Identifiering och uppföljning av kvinnor med postpartumdepression : Distriktssköterskors och barnmorskors uppfattning

• Main Authors: Wallén, Annelie, Bonnedahl, Catrine
• Format: Others
• Language: Swedish
• Published: Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap 2009
• Subjects: postpartum depression; postnatal depression; screening; primary care; Edingburgh Postnatal Depression Scale; Obstetrics and women's diseases; Obstetrik och kvinnosjukdomar
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-105272

ABSTRACT Background Postpartum depression (PPD) occurs in 10% of women who have recently given birth. Postpartum depression is treatable but unidentified and untreated it could lead to serious consequences. There are multiple instruments for screening available. The Edinburgh Postnatal Depression Scale is the most frequently used and is regarded as the best instrument. Aim The aim of this study was to analyze to what extent and how midwifes and primary care nurses identify mothers with symptoms of depression respectively PPD. A further aim was to enquire if there are routines for follow up and if there is any collaboration among the professions? Method A descriptive and comparative design with collection of quantitative and qualitative data was chosen. Midwifes (n=20) and primary care nurses (n=26) at 9 primary care centres answered a questionnaire concerning PPD. Results Almost all of the primary care nurses reported that they used EPDS as a screening instrument. They also described signs of depression/PPD. Midwifes and primary care nurses had some education in PPD, but there was a need for more education. Even if there was some collaboration among the professions there still was a wish for an increase of co-working. Conclusion EPDS-screening and referrals to psychologist, physicians and psychiatrists are routines used to identify PPD and also for follow-ups. The midwifes have not received education and does not use EPDS-screening in the same extension as the primary care nurses.