Differences in Screening and Treatment for Antepartum Versus Postpartum Patients: Are Providers Implementing the Guidelines of Care for Perinatal Depression?

Journal of Women's Health
Gina L Fedock, Carmen Alvarez

Abstract

National guidelines recommend universal depression screening for perinatal patients and provide treatment recommendations to prevent adverse maternal/child health outcomes. However, providers rarely screen all patients, and most women with perinatal depression remain undertreated. This study investigated predictors of universal screening and guideline-congruent care for perinatal depression by obstetrician-gynecologists and examined differences in practices with pregnant and postpartum patients. A random, national sample of obstetric providers (n = 483) from a three-wave mailing completed the survey. Regression analysis showed that providers universally screened (53.04% vs. 82.40%; p < 0.001) and implemented guideline-congruent care (33.61% vs. 58.51%; p < 0.001) with pregnant patients at a lower rate than with postpartum patients. Predictors of antenatal universal screening included the following: external influences, including screening as a clinic priority (adjusted odds ratio [AOR] 1.85; 95% confidence intervals [CIs]: 1.42-2.40), and intrinsic factors related to familiarity with mental health providers. Predictors of universal postpartum screenings included the following: clinic priority (AOR 3.01; 95% CIs: 2.12-4.28), pro...Continue Reading

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Citations

Mar 24, 2020·Issues in Mental Health Nursing·Marzena KaźmierczakMartyna Czubkowska
Jul 8, 2020·Journal of Women's Health·Sarah C HaightSherry L Farr
Oct 14, 2020·Perspectives on Sexual and Reproductive Health·Lisbet S LundsbergAileen M Gariepy
May 26, 2021·Journal of Midwifery & Women's Health·Amber JohnsonJacquelyn McMillian-Bohler

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