Related Experiment Videos
Screening for postpartum depression in an inner-city population
Jeanine K Morris-Rush1, Margaret Comerford Freda, Peter S Bernstein
1Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, 1825 Eastchester Road, Bronx, NY 10461-2373, USA.
American Journal of Obstetrics and Gynecology
|May 16, 2003
Summary
A study found a higher than expected prevalence of postpartum depression in an inner-city population using the Edinburgh Postnatal Depression Scale (EPDS). These findings highlight the need for increased resources for postpartum depression research and treatment in urban areas.
Area of Science:
- Perinatal mental health
- Public health
- Clinical psychology
Background:
- Postpartum depression (PPD) affects a significant number of women.
- Inner-city populations may face unique challenges and barriers to PPD identification and treatment.
- The Edinburgh Postnatal Depression Scale (EPDS) is a validated screening tool for PPD.
Purpose of the Study:
- To determine the prevalence of positive screens for postpartum depression.
- To utilize the Edinburgh Postnatal Depression Scale (EPDS) in an inner-city setting.
- To assess the effectiveness of EPDS screening in identifying at-risk mothers.
Main Methods:
- A prospective study was conducted in two inner-city practices.
- Women attending postpartum visits between February and April 2002 self-administered the EPDS.
- A threshold of 10 or more on the EPDS indicated a positive screen; providers were blinded to results unless suicidal ideation was reported.
Main Results:
- Of 121 participants, 27 (22%) screened positive for postpartum depression.
- Eight patients (6.6%) reported suicidal ideation.
- Positive EPDS screens correlated significantly with a history of depression, prior treatment, and depressive symptoms during pregnancy.
Conclusions:
- The prevalence of positive postpartum depression screens was higher than anticipated in this inner-city population.
- These findings underscore the urgent need for enhanced resources for PPD research, identification, and treatment in urban communities.
- Routine screening with tools like the EPDS is crucial for early detection and intervention.