A Screening Protocol for Perinatal Mood and Anxiety Disorders in Expectant Mothers
Issue Date
2018-12-31Author
Hoffman, Melissa
Publisher
University of Kansas
Format
61 pages
Type
Dissertation
Degree Level
D.N.P.
Discipline
Nursing
Rights
Copyright held by the author.
Metadata
Show full item recordAbstract
Perinatal psychiatric illness is a known complication of pregnancy and childbirth. Risk factors for Perinatal Mood and Anxiety Disorders (PMAD) are well established, and validated screening questionnaires to assess risk factors and symptoms are readily available. Several national governing bodies recommend screening women for pregnancy and postpartum mood disorders; however, these recommendations do not designate which screening questionnaires to use, when to administer the questionnaires, or how to proceed after screening assessment. This paper outlines the background of PMAD, screening recommendations, and the design of a quality improvement project aimed at implementing a PMAD screening protocol at Lawrence OB-GYN Specialists, a women’s health care clinic at LMH Health in Lawrence, Kansas. The Ottawa Model of Research Use guided the project (National Collaborating Center for Methods and Tools, 2017). A pre-protocol survey assessed the clinic environment, including screening practices, as well as opinions and knowledge about PMAD. The screening protocol implemented at the 16-week prenatal appointment included the Edinburgh Postnatal Depression Scale (EPDS), the Antenatal Risk Questionnaire (ANRQ), a clinical pathway, a resource and referral list, and written patient education. A post-protocol survey assessed the opinions of clinic staff regarding the usefulness of the protocol. Outcomes were measured by survey responses and screening questionnaire data. Information obtained from this project will assist obstetrical offices in screening, identifying, and referring pregnant women at risk for perinatal mental illness.
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- KU Med Center Dissertations and Theses [464]
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