Depression in pregnancy: time of screening and access to psychiatric care.

Autor: Burton, Aiyanna, Patel, Sagar, Kaminsky, Lillian, Rosario, Gelen Del, Young, Roseyln, Fitzsimmons, Adriana, Canterino, Joseph C.
Předmět:
Zdroj: Journal of Maternal-Fetal & Neonatal Medicine; Nov2011, Vol. 24 Issue 11, p1321-1324, 4p
Abstrakt: Objective. To determine the timing of screening for postpartum depression that optimizes access to psychiatric care. Methods. Cross-sectional evaluation of women receiving obstetric care in a community-based medical center clinic from March to July 2006, who were screened for depression at 36 weeks gestation, delivery, and 6 weeks postpartum using the Edinburgh Postnatal Depression Scale. Positive screens generated referrals for psychiatric evaluation. The rate of positive screens for depression and psychiatric follow-up at each time point was evaluated. Results. Of the 293 patients evaluated, the distribution of the first screen which occurred during the study period was 21%% at 36 weeks, 31%% at delivery, and 48%% at 6 weeks postpartum. The incidence of a positive screen was 5%% at 36 weeks, 16%% at delivery and 14%% at 6 weeks postpartum. Access to psychiatric care occurred in 33%% at 36 weeks, 15%% at 6 weeks postpartum and 100%% at delivery ( p == 0.001). Conclusion. Screening for depression in the hospital after delivery improves access to psychiatric care. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index