Acceptability of antenatal screening for depression in routine antenatal care. 2007

Bronwyn Leigh, and Jeannette Milgrom
Parent-Infant Research Institute, Department of Clinical and Health Psychology, Austin Health, Victoria, Australia.

OBJECTIVE The Edinburgh Postnatal Depression Scale (EPDS) is generally recognised as a valid, reliable, cost-effective and simple tool to implement within routine care, however there is controversy regarding the acceptability of screening for depression. This paper aims to examine how acceptable women find (1) completing a battery of questionnaires, including the EPDS and (2) receiving feedback from midwives regarding the significance of their EPDS score when being screened for depression as part of routine antenatal care. METHODS Telephone interviews with women following completion of the questionnaire battery and receiving feedback from midwives. METHODS Antenatal primary care in a hospital setting. METHODS Community sample of 407 women screened by midwives in antenatal clinics. METHODS Information regarding women's experience of participating in the screening process. RESULTS 100% of women reported that the screening experience was acceptable and not upsetting. Almost 50% reported that the screening process raised their awareness of perinatal depression. No woman reported feeling stigmatised, labelled or distressed by the screening process. Women reported that gaining immediate feedback from midwives was reassuring. CONCLUSIONS This study strongly supports the acceptability of routine screening for perinatal depression in the context of registered midwife support.

UI MeSH Term Description Entries
D008403 Mass Screening Organized periodic procedures performed on large groups of people for the purpose of detecting disease. Screening,Mass Screenings,Screening, Mass,Screenings,Screenings, Mass
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010342 Patient Acceptance of Health Care Patients' willingness to receive health care. Acceptability of Health Care,Health Care Seeking Behavior,Acceptability of Healthcare,Acceptors of Health Care,Health Care Utilization,Nonacceptors of Health Care,Patient Acceptance of Healthcare,Care Acceptor, Health,Care Acceptors, Health,Care Nonacceptor, Health,Care Nonacceptors, Health,Health Care Acceptability,Health Care Acceptor,Health Care Acceptors,Health Care Nonacceptor,Health Care Nonacceptors,Healthcare Acceptabilities,Healthcare Acceptability,Healthcare Patient Acceptance,Healthcare Patient Acceptances,Utilization, Health Care
D011793 Queensland A state in northeastern Australia. Its capital is Brisbane. Its coast was first visited by Captain Cook in 1770 and its first settlement (penal) was located on Moreton Bay in 1824. The name Cooksland was first proposed but honor to Queen Victoria prevailed. (From Webster's New Geographical Dictionary, 1988, p996 & Room, Brewer's Dictionary of Names, 1992, p441)
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D019052 Depression, Postpartum Depression in POSTPARTUM WOMEN, usually within four weeks after giving birth (PARTURITION). The degree of depression ranges from mild transient depression to neurotic or psychotic depressive disorders. (From DSM-IV, p386) Post-Natal Dysphoria,Post-Partum Dysphoria,Postnatal Depression,Postnatal Dysphoria,Postpartum Depression,Postpartum Dysphoria,Post-Natal Depression,Post-Partum Depression,Depression, Post-Natal,Depression, Post-Partum,Depression, Postnatal,Dysphoria, Post-Natal,Dysphoria, Post-Partum,Dysphoria, Postnatal,Dysphoria, Postpartum,Post Natal Depression,Post Natal Dysphoria,Post Partum Depression,Post Partum Dysphoria

Related Publications

Bronwyn Leigh, and Jeannette Milgrom
July 2006, Journal of affective disorders,
Bronwyn Leigh, and Jeannette Milgrom
November 1985, Australian family physician,
Bronwyn Leigh, and Jeannette Milgrom
October 1993, Current opinion in obstetrics & gynecology,
Bronwyn Leigh, and Jeannette Milgrom
March 1992, Public health,
Bronwyn Leigh, and Jeannette Milgrom
January 2000, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics,
Bronwyn Leigh, and Jeannette Milgrom
January 2007, Pediatrics,
Bronwyn Leigh, and Jeannette Milgrom
September 1994, Deutsche medizinische Wochenschrift (1946),
Bronwyn Leigh, and Jeannette Milgrom
November 1981, The Australian & New Zealand journal of obstetrics & gynaecology,
Copied contents to your clipboard!