Observational evidence in support of screening for depression during pregnancy and the postpartum period

Premji and McNeil examine the effectiveness and cost-effectiveness of postpartum depression (PPD) screening. Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were n...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2022-11, Vol.194 (43), p.E1487-E1487
Main Authors: Premji, Shainur, McNeil, Deborah A, Spackman, Eldon
Format: Article
Language:English
Subjects:
Care and treatment
Decision making
Depression - diagnosis
Depression, Mental
Depression, Postpartum - diagnosis
Diagnosis
Evaluation
Female
Health aspects
Health care
Humans
Mass Screening
Medical screening
Mental depression
Observational studies
Postpartum depression
Postpartum Period
Practice guidelines (Medicine)
Pregnancy
Pregnant women
Preventive medicine
Psychiatric Status Rating Scales
Psychological aspects
Public health
Task forces
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Summary:Premji and McNeil examine the effectiveness and cost-effectiveness of postpartum depression (PPD) screening. Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were not screened. At a population level, screening identified an additional 813 patients with PPD relative to not screening, and was considered cost-effective. Although the Task Force made a key assumption that, as part of usual care, providers routinely inquire about and are attentive to maternal mental health and well-being, our research did not have to make this assumption; we were able to test it directly.
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.147193-l