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Screening and Treatment After Implementation of a Universal Perinatal Depression Screening Program
Emily S Miller1, Katherine L Wisner, Jacqueline Gollan
1Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine and the Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, and the Northwestern University Clinical and Translational Sciences Institute, Chicago, Illinois; and the Department of Obstetrics and Gynecology, UCSF School of Medicine, San Francisco, California.
Obstetrics and Gynecology
|July 16, 2019
Summary
Implementing universal perinatal depression screening increased screening rates and improved treatment recommendations for positive postpartum depression screens. This policy enhanced maternal mental health care.
Area of Science:
- Obstetrics and Gynecology
- Psychiatry
- Public Health
Background:
- Perinatal depression affects maternal and infant well-being.
- Early identification and treatment are crucial for effective management.
- Universal screening policies aim to improve detection rates.
Purpose of the Study:
- To assess the impact of an institutional policy for universal perinatal depression screening.
- To evaluate changes in screening frequency and subsequent depression treatment.
Main Methods:
- Retrospective cohort study (2008-2015) at an academic medical center.
- Compared screening completion rates before and after policy implementation in 2009.
- Analyzed trends in screening frequency and treatment recommendations.
Main Results:
- Screening completion significantly increased across all time points (prenatal and postpartum).
- Postpartum screening improvement persisted after controlling for confounders.
- Women with positive screens were more likely to receive treatment recommendations post-policy.
Conclusions:
- Universal perinatal depression screening policies improve screening uptake.
- These policies are associated with enhanced depression treatment initiation.
- This approach supports better maternal mental health outcomes.
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