Use of the Postpartum Depression Screening Scale in a collaborative obstetric practice.

Area of Science:

• Obstetrics and Gynecology
• Psychiatry
• Perinatal Mental Health

Background:

• Postpartum depression (PPD) affects 13-20% of women post-birth.
• PPD has severe consequences for mother and infant.
• PPD is often underreported and under-diagnosed.

Purpose of the Study:

• To evaluate the Postpartum Depression Screening Scale (PDSS) utility in a collaborative obstetric and midwifery practice.
• To determine the prevalence of PPD in the study population.
• To identify risk factors associated with positive PDSS screening.

Main Methods:

• The Postpartum Depression Screening Scale (PDSS) was administered to women in a high-volume practice.
• Clinician willingness and participation in using the PDSS were assessed.
• Logistic regression analysis identified predictors of positive PDSS screening.

Main Results:

• 16% of women screened positive for major postpartum depression.
• An additional 20% exhibited symptoms suggestive of potential PPD.
• Significant predictors for positive PDSS screening included a history of depression (RR 4.8) and exclusive bottle feeding (RR 2.0).
• Factors associated with positive screening included lower education, being unpartnered, and exclusive bottle feeding.

Conclusions:

• The PDSS is a viable screening tool for postpartum depression in obstetric settings.
• A history of depression and exclusive bottle feeding are key risk factors for PPD.
• Early identification and intervention are crucial for managing PPD and its impact.