A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother & Infant Survey

被引:18
作者
Watt S. [1 ,2 ]
Sword W. [2 ,3 ]
Krueger P. [4 ,5 ]
Sheehan D. [3 ,6 ,7 ]
机构
[1] School of Social Work, McMaster University, Hamilton, Ont.
[2] City of Hamilton, Social and Pub. Hlth. Serv. Dept., Pub. Hlth. Res., Educ./Devmt. Prog., Hamilton, Ont.
[3] School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ont.
[4] Dept. Clin. Epidemiol./Biostatist., McMaster University, Hamilton, Ont.
[5] St. J. Hlth. Care Syst. Res. Netwk., Brantford, Ont.
[6] City of Hamilton, Social and Pub. Hlth. Serv. Dept., Environ. Hlth. and Infect. Dis. Br., Hamilton, Ont.
[7] Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.
关键词
Maternal Depression; Postpartum Depression; Postpartum Woman; Public Health Nurse; Final Logistic Regression Model;
D O I
10.1186/1471-2296-3-5
中图分类号
学科分类号
摘要
Background: This survey's objective was to provide planning information by examining utilization patterns, health outcomes and costs associated with existing practices in the management of postpartum women and their infants. In particular, this paper looks at a subgroup of women who score ≥ 12 on the Edinburgh Postnatal Depression Survey (EPDS). Methods: The design is cross-sectional with follow-up at four weeks after postpartum hospital discharge. Five Ontario hospitals, chosen for their varied size, practice characteristics, and geographic location, provided the setting for the study. The subjects were 875 women who had uncomplicated vaginal deliveries of live singleton infants. The main outcome measures were the EPDS, the Duke UNC Functional Social Support Questionnaire and the Health and Social Services Utilization Questionnaire. Results: EPDS scores of ≥ 12 were found in 4.3 to 15.2% of otherwise healthy women. None of these women were being treated for postpartum depression. Best predictors of an EPDS score of ≥ 12 were lack: of confident support, lack of affective support, household income of <$20,000, wanting to stay in hospital longer, identification of learning needs while in hospital, self-identified care needs for an emotional/mental health problem that have not been met and mother's rating of own and baby's health as fair or poor. Conclusions: Primary care physicians, midwives, and public health nurses need to screen for depression at every opportunity early in the postpartum period. A mother's expression of undue concern about her own or her baby's health may be predictive of postpartum depression. Flexible, mother-focused support from community providers may decrease the prevalence of postpartum depression.
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页码:1 / 7
页数:6
相关论文
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