Consensus statement on Singapore Perinatal Mental Health Guidelines on Depression and Anxiety.

Autor:	Chen H; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore.; Duke-National University of Singapore, Singapore., Chua TE; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore.; Duke-National University of Singapore, Singapore., Lee TMY; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore.; Duke-National University of Singapore, Singapore., Siak EJ; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore.; Duke-National University of Singapore, Singapore., Hong LF; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore.; Duke-National University of Singapore, Singapore., Ch'ng YC; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore., Yasmin H; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore., Chee CY; Duke-National University of Singapore, Singapore., Mok YM; Department of Psychological Medicine, National University Hospital, Singapore., Ong SH; Developmental Psychiatry, Institute of Mental Health, Singapore., Rajadurai VS; Neonatology, KK Women's and Children's Hospital, Singapore., Teoh TG; Obstetrics & Gynaecology, KK Women's and Children's Hospital, Singapore., Utravathy V; Outreach Division, Health Promotion Board, Singapore., Tan KH; Duke-National University of Singapore, Singapore.; Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore., Tan LK; Duke-National University of Singapore, Singapore.; Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore.
Jazyk:	angličtina
Zdroj:	Annals of the Academy of Medicine, Singapore [Ann Acad Med Singap] 2023 Sep 27; Vol. 52 (9), pp. 467-475. Date of Electronic Publication: 2023 Sep 27.
DOI:	10.47102/annals-acadmedsg.2023148
Abstrakt:	Introduction: Perinatal depression and anxiety are public health concerns affecting approximately 1 in 10 women in Singapore, with clear evidence of association with various adverse outcomes in mother and child, including low birthweight, preterm birth and negative impact on infant neurodevelopment, temperament and behaviour. A workgroup was formed to develop recommendations to address the perinatal mental health needs of women with depression and anxiety. The approach was broad-based and aimed to incorporate holistic methods that would be readily applicable to the network of care providers supporting childbearing women. Method: The Grading and Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision framework was employed to draw these guidelines. Workgroup members-comprising experts in the field of perinatal mental health and obstetric medicine-deliberated on the public health needs of the target population, and reviewed literature published from 2001 to 2022 that were relevant to improve the well-being of women with depression and anxiety during the preconception and perinatal periods. Results: A consensus meeting was held involving a wider professional network, including family physicians, paediatricians, psychiatrists, social services and the Health Promotion Board in Singapore. Conclusion: Ten consensus statements were developed, focusing on the overall aim of achieving optimal perinatal mental health for women with depression and anxiety. They relate to awareness and advice on preconception mental health, screening and assessment, optimising care and treatment. Special considerations were recommended for women who suffered severe maternal events, tailoring care for adolescents and women with special needs, and addressing infant mental health needs. Competing Interests: There was no conflict of interest for all authors.
Databáze:	MEDLINE
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