Abstract
Session presented on: Thursday, July 25, 2013:
Depression in women is tied to phases of reproduction, with the postpartum period highlighted as critical (Yonkers, et al., 2009). This period may be marred by feelings of low self-worth, disassociation with mothering, with the risk of maternal or fetal harm (Byatt, Simas, Lundquist, Johnson & Ziedonis, 2012; Nonacs, 2006). In a meta-analysis done by Bennett and colleagues, the incidence of postpartum depression (PPD) ranged from 10 - 20 %, with 12% often quoted as average (Bennett, Einarson, Taddio, Koren & Einarson, 2004). Screening to identify at-risk women is used worldwide employing various tools, with the Edinburgh Postnatal Depression Scale (EPDS) being one of the most common (Horowitz, Murphy, Gregory & Wojick, 2011). This project's purpose was to determine whether an evidence-based practice guideline developed in Canada, utilizing the Edinburgh Postnatal Depression Scale (EPDS), could improve identification and management of at-risk women in a private obstetrical practice in the United States. Secondary aims were: (1) improve compliance in screening postpartum patients for depression, (2) improve staff documentation of and communication about PPD and (3) establish an ongoing protocol for screening and management. The protocol employed was developed by the Registered Nurses Association of Ontario (RNAO) for use in screening and managing postpartum depression (PPD) (Virani, et al., 2005). Two retrospective chart reviews were conducted, one of 170 postpartum patients pre-protocol initiation and one of 168 patients post protocol administration. Upon initiating RNAO Guidelines, 96% of postpartum patients were screened by the EPDS. Comparing the identification of patients at risk for PPD before and after protocol initiation, the incidence of identified at-risk patients increased from 4.7% to 11%. Protocol initiation resulted in statistically significant identification of more at-risk women. Staff documentation improved, and 100% of patients identified at risk had a follow-up plan.
Sigma Membership
Kappa
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Depression Screening, Edinburgh Postnatal Depression Scale, Postpartum Depression
Recommended Citation
Long, Vicki E., "Adaptation of a best practice model for recognition and treatment of postpartum depression in a private obstetrics practice" (2013). INRC (Congress). 63.
https://www.sigmarepository.org/inrc/2013/presentations_2013/63
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Adaptation of a best practice model for recognition and treatment of postpartum depression in a private obstetrics practice
Prague, Czech Republic
Session presented on: Thursday, July 25, 2013:
Depression in women is tied to phases of reproduction, with the postpartum period highlighted as critical (Yonkers, et al., 2009). This period may be marred by feelings of low self-worth, disassociation with mothering, with the risk of maternal or fetal harm (Byatt, Simas, Lundquist, Johnson & Ziedonis, 2012; Nonacs, 2006). In a meta-analysis done by Bennett and colleagues, the incidence of postpartum depression (PPD) ranged from 10 - 20 %, with 12% often quoted as average (Bennett, Einarson, Taddio, Koren & Einarson, 2004). Screening to identify at-risk women is used worldwide employing various tools, with the Edinburgh Postnatal Depression Scale (EPDS) being one of the most common (Horowitz, Murphy, Gregory & Wojick, 2011). This project's purpose was to determine whether an evidence-based practice guideline developed in Canada, utilizing the Edinburgh Postnatal Depression Scale (EPDS), could improve identification and management of at-risk women in a private obstetrical practice in the United States. Secondary aims were: (1) improve compliance in screening postpartum patients for depression, (2) improve staff documentation of and communication about PPD and (3) establish an ongoing protocol for screening and management. The protocol employed was developed by the Registered Nurses Association of Ontario (RNAO) for use in screening and managing postpartum depression (PPD) (Virani, et al., 2005). Two retrospective chart reviews were conducted, one of 170 postpartum patients pre-protocol initiation and one of 168 patients post protocol administration. Upon initiating RNAO Guidelines, 96% of postpartum patients were screened by the EPDS. Comparing the identification of patients at risk for PPD before and after protocol initiation, the incidence of identified at-risk patients increased from 4.7% to 11%. Protocol initiation resulted in statistically significant identification of more at-risk women. Staff documentation improved, and 100% of patients identified at risk had a follow-up plan.