Perinatal Depression and Anxiety — Implementing Screening and Response Protocols [6N]

Keats, John P.; Kendig, Sue; Simas, Tiffany A. Moore; Byatt, Nancy; Hoffman, Camille; Kay, Lisa B.

doi:10.1097/01.aog.0000514716.73888.2a

Cited by 4 publications

(3 citation statements)

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“…Routine, standardized screening in pregnancy for mental health disorders is recommended in high-income countries, including the United Kingdom [13], the United States [14], and Australia [1]. Implementation of such processes requires consideration of each setting [15]. In Australia, these recommendations have not been well implemented because of significant barriers at both the level of the service and the individual.…”

Section: Introductionmentioning

confidence: 99%

Improving Mental Health in Pregnancy for Refugee Women: Protocol for the Implementation and Evaluation of a Screening Program in Melbourne, Australia

Boyle¹,

Willey²,

Blackmore³

et al. 2019

JMIR Res Protoc

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Background Identifying mental health disorders in migrant and refugee women during pregnancy provides an opportunity for interventions that may benefit women and their families. Evidence suggests that perinatal mental health disorders impact mother-infant attachment at critical times, which can affect child development. Postnatal depression resulting in suicide is one of the leading causes of maternal mortality postpartum. Routine screening of perinatal mental health is recommended to improve the identification of depression and anxiety and to facilitate early management. However, screening is poorly implemented into routine practice. This study is the first to investigate routine screening for perinatal mental health in a maternity setting designed for refugee women. This study will determine whether symptoms of depression and anxiety are more likely to be detected by the screening program compared with routine care and will evaluate the screening program’s feasibility and acceptability to women and health care providers (HCPs). Objective The objectives of this study are (1) to assess if refugee women are more likely to screen risk-positive for depression and anxiety than nonrefugee women, using the Edinburgh Postnatal Depression Scale (EPDS); (2) to assess if screening in pregnancy using the EPDS enables better detection of symptoms of depression and anxiety in refugee women than current routine care; (3) to determine if a screening program for perinatal mental health in a maternity setting designed for refugee women is acceptable to women; and (4) to evaluate the feasibility and acceptability of the perinatal mental health screening program from the perspective of HCPs (including the barriers and enablers to implementation). Methods This study uses an internationally recommended screening measure, the EPDS, and a locally developed psychosocial questionnaire, both administered in early pregnancy and again in the third trimester. These measures have been translated into the most common languages used by the women attending the clinic and are administered via an electronic platform (iCOPE). This platform automatically calculates the EPDS score and generates reports for the HCP and woman. A total of 119 refugee women and 155 nonrefugee women have been recruited to evaluate the screening program’s ability to detect depression and anxiety symptoms and will be compared with 34 refugee women receiving routine care. A subsample of women will participate in a qualitative assessment of the screening program’s acceptability and feasibility. Health service staff have been recruited to evaluate the integration of screening into maternity care. Results The recruitment is complete, and data collection and analysis are underway. Conclusions It is anticipated that screening will increase the identification and management of depression and anxiety symptoms in pregnancy. New information will be generated on how to implement such a program in feasible and acceptable ways that will improve health outcomes for refugee women. International Registered Report Identifier (IRRID) DERR1-10.2196/13271

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Section: Introductionmentioning

confidence: 99%

Improving Mental Health in Pregnancy for Refugee Women: Protocol for the Implementation and Evaluation of a Screening Program in Melbourne, Australia

Boyle¹,

Willey²,

Blackmore³

et al. 2019

JMIR Res Protoc

View full text Add to dashboard Cite

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“…A gravidez é um momento de vulnerabilidade para o início ou recaída de doença mental (1) . Neste período, a depressão é o transtorno psiquiátrico mais prevalente, com sintomas que variam de leves a graves (2)(3) . Revisão sistemática de estudos realizados em países desenvolvidos e de baixa renda relatou prevalência de depressão pré-natal na faixa de 15,6% a 31,1% (1) .…”

Section: Introductionunclassified

Risco de depressão na gravidez entre gestantes inseridas na assistência pré-natal de alto risco

Ribeiro

Cieto

Silva

2022

Rev. esc. enferm. USP

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RESUMO Objetivo: identificar o risco de depressão na gravidez entre gestantes em acompanhamento na assistência pré-natal de alto risco, avaliar os fatores associados ao maior risco de depressão na gravidez e comparar o risco de depressão em cada trimestre gestacional. Método: estudo descritivo, correlacional, transversal, realizado com 151 gestantes em acompanhamento pré-natal em ambulatório de gestação de alto risco de um hospital universitário no estado de São Paulo, Brasil. Os dados foram coletados por um formulário online. Foram realizados os Testes do Qui-Quadrado e Exato de Fisher. Após a análise bivariada, as variáveis foram incluídas no modelo de regressão logística. No modelo final, foi calcula a Razão de Chances. Resultados: 118 (78,1%) gestantes apresentaram maior risco de depressão na gravidez, o qual foi maior no primeiro trimestre, mas sem significância estatística. O número de gestações (OR = 0,32) e o estado civil (OR = 0,07) permaneceram associados significativamente ao maior risco de depressão na gravidez como fatores de proteção. Conclusão: os resultados elucidam a importância do rastreamento do risco de depressão e a necessidade significativa de melhorar o acesso a intervenções eficazes para prevenção da depressão pré-natal e promoção da sua saúde mental.

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“…Pregnancy is a time of vulnerability for the onset or relapse of mental illness (1) . In this period, depression is the most prevalent psychiatric disorder, with symptoms ranging from mild to severe (2)(3) . A systematic review of studies conducted in developed and low-income countries reported a prevalence of prenatal depression in the range of 15.6% to 31.1% (1) .…”

Section: Introductionmentioning

confidence: 99%

Risk of depression in pregnancy among pregnant women undergoing high-risk prenatal care

Ribeiro

Cieto

Silva

2022

Rev. esc. enferm. USP

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Objective: to identify the risk of depression in pregnancy among pregnant women undergoing follow-up in high-risk prenatal care, to assess the factors associated with higher risk of depression in pregnancy and to compare the risk of depression in each gestational trimester. Method: this is a descriptive, correlational, cross-sectional study, conducted with 151 pregnant women in prenatal care in a high-risk pregnancy outpatient clinic at a university hospital in the state of São Paulo, Brazil. Data were collected through an online form. Chi-square and Fisher’s exact tests were performed. After the bivariate analysis, the variables were included in the logistic regression model. In the final model, the Odds Ratio was calculated. Results: 118 (78.1%) pregnant women had a higher risk of depression during pregnancy, which was higher in the first trimester, but without statistical significance. The number of pregnancies (OR = 0.32) and marital status (OR = 0.07) remained significantly associated with higher risk of depression during pregnancy as protective factors. Conclusion: the results elucidate the importance of screening for depression risk and the significant need to improve access to effective interventions for preventing prenatal depression and promoting mental health.

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Perinatal Depression and Anxiety — Implementing Screening and Response Protocols [6N]

Cited by 4 publications

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Improving Mental Health in Pregnancy for Refugee Women: Protocol for the Implementation and Evaluation of a Screening Program in Melbourne, Australia

Improving Mental Health in Pregnancy for Refugee Women: Protocol for the Implementation and Evaluation of a Screening Program in Melbourne, Australia

Risco de depressão na gravidez entre gestantes inseridas na assistência pré-natal de alto risco

Risk of depression in pregnancy among pregnant women undergoing high-risk prenatal care

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