Prenatal depression screening and antidepressant prescription: obstetrician-gynecologists’ practices, opinions, and interpretation of evidence
Autor: | Jay Schulkin, Lauren Stark, Kristen A. Matteson, Laura H. Taouk |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Attitude of Health Personnel education 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy Humans Medicine 030212 general & internal medicine Medical prescription Psychiatry Depression (differential diagnoses) 030219 obstetrics & reproductive medicine Depression business.industry Obstetrics Obstetrics and Gynecology Prenatal Care Serotonin reuptake medicine.disease Depression screening Antidepressive Agents Psychiatry and Mental health Cross-Sectional Studies Gynecology Antidepressant Female business Perinatal Depression |
Zdroj: | Archives of Women's Mental Health. 21:85-91 |
ISSN: | 1435-1102 1434-1816 |
Popis: | Obstetrician-gynecologists (ob-gyns) are well-positioned to detect symptoms of perinatal depression; however, little is known about how ob-gyns respond. The purpose of this study was to evaluate ob-gyns' beliefs and practices related to prenatal depression screening and antidepressant prescription during pregnancy. A larger survey on prenatal medication was developed at the American College of Obstetricians and Gynecologists (ACOG) and distributed to a sample of 1000 Fellows. The overall response rate was 37.9% (N = 379). Two hundred eighty-eight provided care to pregnant patients and therefore, responded to questions on prenatal depression screening and antidepressant prescription. Most ob-gyns (87.8%) routinely screened patients for depression at least once during pregnancy. When symptoms of depression were reported, 52.1% "sometimes" prescribed an antidepressant medication with 22.5% doing so "usually or always". While 84.0% prescribed selective serotonin reuptake inhibitors (SSRIs) to pregnant patients, only 31.9% prescribed non-SSRIs. Ob-gyns felt comfortable prescribing SSRIs (78.1%) and counseled patients that the benefits of treating depression pharmacologically outweigh the risks (83.0%), and the use of SSRIs during pregnancy is relatively safe (87.5%). Prescribing SSRIs to pregnant patients was not significantly associated with interpretation of evidence on fetal and neonatal outcomes. Findings suggest most ob-gyns in the USA at least sometimes prescribe antidepressants in response to patient reports of depression symptoms during pregnancy. Mixed interpretations of evidence regarding the effects of SSRIs on fetal and neonatal outcomes reflect a critical need for high-quality safety data upon which to base treatment recommendations. |
Databáze: | OpenAIRE |
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