domingo, 2 de junio de 2013

Antenatal identification of major depres... [Am J Obstet Gynecol. 2012] - PubMed - NCBI

Antenatal identification of major depres... [Am J Obstet Gynecol. 2012] - PubMed - NCBI

2012 Dec;207(6):506.e1-6. doi: 10.1016/j.ajog.2012.09.030. Epub 2012 Oct 3.

Antenatal identification of major depressive disorder: a cohort study.


Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Lucile S. Packard Children's Hospital at Stanford, Stanford, CA, USA.



The purpose of this study was to estimate the frequency of identification of major depressive disorder by providers during prenatal care.


A cohort of pregnant women who were participating in a randomized controlled trial and who had received a diagnosis of major depressive disorder was examined. Women were included in the current study if prenatal clinic records were available and legible.


Clinical depression was noted in 56% of prenatal charts and on 24% of problem lists. Physicians and certified nurse midwives noted depression equally (P = .935); physicians more frequently noted mental health referral (23% vs 0%; P = .01), and midwives more frequently included depression on the problem list (P = .01). Recent medication use, which was stopped before conception or study participation, predicted notation of depression in the chart (P = .001).


Depression frequently is missed during pregnancy and, when identified, is underacknowledged as a problem. Women who have not recently used antidepressant medication are more likely to be missed. Better screening and acknowledgment are needed.
Copyright © 2012 Mosby, Inc. All rights reserved.

[PubMed - indexed for MEDLINE]

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