Castro Filipa de, Place Jean Marie, Allen-Leigh Betania, Rivera-Rivera Leonor, Billings Deborah
Salud Publica Mex. 2016 Aug;58(4):468-71. doi: 10.21149/spm.v58i4.8028.
To provide evidence on perinatal mental healthcare in Mexico.
Descriptive and bivariate analyses of data from a cross-sectional probabilistic survey of 211 public obstetric units.
Over half (64.0%) of units offer mental healthcare; fewer offer perinatal depression (PND) detection (37.1%) and care (40.3%). More units had protocols/guidelines for PND detection and for care, respectively, in Mexico City-Mexico state (76.7%; 78.1%) than in Southern (26.5%; 36.4%), Northern (27.3%; 28.1%) and Central Mexico (50.0%; 52.7%).
Protocols and provider training in PND, implementation of brief screening tools and psychosocial interventions delivered by non-clinical personnel are needed.
提供有关墨西哥围产期精神卫生保健的证据。
对211个公共产科单位的横断面概率调查数据进行描述性和双变量分析。
超过半数（64.0%）的单位提供精神卫生保健；提供围产期抑郁症（PND）检测（37.1%）和护理（40.3%）的单位较少。与南部（26.5%；36.4%）、北部（27.3%；28.1%）和墨西哥中部（50.0%；52.7%）相比，墨西哥城-墨西哥州有更多单位分别制定了PND检测和护理的方案/指南（76.7%；78.1%）。
需要制定PND方案并对医疗服务提供者进行培训，实施简短筛查工具以及由非临床人员提供社会心理干预。
