TY - JOUR
KW - Adolescent
KW - Age Factors
KW - Colorado
KW - Cross-Sectional Studies
KW - Depression, Postpartum/diagnosis/epidemiology/psychology
KW - Feasibility Studies
KW - Female
KW - Guideline Adherence
KW - Humans
KW - Incidence
KW - Infant
KW - Infant, Newborn
KW - Male
KW - Mass Screening/methods
KW - Medical Records Systems, Computerized
KW - Personality Inventory/statistics & numerical data
KW - Pregnancy
KW - Pregnancy in Adolescence/psychology/statistics & numerical data
KW - Primary Health Care
KW - Psychometrics
KW - Referral and Consultation/statistics & numerical data
KW - Young Adult
AU - J. Sheeder
AU - K. Kabir
AU - B. Stafford
A1 - 
AB - OBJECTIVE: Screening for maternal depression is gaining acceptance as a standard component of well-child care. We tested the feasibility of this policy and determined the prevalence and incidence of maternal depression at well-child visits during the first 6 months of life. METHODS: Providers in an adolescent-oriented maternity program were cued electronically, when they opened the electronic medical records of 0- to 6-month-old infants to conduct well-child visits, to ask the mothers to complete the Edinburgh Postpartum Depression Scale. Incident cases represented mothers who crossed the referral threshold (score of > or =10) after the first screening. RESULTS: Mothers usually brought their infants to the clinic, and none refused screening. Providers could act on 99% of the 418 screening cues; they administered the Edinburgh Postpartum Depression Scale 98% of the time and always referred mothers with scores of > or =10. Overall, 20% of the mothers scored > or =10. Scores were unstable at  or =10 decreased from 16.5% at 2 months to 10.3% and 5.7%, respectively, at 4 months. Prevalence increased to 18.5% at the 6-month visit, and incidence decreased to 1.9%. Repeat screening detected only 2 mothers (5.7%) with scores of > or =10. CONCLUSIONS: Electronic cueing improved compliance with the detection and referral phases of screening for maternal depression at well-child visits. Screening 2 months after delivery detects most mothers who become depressed during the first 6 postpartum months, and screening at the 6-month well-child visit is preferable to screening at the 4-month visit.
BT - Pediatrics
C5 - HIT & Telehealth
CP - 6
CY - United States
DO - 10.1542/peds.2008-1160
IS - 6
JF - Pediatrics
N2 - OBJECTIVE: Screening for maternal depression is gaining acceptance as a standard component of well-child care. We tested the feasibility of this policy and determined the prevalence and incidence of maternal depression at well-child visits during the first 6 months of life. METHODS: Providers in an adolescent-oriented maternity program were cued electronically, when they opened the electronic medical records of 0- to 6-month-old infants to conduct well-child visits, to ask the mothers to complete the Edinburgh Postpartum Depression Scale. Incident cases represented mothers who crossed the referral threshold (score of > or =10) after the first screening. RESULTS: Mothers usually brought their infants to the clinic, and none refused screening. Providers could act on 99% of the 418 screening cues; they administered the Edinburgh Postpartum Depression Scale 98% of the time and always referred mothers with scores of > or =10. Overall, 20% of the mothers scored > or =10. Scores were unstable at  or =10 decreased from 16.5% at 2 months to 10.3% and 5.7%, respectively, at 4 months. Prevalence increased to 18.5% at the 6-month visit, and incidence decreased to 1.9%. Repeat screening detected only 2 mothers (5.7%) with scores of > or =10. CONCLUSIONS: Electronic cueing improved compliance with the detection and referral phases of screening for maternal depression at well-child visits. Screening 2 months after delivery detects most mothers who become depressed during the first 6 postpartum months, and screening at the 6-month well-child visit is preferable to screening at the 4-month visit.
PP - United States
PY - 2009
SN - 1098-4275; 0031-4005
EP - 8
EP - e982+
T1 - Screening for postpartum depression at well-child visits: is once enough during the first 6 months of life?
T2 - Pediatrics
TI - Screening for postpartum depression at well-child visits: is once enough during the first 6 months of life?
U1 - HIT & Telehealth
U2 - 19482749
U3 - 10.1542/peds.2008-1160
VL - 123
VO - 1098-4275; 0031-4005
Y1 - 2009
ER -