ACOG Committee Opinion No. 757 Summary: Screening for Perinatal Depression.
ACOG Committee Opinion No. 757 Summary: Screening for Perinatal Depression.
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DOI：
10.1097/aog.0000000000002928
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发表时间：
2018-11-01
影响因子：
7.2
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中科院分区：
文献类型：
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围产期抑郁症，包括在怀孕期间或分娩后前12个月发生的大大小小的抑郁发作，是怀孕和产后最常见的医学并发症之一，每七名妇女中就有一人受到影响。确定孕妇和产后患有抑郁症很重要，因为未经治疗的围产期抑郁症和其他情绪障碍可能会产生毁灭性的影响。几种筛查工具已被证实可在怀孕期间和产后使用。美国妇产科医生学会建议，妇产科医生和其他产科护理提供者在围产期至少使用一种标准化的有效工具对患者进行一次抑郁和焦虑症状筛查。建议所有产科医生、妇科医生和其他产科护理人员在对每个患者进行全面产后访问期间完成对情绪和情绪健康的全面评估(包括使用经过验证的工具筛查产后抑郁和焦虑)。如果患者在怀孕期间进行了抑郁和焦虑筛查，那么在全面的产后访问期间应该进行额外的筛查。有证据表明，筛查本身可以有临床益处，尽管开始治疗或转介给精神卫生保健提供者提供了最大的益处。因此，产科和妇科的临床工作人员应该准备好启动药物治疗，根据需要将患者转介到适当的行为健康资源，或两者兼而有之。
Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during pregnancy and the postpartum period, affecting one in seven women. It is important to identify pregnant and postpartum women with depression because untreated perinatal depression and other mood disorders can have devastating effects. Several screening instruments have been validated for use during pregnancy and the postpartum period. The American College of Obstetricians and Gynecologists recommends that obstetrician-gynecologists and other obstetric care providers screen patients at least once during the perinatal period for depression and anxiety symptoms using a standardized, validated tool. It is recommended that all obstetrician-gynecologists and other obstetric care providers complete a full assessment of mood and emotional well-being (including screening for postpartum depression and anxiety with a validated instrument) during the comprehensive postpartum visit for each patient. If a patient is screened for depression and anxiety during pregnancy, additional screening should then occur during the comprehensive postpartum visit. There is evidence that screening alone can have clinical benefits, although initiation of treatment or referral to mental health care providers offers maximum benefit. Therefore, clinical staff in obstetrics and gynecology practices should be prepared to initiate medical therapy, refer patients to appropriate behavioral health resources when indicated, or both.