Background: Postpartum depression (PPD) is a public health issue, and appropriate screening may lead to clinical gains. Aim: To describe the screening for PPD, its relationship with the use of health care services, and treatment access barriers in Chilean public primary health care (PHC) centers. Material and Methods: Puerperal women attending PHC centers for a well-child check-up were assessed for the presence of PPD using the Edinburgh Postnatal Depression Scale and a structured psychiatric interview. PPD cases were assessed by telephone three months later. Also, women with PPD and PHC workers were interviewed to explore treatment barriers. Results: Of the 305 women assessed, 21% met diagnostic criteria for PPD. Sixty five percent of assessed women were previously screened for PPD while attending well-child check-ups. The results of the screening were communicated to 60% of them and 28% received some management indication. After three months of follow up, 70% of PPD cases continued to be depressed, and two thirds of them did not consult a health care provider and most of them rejected psychotherapy or medical treatment. Conclusions: Management of postpartum depression should be substantially improved in public PHC from screening to treatment.
|Título traducido de la contribución||Screening and barriers for treatment of postpartum depression in Chilean public primary health care centers|
|Número de páginas||7|
|Publicación||Revista Medica de Chile|
|Estado||Publicada - sept. 2018|
|Publicado de forma externa||Sí|
Nota bibliográficaPublisher Copyright:
© 2018, Sociedad Medica de Santiago. All rights reserved.
- Mass screening
- Primary health care
- Treatment adherence and compliance