Author : Kyle Sleight
Publisher :
ISBN 13 :
Total Pages : 41 pages
Book Rating : 4.:/5 (13 download)
Book Synopsis Postpartum Depression Screening in the Pediatric Setting by : Kyle Sleight
Download or read book Postpartum Depression Screening in the Pediatric Setting written by Kyle Sleight and published by . This book was released on 2022 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: Postpartum Depression (PPD) is a condition that affects 10-15% of mothers globally. In Utah, 15.4% of mothers suffer from PPD. Symptoms of PPD may include mood swings, irritability, fatigue, and suicidal ideation. Some of these symptoms go unnoticed because ofthe likelihood of them being considered normal. The optimal time to screen for PPD is between two weeks and six months after delivery. The pediatric provider can serve as a unique and important role in screening for PPD though the child's well-visits while also using follow-up to ensure the patient is being propoerly treated for PPD after screening positive. PPD is considered a risk factos for socioemotional and congitive development of the infant. This project intends to provide education to pediatric providers in a pediatric clinic in Provo, Utah about using the EPDS (Edinburgh Postnatal Depression Scale) as a more appropriate screening tool than current practice, thePHQ-2 (Patient Healthcare Questionnaire -2), while also implementing this screening tool and follow-up with mothers who have positive screenings for PPD. One of the objectives of this project involves using both screening tools for the same length of time to ultimately result in a system change due to the significance of sensitvity of one of the two screening tools being used. The Chronic Care Model was a useful framework to help improve continuity and quality of care. The evidence-based model used to guide this project was the Knowledge-To-Action framework. A retrospective chart review took place within this practice by collecting retrospective data from patient charts including mothers arriving with infants six months and younger in a two-week period. These mothers were then given survey questions to gather information about demographics including whether or not they screen positive for PPD and whether or not they were referred for psychological analysis. After the in-service, the EPDS was implemented for a two-week period, which measured how many mothers were referred as compared to before the in-service. Outcomes of this project were measured by documenting the number of mother referred without EPDS screening and mothers with EPDS screening. Unfortunately, the results for this project from data collection and implementation came from a smaller-than-anticipated sample size, which lowered statistical significance substantially. The numberof mothers referred after taking the PHQ-2 was much lower than the number of mothers who were referred after taking the EPDS. Although the amount of data was not enough to demonstrate a significant difference in screening tools, it showed that the EPDS was more sensitive in identifying positive detection of PPD. When discussing the end result of data colletion, clinical relevance was associated with the EPDS as compared to the PHQ-2. The ultimate goal of this project was to improve outcomes for mothers and their families through screening and referral resouces. The main content expert participating in this project ultimately agreed to discuss the posibility of changing policies for PPD screening in this clinic location with other stakeholders of the clinic, which adequately meets the goal of this project.
