Clement S
Midwifery. 1995 Jun;11(2):75-80. doi: 10.1016/0266-6138(95)90070-5.
to examine existing research evidence to ascertain whether 'listening visits' in pregnancy, targeted at women with low emotional wellbeing, are likely to be effective in preventing postnatal depression and in improving other maternal psychological outcomes.
the evidence currently available suggests that postnatal listening visits are effective in preventing postnatal depression; that many women who are depressed after childbirth were also depressed in pregnancy; and that psychological interventions in pregnancy can have beneficial effects on postnatal emotional wellbeing. Existing research also suggests that the Edinburgh Postnatal Depression Scale may be an appropriate tool for selecting women for antenatal 'listening visits'; and that a formal approach is likely to prove more beneficial than ad hoc approaches.
it is concluded that 'listening visits' in pregnancy may well be a useful strategy for preventing postnatal depression. However, further research is necessary before antenatal 'listening visits' are introduced on a large scale.
midwives might usefully consider introducing antenatal 'listening visits', auditing this new practice and disseminating findings.
审查现有研究证据，以确定针对情绪健康状况不佳的孕妇进行的“倾听访视”是否可能有效预防产后抑郁症并改善其他产妇心理结局。
目前可得的证据表明，产后倾听访视可有效预防产后抑郁症；许多产后抑郁的女性在孕期也处于抑郁状态；孕期的心理干预对产后情绪健康可能有有益影响。现有研究还表明，爱丁堡产后抑郁量表可能是为产前“倾听访视”挑选女性的合适工具；而且正式方法可能比临时方法更有益。
得出结论，孕期“倾听访视”很可能是预防产后抑郁症的有用策略。然而，在大规模引入产前“倾听访视”之前，有必要进行进一步研究。
助产士不妨考虑引入产前“倾听访视”，对这一新做法进行审核并传播研究结果。
