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. 2021 Jul;48(4):608-618.
doi: 10.1007/s10488-020-01094-3. Epub 2020 Nov 2.

Exploring the Extent of Perinatal Depression Screening in the Health Records of Veterans

Aimee Kroll-Desrosiers  1   2   3 , Laurel A Copeland  4   5   6 , Judith Kuzdeba  7 , Anne M Oumarou  8 , Kristin Mattocks  4   5   9
Affiliations

Exploring the Extent of Perinatal Depression Screening in the Health Records of Veterans

Aimee Kroll-Desrosiers et al. Adm Policy Ment Health. 2021 Jul.

Abstract

To investigate adherence by Veterans Affairs (VA) providers to perinatal depression screening clinical practice guidelines (two prenatal and one postpartum screen). Women Veterans who enrolled in a multisite cohort study during pregnancy and delivered newborns between January 1, 2016 and December 31, 2019 were included. VA electronic health record (EHR) and claims data identified the start of pregnancy care, depression screens, and medical history. Prenatal and postpartum telephone surveys collected demographics, pregnancy characteristics, and Edinburgh Postnatal Depression Scale (EPDS) scores. Data from EHRs was combined with telephone survey data to create the analytic dataset (n = 663). Most (93%) Veterans had primary care at the VA during pregnancy; 41% saw a VA mental health provider. Perinatal depression screens were conducted with 43% of Veterans; 13% had both prenatal and postnatal screens. Screened Veterans were less likely to be diagnosed with depression by a VA provider in either the preconception or pregnancy time periods compared to those not screened (11% vs. 24% and 14% vs 23%, respectively). Among unscreened women, 18% scored positive for depression prenatally and 9% postnatally on the EPDS. Less than half of our sample had evidence of depression screening during the perinatal period, despite contact with VA providers. Perinatal Veterans sustaining VA mental health care may account for fewer screens. Lack of screening may hinder connection to VA mental health treatment and referral resources for symptomatic women. VA should ensure Veterans receive perinatal depression screening to mediate the risks of depression on Veterans and their children.

Keywords: Depression; Mental health; Postpartum; Pregnancy; Veterans.

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References

    1. Adams, M. A., Sayre, G. G., & Saini, S. D. (2019). The VA MISSION Act and Community Care for Veterans: What Every community GI Doc needs to know. American Journal of Gastroenterology, 114(8), 1189–1191. https://doi.org/10.14309/ajg.0000000000000320 - DOI
    1. American College of Obstetricians and Gynecologists. (2014). Obstetric Data Definitions (Version 1.0). Retrieved from https://www.acog.org/en/Clinical/Clinical Guidance/Committee Opinion/Articles/2018/11/Screening for Perinatal Depression
    1. American College of Obstetricians and Gynecologists. (2015). The American College of Obstetricians and Gynecologists Committee Opinion No. 630: Screening for perinatal depression. Obstetrics & Gynecology, 125(5), 1268–1271. https://doi.org/10.1097/01.AOG.0000465192.34779.dc - DOI
    1. American College of Obstetricians and Gynecologists. (2018). Screening for perinatal depression. ACOG Committee Opinion No. 757, 132(e), 208–212.
    1. Bergink, V., Kooistra, L., Lambregtse-van den Berg, M. P., Wijnen, H., Bunevicius, R., van Baar, A., & Pop, V. (2011). Validation of the Edinburgh Depression Scale during pregnancy. Journal of Psychosomatic Research, 70(4), 385–389. - DOI

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