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Evaluating universal education and screening for postpartum depression using population-based data.

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Area of Science:

  • Public Health
  • Maternal Health
  • Mental Health

Background:

  • New Jersey mandated prenatal education and screening for postpartum depression in 2006.
  • The study evaluates the provision and effectiveness of these mandates.
  • It also estimates the prevalence of postpartum depressive symptoms.

Purpose of the Study:

  • To evaluate the provision of prenatal education and screening for postpartum depression at hospital delivery.
  • To estimate the prevalence of postpartum depressive symptoms.
  • To identify opportunities for additional screening and education venues.

Main Methods:

  • Linked birth record data (2009-2010) with Pregnancy Risk Assessment Monitoring System (PRAMS) survey data (n=2,391).
  • Assessed Edinburgh Postnatal Depression Scale scores at delivery and postpartum depressive symptoms via PRAMS.
  • Used provider discussion of perinatal depression as a proxy for prenatal education.

Main Results:

  • 67.0% of women received prenatal depression education from a provider; 89.6% were screened at delivery.
  • 13% experienced depressive symptoms at delivery or postpartum.
  • Among those with symptoms, over a third were WIC participants, 13-32% had infants in NICU, and most attended postpartum/well-baby visits.

Conclusions:

  • Prenatal education and screening at delivery are feasible and reach most women.
  • Missed opportunities for education and screening persist.
  • Further research is needed to leverage WIC, NICU, and well-baby visits for improved maternal depression care.