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Updated: Aug 6, 2025
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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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
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.
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.
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