P1-234 Prenatal screening for suboptimal mental health in the postpartum period

Abstract

provide all levels of oncologic care. The aim of this study was to assess the need for palliative care in hospitalised cancer patients in Mato Grosso do Sul, one of the Brazilian states that has no public hospital offering this type of care. Methods A descriptive study of all hospitalisations due to "complications of clinical oncology (ICPO)" in hospitals of the Unified Health System (SUS) in the state of Mato Grosso do Sul, Brazil, was conducted from January 2008 to August 2010. Data were obtained from the Hospital Information System of the Unified Health System (SIH-SUS). Results There were 5165 hospitalisations for ICPO with cancer as the underlying cause in 94.7%. Average length of stay was 6.2 days and 1189 patients (23.0%) died. Individuals aged 65 years or older accounted for 44.3% of these deaths and for every 3.5 hospital admissions in this age group, one ended in death. Many patients died without the appropriate care. Conclusion The ageing of the population and the increased incidence of cancer brought new challenges to the Brazilian Unified Health System, including the need for palliative care. This need is not always met for instance as in Mato Grosso do Sul. In this sense, deaths of patients hospitalised for ICPO can be thought of as indicators of advanced disease and they could be useful to national and state policies for oncologic palliative care.

Breastfeeding difficulties and supports and risk of postpartum depression in a cohort of womenwho have given birth in Calgary: a prospective cohort study

“…[62][63][64] The reduced risk among women who did not have a negative breastfeeding support experience(s) was congruent with the study hypotheses and is in keeping with the literature on risk of postpartum depression. 53,54 Poor satisfaction with social supports and low perceived partner support are known risk factors for postpartum depression, whereas positive social support interventions have shown effectiveness in the treatment of the condition. 53,54 The observed protective effect of breastfeeding difficulties with respect to postpartum depression may seem counterintuitive, as it suggests that breastfeeding difficulties have a positive effect on maternal mental health.…”

“…53,54 Poor satisfaction with social supports and low perceived partner support are known risk factors for postpartum depression, whereas positive social support interventions have shown effectiveness in the treatment of the condition. 53,54 The observed protective effect of breastfeeding difficulties with respect to postpartum depression may seem counterintuitive, as it suggests that breastfeeding difficulties have a positive effect on maternal mental health. However, the observed protective effect is likely due to the fact that women who are having breastfeeding difficulties are more likely to receive more support than those who have no difficulties.…”

“…53,54 The data for participants with a positive result of screening for depression when their baby was born were excluded from the primary analysis to ensure the time sequence between breastfeeding difficulties and postpartum depression could be established and to avoid misclassification bias. We converged the qualitative results with the primary quantitative analysis by deriving a binary "negative breastfeeding support experience (Yes/ No)" variable from the qualitative themes.…”