Universal Versus Risk Factor-targeted Early Inpatient Postpartum Depression Screening.

Authors

Elizabeth A. Berger DO, Lehigh Valley Health NetworkFollow
Amy Wu BSFollow
Elizabeth A. Smulian BSFollow
Joanne Quiñones MD, MSCE, Lehigh Valley Health NetworkFollow
Sandra L. Curet MD, Lehigh Valley Health NetworkFollow
Rory L. Marraccini MD, Lehigh Valley Health NetworkFollow
John C. Smulian MD, MPH, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

7-2-2014

Abstract

Abstract Objective: To assess differences in two different approaches to early inpatient Edinburgh Postnatal Depression Scale (EPDS) screening (targeted risk factor screening versus universal screening). Methods: Retrospective study of two cohorts delivering from January 2010 to June 2010. Cohort 1 included 5-weeks of consecutive deliveries. Risk factors for a positive EPDS screen were determined by multivariable logistic regression. Cohort 2 included all delivering women in the subsequent 5 months who had the most common risk factor (history of mental illness) for postpartum depression identified from Cohort 1. Results: For Cohort 1 of universal screening (N = 322), 11 (3.4%) had positive screens with seven (63.6%) having a history of any mental illness yielding the number needed to screen to identify one EPDS positive mother of 29. For Cohort 2 (N = 215), there were 33 (15.3%) positive screens and the number needed to have a positive screen was 6. Without a history of mental illness, predictive models for a positive screen were poor with the number needed to screen of 80. Conclusions: Early EPDS screening targeted for those with a history of mental illness is an efficient way to identify postpartum women with active mental health problems, but may miss up to 36.4% of potential screen positive women.

First Page

1

Last Page

6

ISSN

1476-4954

Published In/Presented At

Berger, E., Wu, A., Smulian, E. A., Quiñones, J. N., Curet, S., Marraccini, R. L., & Smulian, J. C. (2014). Universal versus risk factor-targeted early inpatient postpartum depression screening. The Journal Of Maternal-Fetal & Neonatal Medicine: The Official Journal Of The European Association Of Perinatal Medicine, The Federation Of Asia And Oceania Perinatal Societies, The International Society Of Perinatal Obstetricians, 1-6.

Disciplines

Obstetrics and Gynecology

PubMedID

24987874

LVHN link

http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=24987874&site=ehost-live&scope=site

Department(s)

Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty

Document Type

Article