Lamere Kathryn, Golova Natalia
Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Clin Pediatr (Phila). 2022 Oct;61(10):699-706. doi: 10.1177/00099228221097272. Epub 2022 May 19.
The American Academy of Pediatrics (AAP) recommends that pediatricians screen mothers for postpartum depression (PPD) at the infant's 1, 2, 4, and 6-month well child (WC) visits. Despite these recommendations, less than 50% of mothers are screened nationally. We evaluated the impact of a statewide quality improvement initiative that implemented routine screening for PPD utilizing the Edinburgh Postpartum Depression Scale (EPDS) at AAP recommended WC visits. A total of 224 patients were included. Screening rates increased significantly at all four WC visits ( < .01). A higher prevalence of positive EPDS screens was detected in mothers with a history of a mental health condition ( = .009) and in mothers who reported recent food or housing insecurity ( = .02). EPDS screening was successfully implemented through a statewide initiative in a busy hospital-based pediatric clinic. Pediatricians play an important role in identifying mothers with PPD and referring them to adequate treatment.
美国儿科学会（AAP）建议儿科医生在婴儿1个月、2个月、4个月和6个月的健康儿童（WC）访视时对母亲进行产后抑郁症（PPD）筛查。尽管有这些建议，但全国范围内接受筛查的母亲不到50%。我们评估了一项全州范围的质量改进举措的影响，该举措在AAP建议的WC访视时使用爱丁堡产后抑郁量表（EPDS）对PPD进行常规筛查。总共纳入了224名患者。在所有四次WC访视中，筛查率均显著提高（<.01）。在有精神健康状况病史的母亲（=.009）和报告近期存在食品或住房不安全问题的母亲（=.02）中，检测到EPDS筛查呈阳性的患病率更高。通过全州范围的举措，在一家繁忙的医院儿科诊所成功实施了EPDS筛查。儿科医生在识别患有PPD的母亲并将她们转介至适当治疗方面发挥着重要作用。
