Depression Screening During Pregnancy and the Postpartum Period: Enhancing Informed Consent Practices

Vaswani, Akansha; Karter, Justin M.; Cosgrove, Lisa; Peters, Shannon M.; Brodt, Madeline

doi:10.1080/23293691.2018.1429532

Cited by 4 publications

(3 citation statements)

References 51 publications

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“…Indeed, questionnaire-based depression screening is congruent with an audit culture that uses technology to monitor the public, for screening is quite different than a clinical assessment of depression. The latter refers to health care providers using their clinical skills to closely observe and ask thoughtful, contextual questions about a patient’s experience and current situation (Vaswani, Karter, Cosgrove, Peters, & Brodt, 2018). Screening for depression differs from clinical assessment in terms of both intent (early detection) and the mechanization of the process, for a questionnaire score, rather than collaborative decision-making, determines the next steps.…”

Section: Implications Of the Recent Us Preventive Services Task Force...mentioning

confidence: 99%

“…In the new maternalism, the “bad mother” is constructed through discourses and practices that reinstall gender normativity. Indeed, normative motherhood, much like normative femininity, requires a serene comportment uncontaminated by “negative” emotions such as frustration or anxiety (Cosgrove & Riddle, 2003; Vaswani et al, 2018). Historically, women’s responses to stressful, unjust situations have been medicalized and pathologized (McHugh & Chrisler, 2015).…”

Section: Conclusion: the Wrong Prescription For Women: “Mama Called T...mentioning

confidence: 99%

See 1 more Smart Citation

Fetal rights, the policing of pregnancy, and meanings of the maternal in an age of neoliberalism.

Cosgrove¹,

Vaswani²

2020

Journal of Theoretical and Philosophical Psychology

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Using protective custody statutes as the grounds for litigation, an increasing number of states have initiated lawsuits against pregnant women on behalf of the fetus ("baby Jane Doe versus Ms. Doe") in what has been referred to as maternal-fetal conflict. Most of these cases have involved pregnant women taking illicit drugs. However, women's constitutional rights, in particular the right not to be subjected to "cruel and unusual punishment" (U.S. Const. amend. VIII) and the "right to be secure in their persons" (U.S. Const. amend. IV), as well as the right to refuse treatment, have been denied because they stopped taking a licit drug for a mental health condition (e.g., because they were concerned about the potential effects on fetal development). Recently, the U.S. Preventive Services Task Force (Siu et al., 2016) recommended routine depression screening for women during pregnancy and postpartum. The authors discuss the U.S. Preventive Services Task Force recommendation from a Foucauldian perspective, considering the possibility that routine questionnaire-based depression screening may serve as a neoliberal surveillance tactic, thereby undermining women's ability to have control over their bodies and to be self-determining. Medical neoliberalism and the unintended consequences of screening-qua-surveillance are reviewed in terms of recent legal cases of maternal-fetal conflict. Public Significance StatementPractitioners should be aware that questionnaire-based screening for depression is not evidence-based and has many iatrogenic effects. Additionally, depression screening during pregnancy pathologizes and de-politicizes women's experiences of pregnancy and maternal stress. It may serve as a neoliberal surveillance tactic, thereby undermining women's ability to have control over their bodies and to be self-determining. Medical neoliberalism and the unintended consequences of screening-qua-surveillance are reviewed in terms of recent legal cases of maternalfetal conflict.

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Section: Implications Of the Recent Us Preventive Services Task Force...mentioning

confidence: 99%

Section: Conclusion: the Wrong Prescription For Women: “Mama Called T...mentioning

confidence: 99%

Fetal rights, the policing of pregnancy, and meanings of the maternal in an age of neoliberalism.

Cosgrove¹,

Vaswani²

2020

Journal of Theoretical and Philosophical Psychology

Self Cite

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“…Cela dit, ce dépistage peut être considéré comme coercitif, en allant, de façon proactive, arracher aux femmes un dévoilement sur des symptômes qui auraient peut-être pu rester cachés ou, surtout, être traduits s autrement que par un diagnostic de dépression et traitement médical. À cet égard, Vaswani et al (36) démontrent que le dépistage universel de la dépression, en particulier auprès des femmes enceintes ou en post-partum, n'est pas appuyé par des données probantes solides. Les outils de dépistage courants seraient associés à une proportion de faux positifs pouvant aller jusqu'à 50 %, alors que les antidépresseurs, considérés comme le traitement de première intention, ne sont pas sans risques pour le foetus ou le bébé allaité.…”

Section: La Dépression Post-partumunclassified

Le dévoilement de soi dans la recherche d’aide et le suivi dans les services de santé mentale et psychiatrie

Martin

2020

bioethics

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Emotion Dysregulation Robustly Predicts Depressive Symptoms above and beyond Life Events and Social Support in Sub-Saharan African Pregnant Women

Ifeagwazi

Obiajulu²,

Chukwuorji

et al. 2021

Women's Reproductive Health

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Depression Screening During Pregnancy and the Postpartum Period: Enhancing Informed Consent Practices

Cited by 4 publications

References 51 publications

Fetal rights, the policing of pregnancy, and meanings of the maternal in an age of neoliberalism.

Fetal rights, the policing of pregnancy, and meanings of the maternal in an age of neoliberalism.

Le dévoilement de soi dans la recherche d’aide et le suivi dans les services de santé mentale et psychiatrie

Emotion Dysregulation Robustly Predicts Depressive Symptoms above and beyond Life Events and Social Support in Sub-Saharan African Pregnant Women

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