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Updated: Aug 6, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Perinatal psychiatric practitioner consultation program delivers rapid response to OB/GYN practitioners.

Jennifer J Doering1, Christina L Wichman2, Audrey Laszewski2

  • 1College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.

Birth (Berkeley, Calif.)
|March 20, 2023
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Summary

A statewide perinatal psychiatric consultation service rapidly met OB/GYN practitioners' needs for managing maternal mental health conditions. This program improved access to care in areas with psychiatric shortages.

Keywords:
mental healthperinatalpostpartumpregnancy

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Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry
  • Healthcare Quality Improvement

Background:

  • Perinatal psychiatric conditions require specialized management, yet OB/GYN practitioners face evolving treatment landscapes.
  • Consultation programs connecting practitioners with psychiatrists can enhance care for perinatal women.
  • A critical psychiatry shortage and diverse geography necessitate innovative service delivery models.

Purpose of the Study:

  • To evaluate the utilization, responsivity, content, and outcomes of a statewide perinatal psychiatric consultation service.
  • To assess OB/GYN practitioner satisfaction with the consultation model.
  • To understand the impact of consultation on managing perinatal mental health.

Main Methods:

  • A quality improvement study analyzed 460 consultations over two years using a REDCap database.
  • Data collected included practitioner and patient characteristics, reasons for consultation, symptoms, medications, and psychiatrist recommendations.
  • Practitioner satisfaction surveys were also administered.

Main Results:

  • The service responded to OB/GYN practitioners within 5 minutes for 59% of inquiries.
  • Most consultations involved pregnant women (64%) with depressive (51%) or anxiety (46%) symptoms.
  • Without consultation, patients would have been referred to mental health services (41%) or started on medication (15%).

Conclusions:

  • The consultation service effectively addressed practitioner needs in a state with psychiatric shortages and varied geography.
  • Future research should assess patient outcomes, practitioner skill development, and cost-effectiveness.
  • This model demonstrates a viable approach to improving perinatal mental healthcare access.