Good Afternoon Dr. Robinson and class,  PICOT: For pregnant patients, during weeks 38-40 of gestation

Good Afternoon Dr. Robinson and class,

PICOT: For pregnant patients, during weeks 38-40 of gestation, does screening for depression with the Edinburgh Postpartum Depression Scale, compared to current practice (postpartum period only), impact earlier identification and referrals to counseling in 8-10 weeks?

The second part of the collaborative discussion this week focuses on conference presentations to search for the nursing-focused national conferences at which you can present your DNP project on a podium or poster presentation. 

Abstract:

Mental health screening is minimal during the postpartum visit in private practice, while a psychological evaluation is unusual during the prenatal period (Long et al., 2018). The current approach is to assess mothers during the postpartum period and take action only after a diagnosis has been established. It has been researched that screening and early recognition are the most critical steps in treating PPD (Ghafoor et al., 2020). Globally, the prevalence of PPD is 17.7%, according to a systematic review that included 291 studies from 56 countries (Hahn-Holbrook et al., 2018). At a local level, depression is a burden to the community. PPD causes severe, long-lasting developmental problems for the infant that lead to potential lifetime complications and disruption of the newborn well-being. Infants of mothers who suffer from depressive moods are prone to malnutrition and inadequate cognitive skills (Slomian et al., 2019). In this project, the practice question studies if, for pregnant patients, during weeks 38-40 of gestation, does screening for depression with the Edinburgh Postpartum Depression Scale, compared to current practice (postpartum period only), impacts earlier identification and referrals to counseling in 8-10 weeks? A maximum of 160 patients will be assessed and referred as needed. The results are to be determined.

Which conference have you considered?

The National AWHONN Conference is the perfect setting for presenting this project. This organization focus on the education of obstetrical and neonatal nurses. This year, I helped review abstracts to be included in the conference.

Please share your implementation progress and your plan for formative evaluation to ensure intervention fidelity.

Implementation is going as planned. Staff are less resistant to the new task and understand the importance of the intervention. The hardest part of this project is to find the mental health solutions for these pregnant patients. The office has a resource for Medicaid patients, but it is restricted to our county. This option is not available for patients who traveled from a different county to our office or have commercial insurance.

Kindly,

Danay Sosa

References:

Ghafoor, M., Usmani, R., Choudhary, Z., Ahmad, S., Nazir, A., & Irshad, F. (2020). Frequency and determinants of postpartum depression. The Professional Medical Journal27(05), 1017-1021. https://doi.org/10.29309/tpmj/2020.27.05.4081 (Links to an external site.)

Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and Health Predictors of National Postpartum Depression Prevalence: A Systematic Review, Meta-analysis, and Meta-Regression of 291 Studies from 56 Countries. Frontiers in psychiatry8, 248. https://doi.org/10.3389/fpsyt.2017.00248 (Links to an external site.)

Long, M., Cramer, R., Jenkins, J., Bennington, L., & Paulson, J. (2018). A systematic review of interventions for healthcare professionals to improve screening and referral for perinatal mood and anxiety disorders. Archives Of Women’s Mental Health22(1), 25-36. https://doi.org/10.1007/s00737-018-0876-4 (Links to an external site.)

Slomian, Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health15, 1745506519844044–1745506519844044. https://doi.org/10.1177/1745506519844044 (Links to an external site.)

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