In:
Zeitschrift für Geburtshilfe und Neonatologie, Georg Thieme Verlag KG, Vol. 227, No. 03 ( 2023-06), p. 213-218
Abstract:
Purpose The aim of the study was to investigate the feasibility and
acceptability of a routine screening for peripartum depression (PD) by gynecologists and pediatricians. In addition, it was investigated whether two
separate Plus Questions (PQ) of the “EPDS-Plus” are valid for screening experiences of violence or a traumatic birth and whether they can be
associated with symptoms of PD. Methods Using the EPDS-Plus the prevalence of PD was investigated in 5235
women. The convergent validity of the PQ with the Childhood Trauma Questionnaire (CTQ) and Salmon’s Item List (SIL) was assessed using correlation
analysis. The association between the experience of violence and/or traumatic birth experience and PD was subjected to the chi-square test.
Furthermore, a qualitative analysis for acceptance and satisfaction by the practitioners was performed. Results The prevalence was 9.94%/10.18% for
antepartum/postpartum depression. The convergent validity of the PQ showed strong correlation with CTQ (p 〈 0.001) and SIL (p 〈 0.001).
For violence and PD, a significant association was found. There was no significant association for traumatic birth experience and PD. There was a high
level of satisfaction and acceptance of the EPDS-Plus questionnaire. Conclusion Screening for peripartum depression is feasible in regular care
and can help to identify depressed as well as potentially traumatized mothers, especially in preparing trauma-sensitive birth care and treatment. Therefore,
specialized peripartum “psych” treatment for all affected mothers in all regions has to be implemented.
Type of Medium:
Online Resource
ISSN:
0948-2393
,
1439-1651
Language:
English
Publisher:
Georg Thieme Verlag KG
Publication Date:
2023
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