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Published on: January 12, 2018

Best practices: community-based postpartum depression screening: results from the CARE study

June Andrews Horowitz1, Christine A Murphy, Katherine E Gregory

  • 1W F Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA. horowitz@bc.edu

Psychiatric Services (Washington, D.C.)
|November 3, 2009
PubMed

This column describes findings and best-practice recommendations from CARE (Communicating and Relating Effectively), a prospective randomized study in which 5,169 mothers were screened for postpartum depression. The prevalence rate was 13%. Results support use of the Edinburgh Postnatal Depression Screening Scale and a diagnostic assessment for those who screen positive. Of the 674 mothers with positive screens, 26% were not asked about their emotional state by clinicians. Screening must be linked to treatment options via referral and follow-up. Best-practice strategies for implementing screening include educating clinicians and postpartum women.

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