Implementation of universal screening for depression during pregnancy: feasibility and impact on obstetric care

American Journal of Obstetrics and Gynecology

Volumn 215, Issue 4, 2016, Pages 517.e1-517.e8

  Venkatesh, Kartik K ^a,b   Nadel, Hiyam ^a   Blewett, Dyan ^a   Freeman, Marlene P ^a   Kaimal, Anjali J ^a   Riley, Laura E ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

depression; EPDS; linkage to care; pregnancy; screening

Indexed keywords

ANTIDEPRESSANT AGENT;

ADULT; ANXIETY DISORDER; COHORT ANALYSIS; CONFERENCE PAPER; CONTROLLED STUDY; DIAGNOSTIC TEST; EDINBURGH POSTNATAL DEPRESSION SCALE; FEASIBILITY STUDY; FEMALE; GESTATIONAL AGE; HOUSEHOLD INCOME; HUMAN; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MATERNAL AGE; MENTAL HEALTH; MENTAL HEALTH CARE PERSONNEL; MENTAL HEALTH SERVICE; MULTICENTER STUDY; OBSERVATIONAL STUDY; OBSTETRIC DELIVERY; OBSTETRIC PROCEDURE; ODDS RATIO; PARITY; PATIENT REFERRAL; PERINATAL DEPRESSION; PREDICTIVE VALUE; PREGNANT WOMAN; PRENATAL CARE; PRENATAL PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; PSYCHOMETRY; PUERPERAL DEPRESSION; PUERPERIUM; RACE; ANXIETY; COMPLICATION; DEPRESSION; DEPRESSIVE DISORDER, MAJOR; MASS SCREENING; PREGNANCY; PREGNANCY COMPLICATIONS; PROCEDURES; PSYCHOLOGY;

ADULT; ANXIETY; DEPRESSION; DEPRESSION, POSTPARTUM; DEPRESSIVE DISORDER, MAJOR; FEMALE; GESTATIONAL AGE; HUMANS; MASS SCREENING; POSTPARTUM PERIOD; PREGNANCY; PREGNANCY COMPLICATIONS; PROSPECTIVE STUDIES;

EID: 84978485751     PISSN: 00029378     EISSN: 10976868     Source Type: Journal    
DOI: 10.1016/j.ajog.2016.05.024     Document Type: Conference Paper

References (36)

1. 1 Gavin, N., Gaynes, B.N., Lohr, K.N., Meltzer-Brody, S., Gartlehner, G., Swinson, T., Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106 (2005), 1071–1083.
2. 2 Kozhimannil, K., Adams, A.S., Soumerai, S.B., Busch, A.B., Huskamp, H.A., New Jersey's efforts to improve postpartum depression care did not change treatment patterns for women on medicaid. Health Aff (Millwood) 30 (2011), 293–301.
3. 3 Yonkers, K., Vigod, S., Ross, L.E., Diagnosis, pathophysiology, and management of mood disorders in pregnant and postpartum women. Obstet Gynecol 117 (2011), 961–977.
4. 4 American College of Obstetricians and Gynecologists. Screening for perinatal depression: Committee Opinion no. 630. Obstet Gynecol 125 (2015), 1268–1271.
5. 5 Yonkers, K.A., Wisner, K.L., Stewart, D.E., et al. The management of depression during pregnancy: a report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists. Obstet Gynecol 114 (2009), 703–713.
6. 6 Connor, E., Rossom, R.C., Henninger, M., Groom, H.C., Burda, B.U., Primary care screening for and treatment of depression in pregnant and postpartum women: evidence report and systematic review for the US Preventive Services Task Force. JAMA 315 (2016), 388–406.
7. 7 New York Department of Health. NYS Medicaid coverage of postpartum maternal depression screening. Available at: http://www.emblemhealth.com/en/Providers/Claims-Corner/Coding/NYS-Medicaid-Coverage-of-Postpartum-Maternal-Depression-Screening.aspx. Accessed April 10, 2016.
8. 8 Department of Public Health of the Commonwealth of Massachusetts. Annual summary of activities related to screening for postpartum depression. Available at: http://www.mass.gov/eohhs/docs/dph/com-health/postpartum-depression/annual-summary-activities-screening-2015.pdf. Accessed April 10, 2016.
9. 9 Post-partum depression in New Jersey. 2014. Available at: NJ.gov/health/fhs/professional/PRAMS.shtml. Accessed April 10, 2016.
10. 10 Rowan, P., Duckett, S.A., Wang, J.E., State mandates regarding postpartum depression. Psychiatr Serv 66 (2015), 324–328.
11. 11 Belluck, P., Panel calls for depression screenings during and after pregnancy. January 27, 2016, The New York Times, A1.
12. 12 Miller, L., Shade, M., Vasireddy, V., Beyond screening: assessment of perinatal depression in a perinatal care setting. Arch Women Ment Health 12 (2009), 329–334.
13. 13 Goodman, J., Tyer-Viola, L., Detection, treatment, and referral of perinatal depression and anxiety by obstetrical providers. J Womens Health 19 (2010), 477–490.
14. 14 Rowan, P., Greisinger, A., Brehm, B., Smith, F., McReynolds, E., Outcomes from implementing systematic antepartum depression screening in obstetrics. Arch Women Ment Health 15 (2012), 115–120.
15. 15 Yawn, B., Olson, A.L., Bertram, S., Pace, W., Wollan, P., Dietrich, A.J., Postpartum depression: screening, diagnosis, and management programs 2000 through 2010. Depress res Treat, 2012, 2010, 363964.
16. 16 Miller, L., McGlynn, A., Suberlak, K., Rubin, L.H., Miller, M., Pirec, V., Now what? Effects of on-site assessment on treatment entry after perinatal depression screening. Journal ofJ Women Health 21 (2012), 1046–1052.
17. 17 Byatt, N., Levin, L.L., Ziedonis, D., Moore Simas, T.A., Allison, J., Enhancing participation in depression care in outpatient perinatal care settings: a systematic review. Obstet Gynecol 126 (2015), 1048–1058.
18. 18 Cox, J.L., Holden, J.M., Sagovsky, R., Detection of postnatal depression; development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150 (1987), 782–786.
19. 19 Murray, L., Carothers, A.D., The validation of the Edinburgh Post-natal Depression Scale on a community sample. Br J Psychiatry 157 (1990), 288–290.
20. 20 Lawrie, T.A., Hofmeyr, G.J., de Jager, M., Berk, M., Validation of the Edinburgh Postnatal Depression Scale on a cohort of South African women. S Afr Med J 88 (1998), 1340–1344.
21. 21 Scholle, S., Haskett, R.F., Hanusa, B.H., Pincus, H.A., Kupfer, D.J., Addressing depression in obstetrics/gynecology practice. Gen Hosp Psychiatry 25 (2003), 83–90.
22. 22 Yawn, B., Dietrich, A.J., Wollan, P., et al. TRIPPD: a practice-based network effectiveness study of postpartum depression screening and management. Ann Fam Med 10 (2012), 320–329.
23. 23 McDonough, J., Rosman, B., Butt, M., Tucker, L., Howe, L.K., Massachusetts health reform implementation: major progress and future challenges. Health Aff (Millwood) 27 (2008), 285–297.
24. 24 The Commonwealth of Massachusetts. Chapter 313: an act relative to postpartum depression. Available at: https://malegislature.gov/Laws/SessionLaws/Acts/2010/Chapter313. Accessed April 10, 2016.
25. 25 Flanagan, T., Avalos, L.A., Perinatal obstetric office depression screening and treatment: implementation in a health care system. Obstet Gynecol 127 (2016), 911–915.
26. 26 Avalos, L., Raine-Bennett, T., Chen, H., Adams, A.S., Flanagan, T., Improved perinatal depression screening, treatment, and outcomes with a universal obstetric program. Obstet Gynecol 127 (2016), 917–925.
27. 27 Carter, F., Carter, J.D., Luty, S.E., Wilson, D.A., Frampton, C.M., Joyce, P.R., Screening and treatment for depression during pregnancy: a cautionary note. Aust N Z J Psychiatry 39 (2005), 255–261.
28. 28 Chen, H., Wang, J., Ch'ng, Y.C., Mingoo, R., Lee, T., Ong, J., Identifying mothers with postpartum depression early: integrating perinatal mental health care into the obstetric setting. ISRN Obstet Gynecol, 2011, 2011, 309189.
29. 29 Reay, R., Matthey, S., Ellwood, D., Scott, M., Long-term outcomes of participants in a perinatal depression early detection program. J Affect Disord 129 (2011), 94–103.
30. 30 Burton, A., Patel, S., Kaminsky, L., et al. Depression in pregnancy: time of screening and access to psychiatric care. J Matern Fetal Neonatal Med 24 (2011), 1321–1324.
31. 31 Yonkers, K., Smith, M.V., Lin, H., Howell, H.B., Shao, L., Rosenheck, R.A., Depression screening of perinatal women: an evaluation of the healthy start depression initiative. Psychiatric Serv 60 (2009), 322–328.
32. 32 Flynn, H., O'Mahen, H.A., Massey, L., Marcus, S., The impact of a brief obstetrics clinic-based intervention on treatment use for perinatal depression. J Womens Health 15 (2006), 1195–1204.
33. 33 Agency for Healthcare Research and Quality. Efficacy and safety of screening for postpartum depression. Available at: http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=1437&pcem=en. Accessed April 10, 2016.
34. 34 Hewitt, C., Gilbody, S.M., Is it clinically and cost effective to screen for postnatal depression: a systematic review of controlled clinical trials and economic evidence. BJOG 116 (2009), 1019–1027.
35. 35 O'Mahen, H., Flynn, H.A., Preferences and perceived barriers to treatment for depression during the perinatal period. J Womens Health 17 (2008), 1301–1309.
36. 36 Bennett, H.A., Einarson, A., Taddio, A., Koren, G., Einarson, T.R., Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103 (2004), 798–799.