Navigation Links
Depressed, pregnant women receive inconsistent treatment, have longer hospital stays
Date:6/16/2011

Pregnant women who screen positive for depression are unlikely to receive consistent treatment, researchers say.

That may translate to women spending more time in the hospital before babies are even born.

The Obstetric Clinics and Resources Study, published in General Hospital Psychiatry, tracked 20 health care providers in six Michigan clinics and revealed a lack of uniformity in addressing perinatal depression.

"There are a lot of barriers to translating information into everyday practice situations," said Dr. Christie Palladino, an obstetrician/gynecologist with Georgia Health Sciences University's Education Discovery Institute and principal investigator on the study. "We wanted to understand what it's like for prenatal care providers to deal with depression care."

Providers felt burdened having to make instant decisions about complex issues, the multidisciplinary research team found. And those decisions varied dramatically, even within the same clinic.

"There was no system-level support for providers," Palladino said. "They felt as if they were making decisions out on an island."

That sense of isolation, coupled with a lack of direction about how to treat pregnant women with depression, may explain why fewer than half of women who need treatment receive it.

Adding to the disconnect was providers' discomfort in talking about the disease with both patients and mental health care providers.

"In training, we tend to talk about how frequent a disease is, what the known causes are and the treatments that are available, but we don't address developing referral relationships," Palladino said. "We need to focus on not only knowledge of the disease, but also on the intrinsic motivations."

To address the problem, GHSU's Education Discovery Institute is conducting a pilot project to teach such skills. Residents and faculty in OB-GYN, psychiatry and pediatrics are collaborating to develop and test tailored educational interventions in perinatal depression care, in hopes of quickly implementing the content into clinical practice.

Palladino is applying for a Health Resources and Services Administration grant to test the curriculum and intervention at other locations as well.

An earlier study led by Palladino discovered that depressed women had significantly longer-than-average hospital stays: more than 24 hours prior to delivery.

"That's a long time for an otherwise healthy woman to be in the hospital before going into labor," Palladino said. "It has serious consequences for the mother, for the family and for the hospital system in terms of time and cost."

The study, published in the Journal of Women's Health and funded by the Robert Wood Johnson Foundation, also confirmed previous research linking depression to an increased risk of complications such as pre-term delivery, pre-eclampsia, premature membrane rupture and gestational diabetes.

"I was in a fantastic residency program, but treating depression during pregnancy wasn't even on the map at the time," Palladino said, noting that many OB-GYN residency programs still lack mental health training. "This has become my passion."


'/>"/>

Contact: Sharron Walls
swalls@georgiahealth.edu
706-721-8605
Georgia Health Sciences University
Source:Eurekalert  

Related medicine news :

1. Undernourishment in pregnant, lactating females found key to next generations disease
2. When Pregnant Mom Smokes, Babys DNA May Change
3. Study finds highest reported BPA level in pregnant woman and associated abnormalities in infant
4. New UTHealth trial aimed at helping pregnant women stop smoking
5. Obese Pregnant Women May Have Tougher Time Fighting Infections
6. Researchers report widespread use of medications among pregnant women
7. Pregnant and Stressed May Mean Offspring Who Misbehave
8. Research: Pregnant teens want to go to college, need support
9. Buprenorphine is better than methadone for opioid dependence in pregnant women, study shows
10. Nicotine exposure in pregnant rats puts offspring at risk for learning disabilities
11. Eating Peanuts While Pregnant May Raise Childs Allergy Risks
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Depressed, pregnant women receive inconsistent treatment, have longer hospital stays
(Date:6/20/2017)... ... June 20, 2017 , ... ... , is pleased to announce a new online course entitled Personal & ... practical insights and evidence-based strategies for achieving optimal well-being and teaches students how ...
(Date:6/20/2017)... ... , ... Kenneth Mayer, MD, has been appointed a new Editor-in-Chief of the ... the JIAS Editorial Board in 2016, has co-authored more than 800 peer-reviewed publications. Among ... and Co-Chair of The Fenway Institute, a member of the US President’s Emergency ...
(Date:6/20/2017)... York, NY (PRWEB) , ... June 20, 2017 , ... ... today their continued expansion and success in the clinical trials market. Similar to its ... a track record in the clinical trials marketplace by proving the value of eVisits ...
(Date:6/20/2017)... ... June 20, 2017 , ... Dr. Manju R. Kejriwal ... leading-edge care, whether or not they have a referral. Dr. Kejriwal offers state-of-the-art ... laser, she targets bacteria and damaged tissue without affecting the surrounding tissue. This ...
(Date:6/20/2017)... ... June 20, 2017 , ... ... (AHN) Jefferson Hospital is providing physicians with advanced capabilities for diagnosing and treating ... than traditional MRIs, enabling doctors to get a more accurate look inside the ...
Breaking Medicine News(10 mins):
(Date:6/13/2017)... 2017 Zimmer Biomet Holdings, Inc. (NYSE and SIX: ... the U.S. Food and Drug Administration (FDA) has notified the ... to its Zhejiang, China manufacturing facility ... "The successful clearance of the Warning Letter related to our ... a measure of the progress we have made in our ...
(Date:6/9/2017)... , June 9, 2017 More than ... further effort to help spread lessons learned from clinical ... International Diabetes Federation (IDF) and Eli Lilly and Company ... the second phase of the Bringing Research in Diabetes ... their commitment to helping people with diabetes effectively manage ...
(Date:6/7/2017)... , June 7, 2017  Novavax, Inc., (Nasdaq: ... of two Phase 2 trials of its RSV F protein ... child bearing age have been published in the journal ... have been shared in prior scientific conferences). The Company previously ... April 2014. Novavax is developing the RSV F Vaccine with ...
Breaking Medicine Technology: