Screening for Postpartum Depression in Well-Baby Care Settings: A Systematic Review
Open accessAbstract
Introduction Postpartum depression (PPD) is a mental health problem frequently experienced by mothers in the first year postpartum. Early detection and treatment can help to reduce its negative effect on the development of the newborn child. Well-baby care (WBC) is a promising screening setting for early detection of PPD. This systematic review investigates the evidence of the effectiveness of screening for PPD in WBC settings regarding mother and child outcomes. Methods Three electronic databases were searched: SCOPUS, PsychINFO and CINAHL. Two reviewers independently performed the study selection. Data extraction was based on a predefined data extraction form. Results Six studies were included; a quality assessment rated two studies as strong and four as weak. Four studies measuring outcomes at process level showed improvement in detection, referral and/or treatment rates. Four studies, including the two strong ones, where screening and enhanced care were combined, showed improvements in the Edinburgh Postnatal Depression Scale scores of the mothers in the intervention groups. No improvements were reported on other outcomes at parent level or at child level. At child level, weight was the only outcome that was measured. Discussion This review provides limited yet positive evidence for the value of screening for PPD in a WBC setting. The outcomes are comparable with studies on screening for PPD in general. The evidence that we found is very promising but the small number of available studies shows a need for additional high-quality studies, to strengthen the evidence regarding the potential benefits of screening in a WBC setting.
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Treatment rates for mental disorders were low both during pregnancy and postpartum.
“However, treatment rates were low [22] both during pregnancy as well as postpartum [23].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [23]
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- Authors
- van der Zee-van den Berg, A. I., Boere-Boonekamp, M. M., IJzerman, M. J., Haasnoot-Smallegange, R. M. E., & Reijneveld, S. A.
- Affiliations
- University of Twente (NL)
- University Medical Center Groningen (NL)
- Venue
- Maternal and Child Health Journal
- Published
- 2016-08-12
- Volume
- 21
- Issue
- 1
- Pages
- 9-20
- ISSN
- 1092-7875 (ISSN-L)
- 1573-6628
- PMC
- PMC5226980
- OpenAlex
- W2511494236
- Cited by
- 57
- References
- 24
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 9 · 2022: 8 · 2021: 9 · 2020: 9 · 2019: 5 · 2018: 4 · 2017: 3
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Maternal and Child Health Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Twente Research Information (publishedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- University of Twente Research Information (submittedVersion, other-oa)
- Funders
- Netherlands Organization for Health Research and Development (15901.0003)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- postpartum depression, screening, well-baby care, early detection, Edinburgh Postnatal Depression Scale, infant weight
- MeSH terms
- Female, Humans, Infant, Infant, Newborn, Mass Screening, Mental Health Services, Pregnancy, Depression, Postpartum
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