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Laure Dominjon, Mariela Skendi, Gladys Ibanez

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |September 23, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Early screening for poor mental health in pregnant women using a single question improved their healthcare journey and well-being. This approach positively impacts maternal mental health trajectories during pregnancy.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal Mental Health
    • Public Health

    Background:

    • Poor mental health affects 10% of pregnancies, increasing maternal and child morbidity risks.
    • Early identification of mental health issues in pregnancy is crucial for intervention.
    • Existing care pathways may not adequately address psychological difficulties during pregnancy.

    Purpose of the Study:

    • To assess the impact of early identification of poor mental health on pregnant women.
    • To evaluate the effect on maternal mental health status.
    • To analyze changes in healthcare trajectories for pregnant women.

    Main Methods:

    • An interventional pilot study conducted in Paris with two groups: intervention and control.
    • The intervention group received a single-question screening for poor mental health in the first trimester.

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  • Both groups underwent telephone interviews 8-12 weeks post-recruitment for second-trimester assessment.

    • Main Results:

    • Women in the intervention group had more early prenatal interviews and perceived improved well-being (P < 0.05).
    • Control group participants struggled to express psychological difficulties and faced challenges with care follow-up (P < 0.05).
    • Early screening positively influenced the care pathway for women with poor mental health.

    Conclusions:

    • Early screening for poor mental health via a single question can positively alter pregnant women's care pathways.
    • This method may enhance the well-being of pregnant women in their second trimester.
    • Implementing simple screening tools can improve maternal mental healthcare delivery.