Early Postpartum Depression Screening.
Date
2017-05
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Abstract
In Hawaiʻi, postpartum depression (PPD) has a prevalence rate of 14 to 15 percent,
affecting about 3,000 women annually (Hayes, Shor, & Fuddy, 2010). Postpartum depression is
defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM IV) as a “Major
depressive condition that occurs in the one year period following childbirth” (Grier & Geraghty,
2015, p. 110). After delivery, women with PPD experience feelings of sadness, loneliness, or
inadequacies daily for at least two weeks. Additional symptoms include erratic sleep patterns,
anxiety, or the inability to care for oneself or the newborn infant.
In the Kaiser Permanente (KP) organization, postpartum depression screening occurs in
the antepartum (third trimester) during pregnancy and repeated during the routine four to six
week postpartum visit. This project implemented a validated depression-screening tool between
one to three days post hospital discharge at the KP Special Delivery Program clinics. The goal
was to screen for early postpartum depressive symptoms, and if detected, initiating an immediate
referral to the KP Integrated Behavioral Health (IBH) for further diagnostic evaluation and
treatment. There is no current screening program for depressive symptoms during the early
postpartum period in the KP Hawaiʻi region.
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Postpartum depression, Screening, Prevalence, Early depression screening
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