Impact of midwives’ training on postnatal depression screening in the first week post delivery: a quality improvement report

Jardri, Renaud; Maron, Michel; Pelta, J; Thomas, Pierre; Codaccioni, X; Goudemand, M.; Delion, Pierre

doi:10.1016/j.midw.2008.12.006

Cited by 18 publications

(35 citation statements)

References 33 publications

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“…All studies were published between 2006 and 2014 in Australia [7, 16–19], the United Kingdom (UK) [20–22], Scotland [8, 23], France [24], and Iceland [25]. The majority of the studies were conducted or involved providers in acute care settings ( n = 9) [7, 8, 16, 17, 19–22, 24], two involved a range of provider setting [18, 23], and only one study occurred in a community health centre [25]. There were various study designs represented in the 12 articles, with the majority being quantitative ( n = 11).…”

Section: Resultsmentioning

confidence: 99%

Approaches to health-care provider education and professional development in perinatal depression: a systematic review

Legere

Wallace

Bowen

et al. 2017

BMC Pregnancy Childbirth

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BackgroundPerinatal depression is the most common mental illness experienced by pregnant and postpartum women, yet it is often under-detected and under-treated. Some researchers suggest this may be partly influenced by a lack of education and professional development on perinatal depression among health-care providers, which can negatively affect care and contribute to stigmatization of women experiencing altered mood. Therefore, the aim of this systematic review is to provide a synthesis of educational and professional development needs and strategies for health-care providers in perinatal depression.MethodsA systematic search of the literature was conducted in seven academic health databases using selected keywords. The search was limited to primary studies and reviews published in English between January 2006 and May/June 2015, with a focus on perinatal depression education and professional development for health-care providers. Studies were screened for inclusion by two reviewers and tie-broken by a third. Studies that met inclusion criteria were quality appraised and data extracted. Results from the studies are reported through narrative synthesis.ResultsTwo thousand one hundred five studies were returned from the search, with 1790 remaining after duplicate removal. Ultimately, 12 studies of moderate and weak quality met inclusion criteria. The studies encompassed quantitative (n = 11) and qualitative (n = 1) designs, none of which were reviews, and addressed educational needs identified by health-care providers (n = 5) and strategies for professional development in perinatal mental health (n = 7). Consistently, providers identified a lack of formal education in perinatal mental health and the need for further professional development. Although the professional development interventions were diverse, the majority focused on promoting identification of perinatal depression and demonstrated modest effectiveness in improving various outcomes.ConclusionsThis systematic review reveals a lack of strong research in multi-disciplinary, sector, site, and modal approaches to education and professional development for providers to identify and care for women at risk for, or experiencing, depression. To ensure optimal health outcomes, further research comparing diverse educational and professional development approaches is needed to identify the most effective strategies and consistently meet the needs of health-care providers.Trial registrationA protocol for this systematic review was registered on PROSPERO (Protocol number: CRD42015023701), June 21, 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1431-4) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Approaches to health-care provider education and professional development in perinatal depression: a systematic review

Legere

Wallace

Bowen

et al. 2017

BMC Pregnancy Childbirth

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“…At the same time, psychiatrists should point out to midwives that women at risk of PND often show minimal somatic symptoms. Primary health-care workers need to pay particular attention to other clinical cues, to improve early PND screening, such as a previous history of mood disorder, socio-economic problems, poor family support, infant prematurity and difficulties in the mother-baby relationship (such as stopping breastfeeding in the first month for non-medical reasons) [16]. These markers are characterised by very mild symptoms, but if spotted, they could allow PND screening to be improved in the maternity unit.…”

Section: Discussionmentioning

confidence: 99%

“…Midwives assessed the risk for subsequent PND before the fifth day PP (see also [16]). We collected data on how the pregnancy, delivery and early postpartum period had gone as well as the patient's consent form from computerised medical records.…”

Section: Methodsmentioning

confidence: 99%

Pain as a confounding factor in postnatal depression screening

Jardri

Maron

Delion

et al. 2010

Journal of Psychosomatic Obstetrics & Gynecology

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Multivariate risk analysis showed no statistical link between physical pain shortly after childbirth and subsequent PND diagnosis at 8 weeks PP. However, VAS measurements for pain were significantly higher for women that the midwives estimated to be at risk for PND (|Z| = 2.78, p = 0.005), suggesting the routine clinical screening for PND is susceptible for false-positives. Psychiatrists should encourage midwives to have an empathetic approach, to increase the detection as well as treatment of mental and physical suffering in early postpartum. At the same time, adequate education programmes for early PND screening should be proposed to non-psychiatric staffs to demonstrate that women at risk of PND often show minimal physical symptoms.

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“…As 90% of midwives in Ross-Davie et al's (2006) study were of the view that psychological care is a core part of their role, the issue appears to be more about knowledge than willingness; hence, there is a need to include a module on motherhood and perinatal mental health issues, in all undergraduate and postgraduate midwifery programmes. While studies do demonstrate the positive outcomes of education in the area of postnatal depression and screening tools (Gerrard et al, 1993, Ross-Davie et al, 2006, Jardri et al, 2010. As women may experience the re-emergence of past mental health issues, in addition to development of problems for the first time there is a need to broaden education beyond postnatal depression.…”

mentioning

confidence: 99%

Mothers with mental health problems: Contrasting experiences of support within maternity services in the Republic of Ireland

et al. 2016

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Objective: to explore the views and experiences of women with mental health difficulties, in the Republic of Ireland, accessing and receiving care from publicly-funded maternity care services during pregnancy, childbirth and immediate postnatal period in hospital.Participants: In total 20 women with a range of mental health problems were recruited. The women had given birth within maternity services with and without specialist perinatal mental health services.Design: A qualitative descriptive design using in-depth face to face interviews was used to explore women's experience. Data were analysed using an inductive thematic process.Findings: the study offers valuable insights into the maternity care experiences of women with mental health problems, and highlights the deficits and fragmentation of care in maternity units that do not have a specialist mental health service. Even when the women voluntarily disclosed their difficulties, midwives appeared to lack the knowledge and skills to respond sensitively and responsively.Key conclusions and implications for practice: there is a need to expand perinatal mental health services in the Republic of Ireland, so that quality service provision is not dependent on geography. In addition, there is a need for education to address the lack of knowledge and understanding of perinatal mental health problems amongst maternity care practitioners.

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Impact of midwives’ training on postnatal depression screening in the first week post delivery: a quality improvement report

Cited by 18 publications

References 33 publications

Approaches to health-care provider education and professional development in perinatal depression: a systematic review

Approaches to health-care provider education and professional development in perinatal depression: a systematic review

Pain as a confounding factor in postnatal depression screening

Mothers with mental health problems: Contrasting experiences of support within maternity services in the Republic of Ireland

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