Transcript presentation

ESSENTIAL MENTAL HEALTH TOOLKIT
FOR HEALTH CARE PROVIDERS CARING
FOR PERINATAL WOMEN
Valerie M. Kading, DNP Candidate
520-591-3117
[email protected]
[email protected]
DEPRESSION
Global health burden
Risks for women
Prevalence 10-15%
PREGNANCY & DEPRESSION
Perinatal Depression
 Major Depressive Disorder
 During pregnancy
 Within 6 months after deliver
Postpartum Depression
 Major Depressive Disorder
 Between deliver & up to 1 yr
WHY CARE?
Depression during pregnancy
 Poor maternal & birth outcomes
 Inadequate fetal growth
 Neurological development
Postpartum Depression
 Impaired social skills
 Paternal depression
 Marital and family relationship
WHY CARE?
Compromised parent-child relationships
Unsafe parenting
Poor prenatal care
WHAT CAN YOU DO?
Screen
Know treatment guidelines
Resources
Referrals
SCREEN
Edinburgh Postnatal Depression Scale (EPDS)






Cox et al. (1987)
10 item test
Valid
Outpatient, home visit
During and postpartum
Scoring
 http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf
ORGANIZATIONAL GUIDELINES OF TREATMENT
ACOG
 http://www.acog.org/About-ACOG/News-Room/News-Releases/2009/Depression-During-Pregnancy
 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3103063/pdf/nihms293836.pdf
US Preventive Services Task Force
 http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/depre
ssion-in-adults-screening1
National Institute for Health Care Management
 http://www.nihcm.org/pdf/FINAL_MaternalDepression6-7.pdf
RESOURCES~LACTMED
(HTTP://TOXNET.NLM.NIH.GOV/NEWTOXNET/LACTMED.HTM)
RESOURCES~LACTMED
RESOURCES~ ARIZONA PREGNANCY RISK LINE
http://www.pharmacy.arizona.edu/centers/pregnancy-riskline
Meds during pregnancy
Breastfeeding
Phone: (520) 626-3410
Phone (888) 285-3410
RESOURCES~BOOKS & WEBSITES
Hale, T. (2012). Medications and Mother’s Milk.
Briggs, G. & Freeman, R. (2014). Drugs in Pregnancy & Lactation: A Reference Guide
to Fetal and Neonatal Risk 10th edition
 http://infantrisk.com/
Support and Training to Enhance Primary Care for Postpartum Depression (STEP-PPD)
 http://step-ppd.com/step-ppd/home.aspx
Center for Women’s Mental Health-Massachusett’s General Hospital
 https://womensmentalhealth.org/
Postpartum International
 http://www.postpartum.net/
RESOURCES FOR THE PERINATAL WOMAN
Tucson Postpartum Depression Coalition
 http://tucsonpostpartum.com
Center for Women’s Mental Health-Massachusett’s General Hospital
 https://womensmentalhealth.org/
Postpartum International
 http://www.postpartum.net/
WHO CAN I REFER TO?
CODAC Serafina Women’s Services
 (520) 202-1987
TPDS support groups
 Wednesday 6:00-7:30pm: St. Joseph’s Hospital-Women’s Care Pavilion, Agave Room (520)
873-6858
 Wednesday 10-11:30am: Northwest Medical Center, 6060 N. Fountain Plaza Drive, Suite
130, (520)877-4149
 Wednesdays 5:00-6:00PM: Serafina Women’s Center, 502 N. Silverbell, (520) 202-1716
WHO CAN I REFER TO?
Arizona Warm Line: 1-888-434-MOMS
Emergent/Crisis mental health situation: 520-622-6000
REFERENCES
Agency for Healthcare Research & Quality. (2015). Depression screening why is this important? Retrieved from
http://www.ahrq.gov/professionals/prevention-chronic-care/healthier-pregnancy/preventive/depression.html#care
Centers for Disease Control. (2012). QuickStats: Prevalence of Current Depression* Among Persons Aged ≥12 Years, by Age Group and Sex
— United States, National Health and Nutrition Examination Survey, 2007–2010. Retrieved from
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6051a7.htm?s_cid=mm6051a7_w#x2013;%20United%20States,%20National%20Healt
h%20and%20Nutrition%20Examination%20Survey,%202007-2010%3C/a%3E
Field, B., Booth, A., Ilott, I, & Gerrish, K. (2014). Using the knowledge to action framework in practice: a citation analysis and systematic review.
Implementation Science, 9(142), 1-14. Retrieved from http://www.implementationscience.com/content/9/1/172.
Flynn, H., Blow, F., & Marcus, S. (2006). Rates and predictors of depression treatment among pregnant women in hospital-affiliated obstetrics
practices. General Hospital Psychiatry, 28, 289-295.
Kersten-Alvarez, L., Hosman, C., Riksen-Walraven, J., van Doesum, K., Smeekens, S., Hoefnagels, C. (2012). Early school outcomes for children
of postpartum depressed mothers: comparison with a community sample. Child Psychiatry Human Development, 43, 201-218.
doi:10.1007/s10578-011-0257-y.
Kingston, D., Tough, S., & Whitfield, H. (2012). Prenatal and postpartum maternal psychological distress and infant development: a systematic
review. Child Psychiatry Human Development, 43, 6830714. doi:10.1007/s10578-012-0291-4.
Le Strat, Y., Dubertret, C., & Le Foll, B. (2011). Prevalence and correlates of major depressive episodes in pregnant and postpartum women in
the United States. Journal of Affective Disorders, 135, 128-138. doi:10.1016/j.jad.2011.07.004
REFERENCES
Letourneau, N., Dennis, C., Benzies, K., Duffett-Leger, L., Stewart, M., Tryphonopoulos, P., . . . Watson, W. (2012). Postpartum depression is a
family affair: addressing the impact on mothers, fathers, and children. Issues in Mental Health Nursing, 33, 445-457.
doi:10.3109/01612840.2012.673054.
Melville, J., Gavin, A., Guo, Y., Fan, M., & Katon, W. (2010). Depressive disorders during pregnancy. Obstetrics & Gynecology, 116(5), 10641070.
Muzik, M., & Borovska, S. (2010). Perinatal depression: implications for child mental health. Mental Health in Family Medicine, 7, 239-247.
Stein, A., Malmberg, L., Sylva, K., Barnes, J., Leach, P. & FCCC team. (2008). The influence of maternal depression, caregiving, and
socioeconomic status in the post-natal year on children’s language development. Child: care, health, and development, 34(5), 603-612.
doi:10.10.1111/j.1365-2114.2008.00837.x
World Health Organization (WHO). (2012b). Prevalence and determinants of common perinatal mental disorders in women in low- and lowermiddle-income countries: a systematic review. Retrieved from http://www.who.int/bulletin/volumes/90/2/11-091850/en/
Wu, Y., Selig, J., Roberts, M., & Steele, R., (2011). Trajectories of postpartum maternal depressive symptoms and children’s social skills. Journal
of Child Family Studies, 20, 414-423. doi:10.1007/s10826-010-9407-2.