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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Postpartum Depression in a General Pediatric Practice: Practical Methods for Improving Screening and Referrals.

Suzanne Friedman¹, Ellis Rochelson², Robert Fallar³

¹Icahn School of Medicine at Mount Sinai, New York, NY, USA Columbia University Medical Center and New York-Presbyterian Hospital, New York, NY, USA suzannejfriedman@gmail.com.

Clinical Pediatrics

|June 11, 2016

Summary

Postpartum depression (PPD) screening improved significantly after combining provider education with electronic medical record (EMR) changes. This intervention boosted physician screening rates for new mothers experiencing PPD.

Keywords:

clinic pediatrics postpartum depression resident screening

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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants

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Published on: June 13, 2021

Area of Science:

Obstetrics and Gynecology
Psychiatry
Health Informatics

Background:

Postpartum depression (PPD) affects many new mothers.
Untreated PPD can lead to adverse child behavioral and developmental outcomes.

Purpose of the Study:

To assess the impact of an educational intervention and electronic medical record (EMR) modification on PPD screening by healthcare providers.
To improve the identification of mothers with PPD.

Main Methods:

An educational session on PPD was delivered to physicians.
Pre- and post-intervention surveys measured provider comfort and self-reported screening practices.
A retrospective chart review analyzed PPD screening rates across three distinct periods: pre-education, post-education/pre-EMR change, and post-EMR integration.

Main Results:

Documented PPD screening rates increased dramatically from 0% to 74% after implementing provider education and EMR changes (P < .001).
Ten percent of mothers screened positive for PPD.
Only 14% of those who screened positive had documented referrals for treatment.

Conclusions:

The combined approach of provider education and integrated EMR screening questions significantly enhances PPD screening rates in clinical practice.
While screening improved, referral rates for positive cases require further attention.