ArticleObstetrics and gynecology2016
Improved Perinatal Depression Screening, Treatment, and Outcomes With a Universal Obstetric Program.
Article in Obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04914299 (Positive Intelligence - Prospective Study Evaluating a Novel Mobile App Based Preventive Behavioral Intervention for Perinatal Mood Disorders), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.
What it found
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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.
Positive Intelligence - Prospective Study Evaluating a Novel Mobile App Based Preventive Behavioral Intervention for Perinatal Mood Disorders
Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Screening programs for common maternal mental health disorders among perinatal women: report of the systematic review of evidence.BMC psychiatry · 2022Pooled it
- Disparities in Screening and Treatment Patterns for Depression and Anxiety During Pregnancy: An Integrative Review.Journal of midwifery & women's healthPooled it
- Midwife-led psychosocial counseling with family support on postpartum depression and maternal functioning: a randomized controlled trial.BMC pregnancy and childbirth · 2025Trial
- 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
- Feasibility and acceptability of an online mental health intervention for pregnant women and their partners: a mixed method study with a pilot randomized control trial.BMC pregnancy and childbirth · 2023Trial
- Perinatal mental health screening and care among those with pregnancy complications.American journal of obstetrics & gynecology MFM · 2026Review
- Association of treatment for prenatal depression with cardiovascular disease within 24 months after delivery.Pregnancy (Hoboken, N.J.) · 2026Article
- Integrating mental health into obstetric practice: a review of collaborative care models for perinatal anxiety.Journal of perinatal medicine · 2026Review
- Who is screened for perinatal mental health? findings from an academic health system in California.Archives of women's mental health · 2026Article
- Review
- Joint and Independent Associations of Gestational Diabetes and Depression With Childhood Obesity.JAMA network open · 2026Article
- Country of Birth, Race, Ethnicity, and Prenatal Depression.JAMA network open · 2025Article
- Factors influencing adherence to psychological intervention referrals among women who screened positive for postpartum depression in Shenzhen, China (2016-2020).Scientific reports · 2025Article
- Improving perinatal depression screening uptake: The impact of Medicaid reimbursement policy in Massachusetts.Health services research · 2025Article
- Voice analysis and deep learning for detecting mental disorders in pregnant women: a cross-sectional study.Discover mental health · 2025Article
- Ambulatory care utilization in the first 24 months' postpartum by rurality and pregnancy-related conditions: A prospective cohort study from Maine.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 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
- Perinatal Psychotherapy Use and Costs Before and After Federally Mandated Health Insurance Coverage.JAMA network open · 2024Article
- Does reversible postpartum contraception reduce the risk of pregnancy condition recurrence? A longitudinal claims-based study from Maine.Annals of epidemiology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo evaluate whether universal prenatal and early postnatal screening for depression leads to increased detection, subsequent intervention, and improved depressive symptom outcomes.
methodsWe conducted a population-based retrospective cohort study of 97,678 pregnant Kaiser Permanente Northern California members during three phases of the Universal Perinatal Depression Screening Program (preimplementation, rollout, fully implemented) from 2007 through 2014. Depression screening scores (Patient Health Questionnaire-9), depression diagnoses, individual counseling visits, demographic characteristics, and medication dispensings were extracted from electronic health records and pharmacy databases. The percentage of women screened, new depression diagnoses, and women receiving treatment were compared among the three phases (tests of trend). Changes in depressive symptom scores up to 6 months postpartum were assessed (rollout and fully implemented phases).
resultsA significant increase emerged in the percentage of women screened over the three phases ranging from less than 1% (n=122) (preimplementation) to 98% (n=41,124) (fully implemented) (P<.001). Identification of a new depression diagnosis increased from 8.2% (n=1,341) (preimplementation) to 11.5% (n=4,943) (fully implemented) (P<.001). Although the observed percentage of women receiving treatment decreased (60.9% [preimplementation] to 47.1% [fully implemented]), significant increases in the expected percentage of women receiving treatment emerged (42.6% [preimplementation] to 47.1% [fully implemented]; P<.05). Similar trends were noted for women with Patient Health Questionnaire-9 scores of 15 or greater (greater severity), highlighting an increase in expected percentage of women receiving treatment (5.9% [preimplementation] to 81.9% [fully implemented]; P<.05). In the fully implemented phase, improvements in depressive symptoms up to 6 months postpartum were noted.
conclusionThese data provide evidence of benefit for universal perinatal depression screening programs regarding depression identification and treatment receipt and suggest improvement in symptom outcomes for women in screening programs, especially among integrated health care systems.
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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.