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Who do we miss when...
Who do we miss when screening for postpartum depression? : A population-based study in a Swedish region
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- Bränn, Emma (author)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala Univ, Sweden
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- Fransson, Emma, PhD, 1973- (author)
- Karolinska Institutet,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Karolinska institutet,Uppsala Univ, Sweden; Karolinska Inst, Sweden
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- Wikman, Anna (author)
- Uppsala universitet,Reproduktiv hälsa,Uppsala Univ, Sweden
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- Kollia, Natasa (author)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Harokopio University,Uppsala Univ, Sweden; Harokopio Univ, Greece
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- Nguyen, Diem, PhD (author)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala Univ, Sweden
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- Lilliecreutz, Caroline (author)
- Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US,Department of Obstetrics and Gynaecology, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
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- Skalkidou, Alkistis, 1977- (author)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala Univ, Sweden
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(creator_code:org_t)
- Elsevier, 2021
- 2021
- English.
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In: Journal of Affective Disorders. - : Elsevier. - 0165-0327 .- 1573-2517. ; 287, s. 165-173
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Abstract
Subject headings
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- BackgroundUniversal screening for postpartum depression is crucial for early detection, interventions and support. The aim of this study was to describe the proportion of, and explore risk factors for, women not being offered screening, as well as for declining an offer or not being screened due to any other unknown reason.MethodsSocioeconomic, obstetrical and neonatal data, extracted from the Swedish Pregnancy Registry, for 9,959 pregnancies recorded for the Östergötland county between 2016 and 2018 were linked to Edinburgh Postnatal Depression Scale (EPDS) screening results at 6–8 weeks postpartum, extracted from medical records. Risk factors were assessed using logistic regression models and with a nomogram for easy visualization.ResultsIn total, there were no recorded offers of EPDS screening in the medical records for 30.0% of women at the postpartum follow-up. Women born outside of Sweden and women reporting poor self-rated health were at increased risk of not being offered screening for postpartum depression.LimitationsThere is a possibility that women were offered screening or were screened, but this was incorrectly or never recorded in medical records.ConclusionsThe majority of women were offered screening for postpartum depression, but there is room for improvement in order to achieve universal screening. Awareness among healthcare providers of the risk factors for not screening might increase adherence to guidelines for universal screening. Overcoming barriers for screening and raising the topic of mental-health issues for postpartum women should be prioritized.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- Postpartum depression
- Edinburgh postnatal depression scale
- Screening tools
- Psykiatri
- Psychiatry
Publication and Content Type
- ref (subject category)
- art (subject category)
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