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Learn MoreThe recent HealthStream Webinar, “Maternal Mental Health Risk Assessment and Intervention Before, During, and After Pregnancy,” featured Susan Kendig, an attorney and nurse practitioner with more than 35 years of experience in the healthcare industry. This blog post continues our series based on this webinar that will focus on maternal mental health.
The CDC estimates that almost 20 percent of women will experience some type of depressive episode during or after pregnancy. Untreated, this can have a devastating effect on women, their innocence, and their families. Maternal suicide within a year of birth is emerging as a significant cause of maternal mortality, and it's probably under-reported in the United States. States are now undertaking, looking at maternal mortality reviews and incorporating review of suicidality during pregnancy or that first year postpartum. Both in Colorado and Illinois, they have found that suicides are actually, when you look at maternal deaths both during pregnancy and that first year postpartum, from suicide or drug overdose, they seem to be outpacing the medical conditions combined and are emerging as one of the top causes of maternal mortality. Certainly, something to consider in terms of prevention strategies and recognition strategies.
Generally, depression with perinatal part of mindset is defined as occurring during pregnancy or within four weeks postpartum whereas major and minor depressive episodes occur during pregnancy or in the first 12 months postpartum are also looked at in these statistics. There are significant implications. Women who are having issues in terms of depression and anxiety may not adhere to their prescribed medical regimens.
High-risk Patients and Mental Health Conditions
Think about your high-risk patients in terms of those women who have severe hypertensive disorders, diabetes and pregnancy and so forth. Having an overlay of mental health conditions may actually contribute to less than optimal outcomes. Certainly, there are issues with the newborn, not the least of which would be a potential for failure to thrive, increased risk of pediatric issues and at the very least missing those really important pediatric appointments and immunization.
Anxiety should also be considered during the prenatal and postpartum period because actually the prenatal and postpartum prevalence, particularly, when you look at the full spectrum of anxiety disorders, equals or surpasses that of depression during pregnancy and prenatal anxiety is really a very strong predictor of perinatal depression as well. Outcomes tend to be similar.
Recommended Maternal Screenings for Depression
The American Academy of Paediatrics was actually the first to come on board with this, recommending that pediatricians screen mothers for depressive symptoms at child visits at one, two, and four months. They have since updated that recommendation to continue those during that first year. The important thing to remember if your pediatricians are implementing this protocol, there needs to be some type of feedback loop back to the women's health care provider as well as her primary care provider. Because if the woman is screened in that pediatric encounter, the theory here is many women will attend the newborn visits. However, about 40% of women across the board miss their postpartum visits. So, having pediatricians screen is an excellent idea. The next step would be having that feedback loop because if she does come to her women's health care provider or her primary care provider for a variety of reasons and they don't know that she has had a screen that indicates risks, there again maybe a missed opportunity.
In May 2015, ACOG published a committee opinion, the American College of Obstetricians and Gynecologists, to screen at least once during the prenatal period and the US Preventive Services Task Force followed that with a statement including depression screening for pregnant women both in the antepartum and postpartum period.
To learn about training solutions that prepare providers to address this serious issue, access the full webinar recording here.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's Provider Credentialing, privileging, & enrollment solutions.
View All CredentialingExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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