Milken Institute School of Public Health Poster Presentations (Marvin Center & Video)

Postpartum Depression Screening in a Pediatric ED: Prevalence in First-Time Moms

Poster Number

89

Document Type

Poster

Publication Date

3-2016

Abstract

Background: Postnatal depression (PND) affects about 10-15% of all mothers. , The American Academy of Pediatrics suggests that “routine screening of mothers for postpartum depression by pediatricians will certainly identify women at risk for postpartum depression” While some symptoms may present themselves differently and more severely in some women, one thing is absolutely certain: inadequate treatment could result in long-term damaging effects. Many mothers who present with PND oftentimes blame themselves for not being able to take care of their baby; when in reality, the issue is much deeper and is a concern of mental health. Currently, the most effective screening strategy is the use of the Edinburgh Postnatal Depression Scale (EDPS). With this tool, the mother is asked a series of 10 questions. The scores may range from 0 to 30, with any score greater than 10 being a possible sign of depression.


Objective/Question: I will examine the prevalence of PND in non-Hispanic African-American versus non-Hispanic White first-time mothers, and determine if the prevalence is statistically significant for one or both groups of women. I will also examine the prevalence of being previously diagnosed with a mental health condition in non-Hispanic African-American versus non-Hispanic White women, and determine if it presents as significant in first-time mothers.


Methods: The Postnatal Depression (PND) study staff is conducting an ongoing prospective, cross-sectional survey using a convenience sample of mothers with infants aged zero to six months presenting in the emergency department for non-acute care. The study excludes non-birth mothers, as well as mothers who do not speak English or Spanish. Demographic data – i.e. race/ethnicity, age, insurance type, and zip code – are collected electronically. Mothers who screen positive for PND are contacted via a follow-up phone call using scripted interview questions. The staff is screening for two hundred fifteen positive mothers overall; and all non-Hispanic African American and non-Hispanic White first-time mothers who were screened will be included - ideally a sample of at least 100 people.

Results: To be determined.

Conclusions: To be determined.

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Presented at: GW Research Days 2016

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Postpartum Depression Screening in a Pediatric ED: Prevalence in First-Time Moms

Background: Postnatal depression (PND) affects about 10-15% of all mothers. , The American Academy of Pediatrics suggests that “routine screening of mothers for postpartum depression by pediatricians will certainly identify women at risk for postpartum depression” While some symptoms may present themselves differently and more severely in some women, one thing is absolutely certain: inadequate treatment could result in long-term damaging effects. Many mothers who present with PND oftentimes blame themselves for not being able to take care of their baby; when in reality, the issue is much deeper and is a concern of mental health. Currently, the most effective screening strategy is the use of the Edinburgh Postnatal Depression Scale (EDPS). With this tool, the mother is asked a series of 10 questions. The scores may range from 0 to 30, with any score greater than 10 being a possible sign of depression.


Objective/Question: I will examine the prevalence of PND in non-Hispanic African-American versus non-Hispanic White first-time mothers, and determine if the prevalence is statistically significant for one or both groups of women. I will also examine the prevalence of being previously diagnosed with a mental health condition in non-Hispanic African-American versus non-Hispanic White women, and determine if it presents as significant in first-time mothers.


Methods: The Postnatal Depression (PND) study staff is conducting an ongoing prospective, cross-sectional survey using a convenience sample of mothers with infants aged zero to six months presenting in the emergency department for non-acute care. The study excludes non-birth mothers, as well as mothers who do not speak English or Spanish. Demographic data – i.e. race/ethnicity, age, insurance type, and zip code – are collected electronically. Mothers who screen positive for PND are contacted via a follow-up phone call using scripted interview questions. The staff is screening for two hundred fifteen positive mothers overall; and all non-Hispanic African American and non-Hispanic White first-time mothers who were screened will be included - ideally a sample of at least 100 people.

Results: To be determined.

Conclusions: To be determined.