Screening for maternal postpartum depression during infant hospitalizations

Trost, Margaret; Molas-Torreblanca, Kira; Man, Carol; Casillas, Ernesto; Sapir, H.; Schrager, Sheree M.

doi:10.1002/jhm.2646

Cited by 17 publications

(15 citation statements)

References 34 publications

(61 reference statements)

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“…After we uncovered this low uptake of referral, we published a systematic review on the issue of uptake of referral [14]. In that review, we found that the top reasons were lack of time and perception that mood had improved [31][32][33][34][35][36][37]. Other reasons included cost concerns, transportation problems, and the perception of the nature of PND [31,33,38].…”

Section: Discussionmentioning

confidence: 99%

Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression

Gong

Jin

Cheng

et al. 2020

IJERPH

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China recently issued a national plan on perinatal depression (PND) screening. Previous studies elsewhere suggested that uptake of referral after screening for PND is suboptimal, but little is known in China. In this cohort study including 1126 women in Hunan, we identified women at a high risk of PND using the Edinburgh Postpartum Depression Scale (EPDS) over multiple time points. We texted them and offered free consultations with a psychiatrist/psychologist. Among 248 screen-positive women, only three expressed interest and one attended the appointment. We surveyed the women about their reasons for declining referrals and preferred means of care. Of the 161 respondents, 128 (79.5%) indicated that they could cope with the condition without professional assistance and 142 (88.2%) chose their families as the preferred source of help. Only 15 (9.3%) chose professionals as their first option. Implementing a referral policy for screen-positive women would mean approximately one-third of women who gave birth in China would be eligible. Our result argues against referring all screen-positive women for professional services at this time. Interventions should instead build upon the tradition of family support in a more engaged response. These considerations are relevant for the implementation of national screening for PND in China.

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Section: Discussionmentioning

confidence: 99%

Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression

Gong

Jin

Cheng

et al. 2020

IJERPH

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“…Education on the definition, symptom and hazard of perinatal depression, prenatal depression or postnatal depression for women with positive screening results, mostly in the form of brochures (Miller et al, 2004;Flynn et al, 2006;Chen et al, 2011;Wisner et al, 2013;Bina, 2014;Boyd et al, 2015;BenDavid et al, 2016;Trost et al, 2016;Bauer et al, 2017;Jarvis et al, 2018).…”

Section: Educationmentioning

confidence: 99%

“…Health care provider training Training of health care provider in the knowledge and practice on screening, diagnosis, referral and management (Gordon et al, 2006;Miller et al, 2009;Milgrom et al, 2011;Honikman et al, 2012;Miller et al, 2012;Segre et al, 2012;Yawn et al, 2012;Wisner et al, 2013;BenDavid et al, 2016;Trost et al, 2016).…”

Section: Assistance In Referralmentioning

confidence: 99%

Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis

Xue

Cheng

et al. 2020

Epidemiol Psychiatr Sci

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Aims Perinatal depression threatens the health of maternal women and their offspring. Although screening programs for perinatal depression exist, non-uptake of referral to further mental health care after screening reduces the utility of these programs. Uptake rates among women with positive screening varied widely across studies and little is known about how to improve the uptake rate. This study aimed to systematically review the available evidence on uptake rates, estimate the pooled rate, identify interventions to improve uptake of referral and explore the effectiveness of those interventions. Methods This systematic review has been registered in PROSPERO (registration number: CRD42019138095). We searched Pubmed, Web of Science, Cochrane Library, Ovid, Embase, CNKI, Wanfang Database and VIP Databases from database inception to January 13, 2019 and scanned reference lists of relevant researches for studies published in English or Chinese. Studies providing information on uptake rate and/or effectiveness of interventions on uptake of referral were eligible for inclusion. Studies were excluded if they did not report the details of the referral process or did not provide exact uptake rate. Data provided by observational studies and quasi-experimental studies were used to estimate the pooled uptake rate through meta-analysis. We also performed meta-regression and subgroup analyses to explore the potential source of heterogeneity. To evaluate the effectiveness of interventions, we conducted descriptive analyses instead of meta-analyses since there was only one randomised controlled trial (RCT). Results Of 2302 records identified, 41 studies were eligible for inclusion, including 39 observational studies (n = 9337), one quasi-experimental study (n = 43) and one RCT (n = 555). All but two studies were conducted in high-income countries. The uptake rates reported by included studies varied widely and the pooled uptake rate of referral was 43% (95% confidence intervals [CI] 35–50%) by a random-effect model. Meta-regression and subgroup analyses both showed that referral to on-site assessment or treatment (60%, 95% CI 51–69%) had a significantly higher uptake rate than referral to mental health service (32%, 95% CI 23–41%) (odds ratio 1.31, 95% CI 1.13–1.52). The included RCT showed that the referral intervention significantly improved the uptake rate (p ＜ 0.01). Conclusions Almost three-fifths of women with positive screening results do not take up the referral offers after perinatal depression screening. Referral to on-site assessment and treatment may improve uptake of referral, but the quality of evidence on interventions to increase uptake was weak. More robust studies are needed, especially in low-and middle-income countries.

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“…3 There is some evidence that screening for perinatal depression can also be conducted effectively in emergency department and pediatric inpatient settings for the mother of an infant in the first year of life. 159,160…”

Section: Role Of the Primary Pediatric Clinician And The Ppcmhmentioning

confidence: 99%

Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

Mattson²,

et al. 2018

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Perinatal depression is the most common obstetric complication in the United States, with prevalence rates of 15% to 20% among new mothers. Untreated, it can adversly affect the well-being of children and families throught increasing the risk for costly complications during birth and lead to deterioration of core supports, including partner relationships and social networks. Perinatal depression contributes to long-lasting, and even permanent, consequences for the physical and mental health of parents and children, including poor family functioning, increased risk of child abuse and neglect, delayed infant development, perinatal obstetric complications, challenges with breastfeeding, and costly increases in health care use. Perinatal depression can interfere with early parent-infant interaction and attachment, leading to potentially long-term disturbances in the child's physical, emotional, cognitive, and social development. Fortunately, perinatal depression is identifiable and treatable. The US Preventive Services Task Force, Centers for Medicare and Medicaid Services, and many professional organizations recommend routine universal screening for perinatal depression in women to facilitate early evidence-based treatment and referrals, if necessary. Despite significant gains in screening rates from 2004 to 2013, a minority of pediatricians routinely screen for postpartum depression, and many mothers are still not identified or treated. Pediatric primary care clinicians, with a core mission of promoting child and family health, are in an ideal position to implement routine postpartum depression screens at several well-child visits throughout infancy and to provide mental health support through referrals and/or the interdisciplinary services of a pediatric patient-centered medical home model.

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Screening for maternal postpartum depression during infant hospitalizations

Cited by 17 publications

References 34 publications

Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression

Chinese Women’s Acceptance and Uptake of Referral after Screening for Perinatal Depression

Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis

Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

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