The pattern of depression screening results across successive pregnancies.

Abstract:

OBJECTIVE:Determine whether depression screen results are consistent across successive pregnancies. STUDY DESIGN:The Edinburgh Postnatal Depression Scale was administered in 2 successive pregnancies to 2116 women. A woman was "screen-positive" if she scored ≥ 12 at 24-28 weeks' or 6-weeks' postpartum. Screen-positive women were assessed by telephone and triaged by mental health professionals. RESULTS:Most women (87.9%) were screen-negative in both pregnancies; 1.7% screened successively positive, 5.9% screened positive in only the first pregnancy; 4.5% screened positive in only the second pregnancy. Unpartnered, nonwhite, and publicly insured women were each likelier to screen positive in either or both pregnancies (P < .0001). Gestational age at delivery was significantly greater in women who never screened positive (P < .05). A majority (63%) of screen-positive women in both pregnancies reported no history of mood disorder. CONCLUSION:There is sufficient variability in depression screening results between successive gestations to warrant screening during each pregnancy.

journal_name

Am J Obstet Gynecol

authors

La Porte LM,Kim JJ,Adams M,Du H,Silver RK

doi

10.1016/j.ajog.2011.12.005

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

261.e1-4

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)02398-2

journal_volume

206

pub_type

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