Depression Screening in Antepartum Females
View File(s)
Problem Statement: Perinatal mood disorders, including depression, affects one in five pregnant or postpartum females. The American College of Obstetricians and Gynecologists (ACOG) and the US Preventative Task Force (USPTF) recommended screening for depression at least once during the antepartum and postpartum periods. The purpose of this quality improvement initiative was to introduce depression screening using the patient health questionnaire (PHQ) in antepartum women in a Midwestern private OB-GYN practice.
Methods: An observational, descriptive, cohort design utilizing a retrospective record review was used to evaluate for PHQ depression screening. A convenience sample of antepartum patients at/or around 36-weeks gestation was studied. A Plan-do-study-act (PDSA) cycle was utilized.
Results: There were 66 prenatal visits from January 2nd through March 20th, 2019. Of those, 54 patients (N=54) were screened with the PHQ-2 and four were screened further with the PHQ-9 (n=4). Most women screened negative for antepartum depression at 36-weeks gestation (n=50), but the PHQ-2 identified four at risk and in need of further evaluation with the PHQ-9 (χ2=39.19, df = 1, p<0.001); hence, approximately one in twenty patients screened positive for depression at/or around 36-weeks gestation. All patients who screened positive on the PHQ-9 were treated with medication and referred for counseling services.
Implications for Practice: Early identification of depression in pregnant females allowed for early medication management and counseling services. Further study is needed to determine if depression treatment during the antepartum period impacts the postpartum period.
| Type | Poster |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | N/A |
| Keywords | Screening; Pregnancy; Depression |
| Name | 22nd Annual NPWH Premier Women's Healthcare Conference |
| Host | National Association of Nurse Practitioners in Women's Health |
| Location | Savannah, Georgia, USA |
| Date | 2019 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Adolescent Depression Screening Project in the Pediatric Emergency Department
The project implemented a depression screening and referral program in the pediatric emergency department for patients ages 12 to 17 that presented for non-psychiatric related complaints. -
A convergent parallel mixed method study on the experience of coping during high-risk pregnancy and prescribed bed rest
Antepartum bed rest and hospitalization is frequently prescribed for high-risk women experiencing pregnancy complications. Bed rest may result in problems for the high-risk mother including isolation, boredom, anxiety, ... -
Postpartum depression screening: Educating the bedside nurse
Purposes/Aims: The purpose of this applied project is to develop a learning module based on best practices to educate nurses about postpartum depression and postpartum depression screening in inpatient postpartum maternity ... -
Post-stroke depression screening and interventions
Post-stroke depression (PSD) is the most commonly seen neuropsychiatric condition in stroke patients’ population. Depressive symptoms in addition to the stroke symptoms, patients may have negative outcome with increased ... -
Policy and procedure development for depression screening days in undergraduate college students
Depression is a prevalent condition in college students. A survey completed at the project setting found approximately 33.6% of students had been diagnosed with depression in their lifetime. The aim of the project is to ...
