A systematic review of integrated care interventions addressing perinatal depression care in ambulatory obstetric care settings
Open accessAbstract
This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.
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It is estimated that less than 50% of women who need mental healthcare get it, and the rate is even lower among women with fewer resources and of color.
“It is estimated that <50% of women who need it get care60 and the rate is even lower among women with fewer resources and of color.62”
From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [60]
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- [53]Myers ER Aubuchon-Endsley N Bastian LA AHRQ Comparative Effectiveness Reviews Efficacy and Safety of Screening for Postpartum Depression Rockville (MD) Agency for Healthcare Research and Quality (US) 2013 23678510
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- Authors
- MOORE SIMAS, T. A., FLYNN, M. P., KROLL-DESROSIERS, A. R., CARVALHO, S. M., LEVIN, L. L., BIEBEL, K., & BYATT, N.
- Affiliations
- Departments of Obstetrics and Gynecology
- Quantitative Health Sciences
- University of Massachusetts Chan Medical School (US)
- Family and Community Medicine
- Psychiatry
- Corresponding author
- FLYNN, MICHAEL P.
- BYATT, NANCY
- Venue
- Clinical Obstetrics & Gynecology
- Published
- 2018-09
- Volume
- 61
- Issue
- 3
- Pages
- 573-590
- ISSN
- 0009-9201 (ISSN-L)
- PMC
- PMC6059986
- OpenAlex
- W2790237022
- Cited by
- 63
- References
- 57
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 2
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institutes of Health (KL2TR000160)
- National Institute of Mental Health (R41MH113381)
- National Center for Chronic Disease Prevention and Health Promotion (U01 DP006093)
- National Center for Advancing Translational Sciences
- 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
- perinatal depression, integrated care, depression screening, feasibility, effectiveness, acceptability, sustainability, reimbursement systems
- MeSH terms
- Ambulatory Care, Depression, Female, Humans, Mass Screening, Pregnancy, Pregnancy Complications, Surveys and Questionnaires, Patient Satisfaction, Perinatal Care, Delivery of Health Care, Integrated, Depression, Postpartum, Self Efficacy
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