ArticleObstetrics and gynecology2016
Perinatal Obstetric Office Depression Screening and Treatment: Implementation in a Health Care System.
Article in Obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Screening for perinatal depression with the Patient Health Questionnaire depression scale (PHQ-9): A systematic review and meta-analysis.General hospital psychiatryPooled it
- Effect of a Tailored eHealth Physical Activity Intervention on Physical Activity and Depression During Postpartum: Randomized Controlled Trial (The Postpartum Wellness Study).JMIR mental health · 2025Trial
- Country of Birth, Race, Ethnicity, and Prenatal Depression.JAMA network open · 2025Article
- Incorporating end-user perspectives into the development of a machine learning algorithm for first time perinatal depression prediction.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2025Review
- Prenatal Depression and Symptom Severity by Maternal Race and Ethnicity.JAMA network open · 2025Article
- Voice analysis and deep learning for detecting mental disorders in pregnant women: a cross-sectional study.Discover mental health · 2025Article
- A Tailored Postpartum eHealth Physical Activity Intervention for Individuals at High Risk of Postpartum Depression-the POstpartum Wellness Study (POW): Protocol and Data Overview for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Racial Residential Segregation and Mental Health During Pregnancy.JAMA health forum · 2024Article
- Maternal treatment with selective serotonin reuptake inhibitors during pregnancy and delayed neonatal adaptation: a population-based cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2024Article
- Review of the Assessment and Management of Perinatal Mood and Anxiety Disorders.Focus (American Psychiatric Publishing) · 2024Review
- Neighborhood Disadvantage, Race and Ethnicity, and Postpartum Depression.JAMA network open · 2023Article
- Racial and ethnic differences in perinatal depression and anxiety.Journal of affective disorders · 2023Article
- Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review.International journal of environmental research and public health · 2023Article
- Reducing psychiatric illness in the perinatal period: A review and commentary.World journal of psychiatry · 2023Review
- Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression.Psychiatric services (Washington, D.C.) · 2023Article
- Trial of a patient-directed eHealth program to ameliorate perinatal depression: the MomMoodBooster2 practical effectiveness study.American journal of obstetrics and gynecology · 2023Article
- Prevalence and Associated Risk Factors of Suicidal Ideation Among Brazilian Pregnant Women: A Population-Based Study.Frontiers in psychiatry · 2022Article
- Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups.BMC pregnancy and childbirth · 2021Article
- Perceived Barriers and Motivators for Physical Activity in Women With Perinatal Depression.Journal of physical activity & health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Perinatal depression affects between 12% and 20% of pregnant and postpartum women and is underdiagnosed. The American College of Obstetricians and Gynecologists and the U.S. Preventive Services Task Force recently recommended universal perinatal depression screening. We discuss challenges to instituting universal screening, describe the development and implementation between 2007 and 2014 of Kaiser Permanente Northern California's successful program, and highlight key measures of success. A quality improvement system approach with four steps guided development: 1) identify and use best practices, 2) identify champions and educate clinicians, 3) use data that drive performance, and 4) streamline office workflow. Clinical success was determined by at least 50% improvement in depression care metrics from diagnosis to 120 days afterward. Depression diagnoses, Patient Health Questionnaire-9 scores, medication dispensation, and treatment for all births in 2014 (N=37,660) were extracted from electronic health records. Ninety-six percent of pregnant and postpartum women were screened at least once. Fourteen percent screened positive for depression (Patient Health Questionnaire-9 score of 10 or greater). Approximately 6% of pregnant and postpartum women had severe depression with a Patient Health Questionnaire-9 of 15 or greater and a depression diagnosis, and 80% of these women received treatment. Forty percent of women with a depression diagnosis demonstrated improved symptoms. Kaiser Permanente Northern California's universal perinatal depression screening program can serve as a model for the feasibility and clinical effectiveness of universal depression screening in obstetric care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.