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Evolution of the perinatal care system
1Suzuki Hiroko Research Laboratory for Psychological Treatment, Iwate, Japan. suhiro@dc4.so-net.ne.jp
Background:
The perinatal support system for mothers and babies, which has evolved over the past 6 years at the Morioka Red Cross Hospital, is described.
Methods:
Between July 1995 and August 1999, 1864 puerperal mothers at the Morioka Red Cross Hospital responded to the Maternity Blues Scale (MB) and the Edinburgh Postnatal Depression Scale (EPDS) at 1 month, each with an open comment form.
Results And Discussion:
There was a significant difference in each MB item between individuals who scored above 9 points and those who scored lower in the EPDS. Those who later scored high in the EPDS had responses to a preceding MB where we had checked items of 'confusion', 'experience of crying', 'anxiety', 'exhaustion', 'feeling depressed', 'nervousness', 'agitation' and 'forgetfulness'. Administration of the MB and provision of a free comment form significantly decreased EPDS scores. Ensuring that the views of mothers are acknowledged within the context of an adequate care system is central to effective perinatal care.