Felicia Mancini, CNM, MPH, MSN, is currently working as a nurse-midwife for the University Midwifery Associates, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, NM.
Use of the Postpartum Depression Screening Scale in a Collaborative Obstetric Practice
Article first published online: 24 DEC 2010
2007 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 52, Issue 5, pages 429–434, September-October 2007
How to Cite
Mancini, F., Carlson, C. and Albers, L. (2007), Use of the Postpartum Depression Screening Scale in a Collaborative Obstetric Practice. Journal of Midwifery & Womens Health, 52: 429–434. doi: 10.1016/j.jmwh.2007.03.007
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- mental health;
- postpartum health;
- screening tools
Postpartum depression is a clinical depressive episode that occurs in 13% to 20% of women after birth or miscarriage. This illness has potentially devastating consequences for both mother and infant, and is thought to be highly underreported and under-diagnosed. Our study examined the use of the Postpartum Depression Screening Scale (PDSS) in a high-volume collaborative obstetric and midwifery practice. The prevalence of women with a positive screen for major postpartum depression in our study was 16%, which is consistent with other studies. An additional 20% of the participants had symptoms that indicated a potential postpartum depression. Obstetric clinicians were willing to use the PDSS, and 15 of 20 clinicians actively participated in the study. Women who had a positive screen at 6 weeks after birth were more likely to have not completed a high school education, be unpartnered, be exclusively bottle feeding, and have a history of depression. Two variables were statistically significant predictors of screening positively with the PDSS following logistic regression: history of depression (risk ratio, 4.8; 95% confidence interval, 4.4–5.2) and exclusive bottle feeding (risk ratio, 2.0; 95% confidence interval, 1.6–2.4).