Postpartum Depression in a General Pediatric Practice: Practical Methods for Improving Screening and Referrals

作者：Friedman Suzanne^*; Rochelson Ellis; Fallar Robert; Mogilner Leora

来源：Clinical Pediatrics, 2016, 55(9): 793-799.

DOI：10.1177/0009922816653531

• pediatrics
• postpartum depression
• resident
• clinic
• screening

Postpartum depression (PPD) is a common problem in new mothers. Untreated PPD is associated with behavioral and developmental problems in children. We examined the effects of an educational session about PPD and modification of the electronic medical record (EMR) on providers' screening for PPD. An education session was given to the physicians and pre and post surveys compared comfort and self-reported screening. Following the EMR change, a retrospective chart review was conducted from three time periods: group 1before the conference, group 2after the conference but before EMR change, and group 3after screening in the EMR. Documented screening increased from 0% in group 1, to 2% in group 2, to 74% in group 3 (P < .001). Ten percent screened positive, but only 14% had documented referrals to a provider for treatment. The combination of provider education and screening questions integrated into the EMR enhanced PPD screening rates among physicians in a busy practice.

• 出版日期2016-8