”

Section: Discussionmentioning

confidence: 99%

“…[24] The effects of PND on the mother, her marital relationship, and her children make it an important condition to diagnose, treat and prevent. [10,11,18,24,25] If postpartum depression is to be prevented by clinical or public health intervention, its risk factors need to be reliably identified. Postpartum depression is often treated with psychotherapy (also called talk therapy or mental health counselling), medication or both.…”

Section: Discussionmentioning

confidence: 99%

Postnatal depressive features in mothers of neonates admitted to a neonatal unit at Steve Biko Academic Hospital: The role of sociodemographic and psychosocial factors

et al. 2020

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Background. Postnatal depression (PND) is one of the most common complications following delivery. The development of PND is closely linked with biological, psychological, socioeconomic and cultural factors. Objectives. To determine the prevalence and identify risk factors for PND in mothers delivering at Steve Biko Academic Hospital (SBAH) whose babies were admitted to the neonatal unit. Methods. We conducted a prospective observational study at SBAH, Pretoria, South Africa (SA). Women who delivered between 26 and 42 weeks' gestation at SBAH and whose babies were admitted to the neonatal unit were recruited at delivery. Interview screening using the Edinburgh Postnatal Depression Scale (EPDS) was conducted regarding the mother's experience of her pregnancy and delivery. Sociodemographic and psychosocial data from the mothers were included in a multiple logistic regression model to estimate association with PND symptoms. Results. Between 11 March and 30 December 2017, 2 671 mothers delivered at SBAH. Of these, 196 (7.3%) babies were admitted to the neonatal intensive care unit (NICU) and 10 (0.3%) were admitted to the neonatal high care unit (NHC). Mothers' accommodation during their babies' admission to the neonatal unit (p=0.002), having poor interpersonal relationships (p<0.0001), and intimate partner violence (IPV) (p=0.004) were significantly associated with screening positive for PND. Conclusion. Accommodation during neonatal care, availability of counselling, inclusion of the partner in postnatal care and IPV are significant factors in the depressive symptoms experienced by mothers postpartum in this setting.

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Examining the Screening Practices of Physicians for Postpartum Depression: Implications for Improving Health Outcomes

Cited by 58 publications

References 40 publications

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

Do Successive Preterm Births Increase the Risk of Postpartum Depressive Symptoms?

Postnatal depressive features in mothers of neonates admitted to a neonatal unit at Steve Biko Academic Hospital: The role of sociodemographic and psychosocial factors

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