Clinical Report-Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice
Clinical Report-Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice
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DOI：
10.1542/peds.2010-2348
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发表时间：
2010-11-01
期刊：
影响因子：
8
通讯作者：
Earls, Marian F.
中科院分区：
文献类型：
--
作者：
Earls, Marian F.
每年，超过 40 万婴儿的母亲患有抑郁症，这使得围产期抑郁症成为美国诊断不足的产科并发症。产后抑郁症会导致医疗费用增加、医疗护理不当、虐待和忽视儿童、停止母乳喂养和家庭功能障碍，并对早期大脑发育产生不利影响。儿科诊所作为医疗之家，可以建立一个系统来实施产后抑郁症筛查，并确定和使用社区资源来治疗和转介抑郁的母亲并支持母子（二人）关系。该系统将对婴儿及其家人的健康和福祉产生积极影响。美国儿科学会的州分会与州早期定期筛查、诊断和治疗 (EPSDT) 以及孕产妇和儿童健康计划合作，可以提高人们对产科和儿科护理周期中围产期抑郁症筛查必要性的认识，并确保付款。儿科医生必须倡导照顾幼儿的专业人员的劳动力发展，并促进以健康依恋和亲子关系为重点的循证干预措施。儿科 2010；126：1032-1039
Every year, more than 400 000 infants are born to mothers who are depressed, which makes perinatal depression the most underdiagnosed obstetric complication in America. Postpartum depression leads to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development. Pediatric practices, as medical homes, can establish a system to implement postpartum depression screening and to identify and use community resources for the treatment and referral of the depressed mother and support for the mother-child (dyad) relationship. This system would have a positive effect on the health and well-being of the infant and family. State chapters of the American Academy of Pediatrics, working with state Early Periodic Screening, Diagnosis, and Treatment (EPSDT) and maternal and child health programs, can increase awareness of the need for perinatal depression screening in the obstetric and pediatric periodicity of care schedules and ensure payment. Pediatricians must advocate for workforce development for professionals who care for very young children and for promotion of evidence-based interventions focused on healthy attachment and parent-child relationships. Pediatrics 2010;126:1032-1039