Burton Aiyanna, Patel Sagar, Kaminsky Lillian, Rosario Gelen Del, Young Roseyln, Fitzsimmons Adriana, Canterino Joseph C
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson University Hospital, New Brunswick, NJ, USA.
J Matern Fetal Neonatal Med. 2011 Nov;24(11):1321-4. doi: 10.3109/14767058.2010.547234. Epub 2011 Jan 24.
To determine the timing of screening for postpartum depression that optimizes access to psychiatric care.
Cross-sectional evaluation of women receiving obstetric care in a community-based medical center clinic from March to July 2006, who were screened for depression at 36 weeks gestation, delivery, and 6 weeks postpartum using the Edinburgh Postnatal Depression Scale. Positive screens generated referrals for psychiatric evaluation. The rate of positive screens for depression and psychiatric follow-up at each time point was evaluated.
Of the 293 patients evaluated, the distribution of the first screen which occurred during the study period was 21% at 36 weeks, 31% at delivery, and 48% at 6 weeks postpartum. The incidence of a positive screen was 5% at 36 weeks, 16% at delivery and 14% at 6 weeks postpartum. Access to psychiatric care occurred in 33% at 36 weeks, 15% at 6 weeks postpartum and 100% at delivery (p = 0.001).
Screening for depression in the hospital after delivery improves access to psychiatric care.
确定产后抑郁症筛查的时机，以优化精神科护理服务的可及性。
对2006年3月至7月在一家社区医疗中心诊所接受产科护理的女性进行横断面评估，这些女性在妊娠36周、分娩时和产后6周使用爱丁堡产后抑郁量表进行抑郁症筛查。筛查呈阳性者会被转介进行精神科评估。评估了每个时间点抑郁症筛查阳性率及精神科随访情况。
在接受评估的293例患者中，研究期间首次筛查的分布情况为：妊娠36周时占21%，分娩时占31%，产后6周时占48%。筛查阳性率在妊娠36周时为5%，分娩时为16%，产后6周时为14%。精神科护理服务的可及性在妊娠36周时为33%，产后6周时为15%，分娩时为100%（p = 0.001）。
产后在医院进行抑郁症筛查可提高精神科护理服务的可及性。
