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1.
J Obstet Gynecol Neonatal Nurs ; 47(1): 75-83, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29156212

RESUMEN

Postpartum Support International provides training for professionals and supports families who experience perinatal mood and anxiety disorders. The purpose of this article is to describe Postpartum Support International, which was founded in 1987 to increase awareness among public and professional communities about the emotional difficulties women experience during and after pregnancy. We recommend strategies with which health care professionals can support families, reduce stigma, and offer resources for treatment and support.


Asunto(s)
Depresión Posparto/psicología , Depresión Posparto/terapia , Educación en Salud , Personal de Salud/educación , Sistemas de Apoyo Psicosocial , Adulto , Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Femenino , Recursos en Salud/economía , Humanos , Internacionalidad , Rol de la Enfermera , Educación del Paciente como Asunto/organización & administración , Periodo Posparto , Embarazo , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , Estigma Social , Estados Unidos
2.
J Midwifery Womens Health ; 62(2): 232-239, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28384395

RESUMEN

Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue. In 2015, the Council on Patient Safety in Women's Health Care convened an interdisciplinary work group to develop an evidence-based patient safety bundle to address maternal mental health. The focus of this bundle is perinatal mood and anxiety disorders. The bundle is modeled after other bundles released by the Council on Patient Safety in Women's Health Care and provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. This commentary provides information to assist with bundle implementation.


Asunto(s)
Trastornos de Ansiedad/terapia , Ansiedad/terapia , Depresión/terapia , Complicaciones del Embarazo/psicología , Trastorno Depresivo/terapia , Femenino , Humanos , Embarazo
3.
Obstet Gynecol ; 129(3): 422-430, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28178041

RESUMEN

Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue. In 2015, the Council on Patient Safety in Women's Health Care convened an interdisciplinary workgroup to develop an evidence-based patient safety bundle to address maternal mental health. The focus of this bundle is perinatal mood and anxiety disorders. The bundle is modeled after other bundles released by the Council on Patient Safety in Women's Health Care and provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. This commentary provides information to assist with bundle implementation.


Asunto(s)
Ansiedad/diagnóstico , Ansiedad/terapia , Depresión/diagnóstico , Depresión/terapia , Obstetricia , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/terapia , Ansiedad/psicología , Protocolos Clínicos , Consenso , Continuidad de la Atención al Paciente , Depresión/psicología , Medicina Basada en la Evidencia , Femenino , Humanos , Tamizaje Masivo , Anamnesis , Obstetricia/métodos , Obstetricia/organización & administración , Educación del Paciente como Asunto , Atención Perinatal/normas , Guías de Práctica Clínica como Asunto , Embarazo , Complicaciones del Embarazo/psicología , Escalas de Valoración Psiquiátrica , Derivación y Consulta
4.
J Obstet Gynecol Neonatal Nurs ; 46(2): 272-281, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28190757

RESUMEN

Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue. In 2015, the Council on Patient Safety in Women's Health Care convened an interdisciplinary workgroup to develop an evidence-based patient safety bundle to address maternal mental health. The focus of this bundle is perinatal mood and anxiety disorders. The bundle is modeled after other bundles released by the Council on Patient Safety in Women's Health Care and provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. This commentary provides information to assist with bundle implementation.


Asunto(s)
Ansiedad , Depresión , Salud Materna/normas , Salud Mental/normas , Complicaciones del Embarazo , Ansiedad/diagnóstico , Ansiedad/prevención & control , Consenso , Depresión/diagnóstico , Depresión/prevención & control , Práctica Clínica Basada en la Evidencia/métodos , Práctica Clínica Basada en la Evidencia/organización & administración , Femenino , Humanos , Tamizaje Masivo/organización & administración , Embarazo , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/prevención & control , Complicaciones del Embarazo/psicología , Mejoramiento de la Calidad
5.
J Obstet Gynecol Neonatal Nurs ; 34(5): 569-76, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16227512

RESUMEN

OBJECTIVE: To provide a profile of women suffering from major postpartum depression as assessed by the Postpartum Depression Screening Scale (PDSS). DESIGN: A secondary analysis conducted on a portion of the data collected from an earlier psychometric testing of the PDSS. SETTING: Private practice in the San Francisco Bay Area of a marriage and family therapist specializing in perinatal mood disorders. PARTICIPANTS: One hundred thirty-three women who were diagnosed with major postpartum depression. INTERVENTION: Each mother completed the PDSS followed by a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnostic interview. MAIN OUTCOME MEASURE: Seven dimensions of postpartum depression: sleeping/eating disturbances, anxiety/insecurity, emotional lability, mental confusion, loss of self, guilt/shame, and suicidal thoughts as measured by the PDSS. RESULTS: Scores on all seven dimensions of the PDSS were elevated. The three top dimensions were emotional lability, mental confusion, and anxiety/insecurity. The mean total PDSS score of 120 was well beyond the recommended cutoff score of 80 for a positive screen for major postpartum depression. CONCLUSION: Clinicians who come in contact with new mothers need to be alert to the range of possible symptoms that postpartum depressed mothers may experience so that these women are not left to suffer in silence.


Asunto(s)
Depresión Posparto/diagnóstico , Depresión Posparto/psicología , Adulto , Ansiedad/etiología , Terapia Cognitivo-Conductual , Confusión/etiología , Depresión Posparto/complicaciones , Depresión Posparto/enfermería , Trastornos de Alimentación y de la Ingestión de Alimentos/etiología , Femenino , Culpa , Humanos , Entrevista Psicológica , Tamizaje Masivo , Persona de Mediana Edad , Rol de la Enfermera , Evaluación en Enfermería , Escalas de Valoración Psiquiátrica , Factores de Riesgo , San Francisco , Autoimagen , Índice de Severidad de la Enfermedad , Vergüenza , Trastornos del Sueño-Vigilia/etiología , Suicidio/psicología , Encuestas y Cuestionarios
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