TY - JOUR
KW - Adult
KW - Community Mental Health Services/methods
KW - Continuum supports
KW - Depression, Postpartum/prevention & control/psychology
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Japan
KW - Maternal-Child Health Services
KW - Mental Health
KW - Mother
KW - Mothers/psychology
KW - multidisciplinary
KW - Patient Care Team
KW - Postnatal Care/methods
KW - postnatal depression
KW - Postpartum Period/psychology
KW - Pregnancy
KW - Pregnancy periods
KW - Pregnant
KW - Program Evaluation
KW - Psychiatric Status Rating Scales
AU - Y. Tachibana
AU - N. Koizumi
AU - C. Akanuma
AU - H. Tarui
AU - E. Ishii
AU - T. Hoshina
AU - A. Suzuki
AU - A. Asano
AU - S. Sekino
AU - H. Ito
A1 - 
AB - BACKGROUND: Perinatal mental health problems such as mood disorders are common. We propose a new multidisciplinary health service intervention program providing continuous support to women and their children from the start of pregnancy till after childbirth. The aim of this study was to examine the effects of the program with respect to making women's mental health better in the postpartum period and improving the state of care for women and their children in the perinatal period. METHODS: We performed a controlled study to investigate the effectiveness of the program in Suzaka City, Japan. The women's mental health status was assessed using the Edinburgh Postnatal Depression Scale (EPDS) 3 months postpartum. Of 349 women, 210 were allocated to the intervention group and 139 to the control group. From April 2014 to March 2015, the number of the pregnant women who were followed-up by the multidisciplinary meeting in the intervention and control groups were 60 and 4, respectively. In the same period, the number of the pregnant women who were identified as requiring intensive care were 21 and 2, respectively. RESULTS: The total EPDS score, which was the primary outcome of the present study, differed significantly between the intervention and control groups (Mean [SD] = 2.74 (2.89) and 4.58 [2.62], respectively; p < 0.001). The number of the women receiving counseling from a public health nurse (5.3% in intervention group, 0.7% in control group, p = 0.02), attending maternal seminars (attendant ratio: 46% whereas 16%, p = 0.01), and receiving home visits by public health nurses (home visit ratio: 93.8% whereas 82.6%, p < 0.001) was significantly higher in the intervention group compared to the control group. CONCLUSIONS: The present study indicates that continuum support provided by integrated mental health care through a multidisciplinary maternal and child health service in the community can make women's mental health better in the postpartum period and help women and their children receive more health services from public health nurses. TRIAL REGISTRATION: Name of registry: Research for the effectiveness of a multi-professional health service intervention program of continuum supports for mother and child which starts for pregnancy periods to enhance maternal mental health. UMIN Clinical Trials Registry number: UMIN000032424 . Registration date: April 29th, 2018. Registration timing: retrospective.
BT - BMC pregnancy and childbirth
C5 - Healthcare Disparities
CP - 1
CY - England
DO - 10.1186/s12884-019-2179-9
IS - 1
JF - BMC pregnancy and childbirth
N2 - BACKGROUND: Perinatal mental health problems such as mood disorders are common. We propose a new multidisciplinary health service intervention program providing continuous support to women and their children from the start of pregnancy till after childbirth. The aim of this study was to examine the effects of the program with respect to making women's mental health better in the postpartum period and improving the state of care for women and their children in the perinatal period. METHODS: We performed a controlled study to investigate the effectiveness of the program in Suzaka City, Japan. The women's mental health status was assessed using the Edinburgh Postnatal Depression Scale (EPDS) 3 months postpartum. Of 349 women, 210 were allocated to the intervention group and 139 to the control group. From April 2014 to March 2015, the number of the pregnant women who were followed-up by the multidisciplinary meeting in the intervention and control groups were 60 and 4, respectively. In the same period, the number of the pregnant women who were identified as requiring intensive care were 21 and 2, respectively. RESULTS: The total EPDS score, which was the primary outcome of the present study, differed significantly between the intervention and control groups (Mean [SD] = 2.74 (2.89) and 4.58 [2.62], respectively; p < 0.001). The number of the women receiving counseling from a public health nurse (5.3% in intervention group, 0.7% in control group, p = 0.02), attending maternal seminars (attendant ratio: 46% whereas 16%, p = 0.01), and receiving home visits by public health nurses (home visit ratio: 93.8% whereas 82.6%, p < 0.001) was significantly higher in the intervention group compared to the control group. CONCLUSIONS: The present study indicates that continuum support provided by integrated mental health care through a multidisciplinary maternal and child health service in the community can make women's mental health better in the postpartum period and help women and their children receive more health services from public health nurses. TRIAL REGISTRATION: Name of registry: Research for the effectiveness of a multi-professional health service intervention program of continuum supports for mother and child which starts for pregnancy periods to enhance maternal mental health. UMIN Clinical Trials Registry number: UMIN000032424 . Registration date: April 29th, 2018. Registration timing: retrospective.
PP - England
PY - 2019
SN - 1471-2393; 1471-2393
SP - 58
T1 - Integrated mental health care in a multidisciplinary maternal and child health service in the community: the findings from the Suzaka trial
T2 - BMC pregnancy and childbirth
TI - Integrated mental health care in a multidisciplinary maternal and child health service in the community: the findings from the Suzaka trial
U1 - Healthcare Disparities
U2 - 30727996
U3 - 10.1186/s12884-019-2179-9
VL - 19
VO - 1471-2393; 1471-2393
Y1 - 2019
ER -