John Thoppil1, Terri L Riutcel, Sally W Nalesnik. 1. Obstetrics and Gynecology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Tex 78236, USA. thoppil@mailblocks.com
Abstract
OBJECTIVE: This study was undertaken to design a process that effectively identifies and facilitates early intervention for women in an obstetrics clinic who are at risk for postpartum depression. STUDY DESIGN: Under this new program, labeled ISIS (Identify, Screen, Intervene, Support), we educated our new obstetric patients and clinic staff about postpartum depression through patient education classes, departmental lectures, and handouts. Then, we implemented simple procedures to identify risk factors for depression at intake and screened for depressive symptoms at the 32-week visit using the Edinburgh Postnatal Depression Scale (EPDS). In addition, we facilitated treatment of at-risk or symptomatic patients with the introduction of a social work consultant in the clinic setting. RESULTS: In an obstetric chart review, 75% of our patients were screened for depression in pregnancy. Ten percent of these women demonstrated symptoms of depression warranting further evaluation. CONCLUSION: Preliminary data from our multidisciplinary approach suggest that educating, screening, and appropriately treating or referring these women can take place in a busy obstetric clinic.
OBJECTIVE: This study was undertaken to design a process that effectively identifies and facilitates early intervention for women in an obstetrics clinic who are at risk for postpartum depression. STUDY DESIGN: Under this new program, labeled ISIS (Identify, Screen, Intervene, Support), we educated our new obstetric patients and clinic staff about postpartum depression through patient education classes, departmental lectures, and handouts. Then, we implemented simple procedures to identify risk factors for depression at intake and screened for depressive symptoms at the 32-week visit using the Edinburgh Postnatal Depression Scale (EPDS). In addition, we facilitated treatment of at-risk or symptomatic patients with the introduction of a social work consultant in the clinic setting. RESULTS: In an obstetric chart review, 75% of our patients were screened for depression in pregnancy. Ten percent of these women demonstrated symptoms of depression warranting further evaluation. CONCLUSION: Preliminary data from our multidisciplinary approach suggest that educating, screening, and appropriately treating or referring these women can take place in a busy obstetric clinic.
Authors: Jehannine C Austin; Christina G S Palmer; Beth Rosen-Sheidley; Patricia McCarthy Veach; Elizabeth Gettig; Holly L Peay Journal: J Genet Couns Date: 2007-12-11 Impact factor: 2.537
Authors: Holly L Peay; Patricia McCarthy Veach; Christina G S Palmer; Beth Rosen-Sheidley; Elizabeth Gettig; Jehannine C Austin Journal: J Genet Couns Date: 2007-10-26 Impact factor: 2.537
Authors: Elke Tichelman; Myrte Westerneng; Anke B Witteveen; Anneloes L van Baar; Henriëtte E van der Horst; Ank de Jonge; Marjolein Y Berger; François G Schellevis; Huibert Burger; Lilian L Peters Journal: PLoS One Date: 2019-09-24 Impact factor: 3.240