PPD narrated

Screening for Postpartum Depression in New Mothers and the Nursing Role to Improve Outcomes: 

Screening for Postpartum D epression in New M others and the Nursing Role to Improve Outcomes Lauren Dillon, Katie Edwards, & Casey Smith Creighton School of Nursing

Significance : 

Significance Postpartum d epression 100-150 postpartum women out of 1,000 1 Postpartum psychosis 1-2 postpartum women out of 1,000 1 Increased risk of suicide or infanticide 1 Scr eening/Intervention in the United States Few large-scale screening programs 2 Lack of home visit delivered care 2

Risks: 

Risks Women at higher risk Lower income (Medicaid ) 3,4 Partner related stress or physical abuse 3 Younger women 3,4 Lower education level 3,4 Low birth weight neonates 3,1

Comparison of Statistics: 

Comparison of Statistics H ealthy neonates vs. neonates at risk 1 Low quality of life and low socio-economic status 4 Nurses support screening and nurse-delivered postpartum counseling 2

PICO Question: 

PICO Question In postpartum mothers how did screening tools impact the quality outcome of early recognition of postpartum depression?

Care Management Outcomes: 

Care Management O utcomes Clinical Outcomes Signs of postpartum depression are identified and appropriate treatment is initiated. 5 M other and neonate will remain safe. 5 Risks are identified prenatally to prevent or manage complications. 6

Care Management Outcomes: 

Care Management Outcomes Quality Outcomes M other will demonstrate healthy interactions with their neonate. 6 Cost Outcomes None noted

Research: 

Research Sample Nurses 2 Postpartum Mothers 1,4

Research: 

Research Level Level IV 1,2,4 Quality Moderate 2,4 Poor 1

Research: 

Research Findings Nurses 1,4 Mothers 2 Screening is being done 1,2,4

Implications: 

Implications Protocol development Education 2 Nurses Mothers Economic

Interdisciplinary : 

Interdisciplinary Referrals 2 OBGYN Primary care physician Pediatrician Psychologist Psychiatrist

Future Research: 

Future Research Protocols S creening Leveling care Referrals Effects of untreated PPD Economic burden

Summary: 

Summary Screening focus The future

References: 

References 1. De Magistris , A., Coni , E., Puddu , M., Zona , M., & Fanos , V. (2010). Screening of postpartum depression: Comparison between mothers in neonatal intensive care unit and in the neonatal section . The Journal of Maternal-Fetal and Neonatal Medicine , 23 , 101-103. doi : 10.3109/ 14767058.2010.506759 2. Segre, L.S., O'Hara, M.W., Arndt, S., & Beck, C.T. (2010). Nursing care for postpartum depression, part 1: Do nurses think they should offer both screening and counseling? The American Journal of Maternal /Child Nursing, 35 , 220-225. doi : 10.1097/NMC. 0b013e3181dd9d81 3. Centers for Disease C ontrol and Prevention. (2004). Pregnancy risk assessment monitoring system (PRAMS): PRAMS and postpartum depression . Retrieved October 19, 2011 from http :/ / www.cdc.gov /prams/ ppd.htm

References: 

References 4. Zubaran , C., & Foresti , K. (2010). Investigating quality of life and depressive symptoms and the postpartum period. Women and Birth, 24 , 10-16. doi : 10.1016/j.wombi.2010.05.002 5. Ladewig , P. A., London, M. L., & Davidson, M. R. (2010). Contemporary maternal-newborn nursing care (7 th ed.). Upper Saddle River, New Jersey: Pearson. 6. Ball, J. W., Bindler , R. C., & Cowen K. J. (2010) Child health nursing partnering with children and families (2 nd ed. ). Upper Saddle River, New Jersey: Pearson.