Emma Bränn1, Emma Fransson2, Anna Wikman3, Natasa Kollia4, Diem Nguyen3, Caroline Lilliecreutz5, Alkistis Skalkidou3. 1. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. Electronic address: emma.brann@kbh.uu.se. 2. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden. 3. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. 4. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece. 5. Department of Obstetrics and Gynaecology, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Abstract
BACKGROUND: Universal screening for postpartum depression is crucial for early detection, interventions and support. The aim of this study was to describe the proportion of, and explore risk factors for, women not being offered screening, as well as for declining an offer or not being screened due to any other unknown reason. METHODS: Socioeconomic, obstetrical and neonatal data, extracted from the Swedish Pregnancy Registry, for 9,959 pregnancies recorded for the Östergötland county between 2016 and 2018 were linked to Edinburgh Postnatal Depression Scale (EPDS) screening results at 6-8 weeks postpartum, extracted from medical records. Risk factors were assessed using logistic regression models and with a nomogram for easy visualization. RESULTS: In total, there were no recorded offers of EPDS screening in the medical records for 30.0% of women at the postpartum follow-up. Women born outside of Sweden and women reporting poor self-rated health were at increased risk of not being offered screening for postpartum depression. LIMITATIONS: There is a possibility that women were offered screening or were screened, but this was incorrectly or never recorded in medical records. CONCLUSIONS: The majority of women were offered screening for postpartum depression, but there is room for improvement in order to achieve universal screening. Awareness among healthcare providers of the risk factors for not screening might increase adherence to guidelines for universal screening. Overcoming barriers for screening and raising the topic of mental-health issues for postpartum women should be prioritized.
BACKGROUND: Universal screening for postpartum depression is crucial for early detection, interventions and support. The aim of this study was to describe the proportion of, and explore risk factors for, women not being offered screening, as well as for declining an offer or not being screened due to any other unknown reason. METHODS: Socioeconomic, obstetrical and neonatal data, extracted from the Swedish Pregnancy Registry, for 9,959 pregnancies recorded for the Östergötland county between 2016 and 2018 were linked to Edinburgh Postnatal Depression Scale (EPDS) screening results at 6-8 weeks postpartum, extracted from medical records. Risk factors were assessed using logistic regression models and with a nomogram for easy visualization. RESULTS: In total, there were no recorded offers of EPDS screening in the medical records for 30.0% of women at the postpartum follow-up. Women born outside of Sweden and women reporting poor self-rated health were at increased risk of not being offered screening for postpartum depression. LIMITATIONS: There is a possibility that women were offered screening or were screened, but this was incorrectly or never recorded in medical records. CONCLUSIONS: The majority of women were offered screening for postpartum depression, but there is room for improvement in order to achieve universal screening. Awareness among healthcare providers of the risk factors for not screening might increase adherence to guidelines for universal screening. Overcoming barriers for screening and raising the topic of mental-health issues for postpartum women should be prioritized.
Authors: Can Liu; Alexander Butwick; Anna Sand; Anna-Karin Wikström; Jonathan M Snowden; Olof Stephansson Journal: PLoS One Date: 2021-08-11 Impact factor: 3.240
Authors: Maria Marti-Castaner; Camila Hvidtfeldt; Sarah Fredsted Villadsen; Bjarne Laursen; Trine Pagh Pedersen; Marie Norredam Journal: Eur J Public Health Date: 2022-02-01 Impact factor: 4.424