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

被引:13
作者
Burton, Aiyanna [1 ]
Patel, Sagar [2 ]
Kaminsky, Lillian [1 ]
Del Rosario, Gelen [2 ]
Young, Roseyln
Fitzsimmons, Adriana [3 ]
Canterino, Joseph C. [1 ,2 ]
机构
[1] Univ Med & Dent New Jersey, Robert Wood Johnson Univ Hosp, Dept Obstet Gynecol & Reprod Sci, New Brunswick, NJ USA
[2] Jersey Shore Univ Med Ctr, Dept Obstet & Gynecol, Neptune, NJ USA
[3] Dept Psychiat, Neptune, NJ USA
关键词
Postpartum depression; screening; psychiatric care; POSTPARTUM DEPRESSION; POSTNATAL DEPRESSION; PERINATAL DEPRESSION; SCALE; RATES; POPULATION; BARRIERS; WOMEN; RISK;
D O I
10.3109/14767058.2010.547234
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:1321 / 1324
页数:4
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