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. 2024;9(2):e240003.
doi: 10.20900/jpbs.20240003. Epub 2024 Apr 30.

Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders

Kara Zivin  1   2   3   4   5   6 , Anna Courant  1
Affiliations

Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders

Kara Zivin et al. J Psychiatr Brain Sci. 2024.

Abstract

Perinatal mood and anxiety disorders (PMAD), which include depression and/or anxiety in the year before and/or after delivery, are common complications of pregnancy, affecting up to one in four perinatal individuals, with costs of over $15 billion per year in the US. In this paper, we provide an overview of the disparities in utilization and delivery outcomes for individuals with perinatal mood and anxiety disorders in the US. In addition, we discuss the current US screening and treatment guidelines as well as the high societal costs of illness of PMAD for both perinatal individuals and children. Finally, we outline opportunities for quality improvement of PMAD care in the US, including leveraging increased engagement with healthcare system during prenatal care, working toward a more cohesive national strategy to address PMAD, leaning into evidence-based policymaking through collaboration with a panel of experts, and generating state-level profiles focused on PMAD.

Keywords: PRAMS; perinatal anxiety; perinatal depression; perinatal mental health; perinatal mood and anxiety disorders.

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References

    1. Association of Women’s Health Obstetric and Neonatal Nurses. Mood and Anxiety Disorders in Pregnant and Postpartum Women. J Obst Gynecol Neonatal Nurs. 2015;44(5):687–9.
    1. Cox EQ, Sowa NA, Meltzer-Brody SE, Gaynes BN. The Perinatal Depression Treatment Cascade: Baby Steps Toward Improving Outcomes. J Clin Psychiatry. 2016;77(9):1189–200. - PubMed
    1. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5 Part 1):1071–83. - PubMed
    1. American College of Obstetricians and Gynecologists. ACOG committee opinion no. 757: Screening for perinatal depression. Obstet Gynecol. 2018;132(5):e208–12. - PubMed
    1. Wisner KL, Sit DY, McShea MC, Rizzo DM, Zoretich RA, Hughes CL, et al. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry. 2013;70(5):490–8. - PMC - PubMed

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