Evidence map›Paper›PMID 27582583›Full record

ArticleGeburtshilfe und Frauenheilkunde2016

Patients with Postpartum Depression in Gynaecological Practices in Germany - Results of a Representative Survey of Local Gynaecologists about Diagnosis and Management.

S Pawils, F Metzner, C Wendt, S Raus, M Shedden-Mora, O Wlodarczyk, M Härter

Abstract read
In one paragraph

Article in Geburtshilfe und Frauenheilkunde, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

S PawilsUniversitätsklinikum Hamburg-Eppendorf, Institut für Medizinische Psychologie, Hamburg.
F MetznerUniversitätsklinikum Hamburg-Eppendorf, Institut für Medizinische Psychologie, Hamburg.
C WendtUniversitätsklinikum Hamburg-Eppendorf, Institut für Medizinische Psychologie, Hamburg.
S RausUniversitätsklinikum Hamburg-Eppendorf, Institut für Medizinische Psychologie, Hamburg.
M Shedden-MoraUniversitätsklinikum Hamburg-Eppendorf, Poliklinik für Psychosomatische Medizin und Psychotherapie, Hamburg.
O WlodarczykUniversitätsklinikum Hamburg-Eppendorf, Institut für Medizinische Psychologie, Hamburg.
M HärterUniversitätsklinikum Hamburg-Eppendorf, Institut für Medizinische Psychologie, Hamburg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

theoretical background and current issuesFor the sake of pre-emptive child protection it is necessary to recognise signs of postpartum depression (PPD) in pregnant women and young mothers as early as possible and to initiate adequate assistance. Because of their high acceptance, especially in the phases of pregnancy and birth, the local gynaecologists offer ideal prerequisites for access to the parents. This study evaluates the current status of diagnosis and management of PPD in gynaecological practices. MATERIAL AND

methodsIn a representative German nation-wide questionnaire survey taking the regional distribution into account n = 3000 local gynaecologists were selected at random and contacted by post. The questionnaire addressed their approaches to the diagnosis and management of PPD as well as the encountered barriers.

resultsAmong the n = 1034 participating gynaecologists (response rate: 35 %) half of them dealt actively with PPD; 16 % used a questionnaire for this purpose. Consultation by the gynaecologist (84 %) or referral to therapists or hospitals (86 %) were among the most common interventions in the management of PPD. A need for improvement in the management of women with PPD was recognised equally often. As barriers the gynaecologists mentioned above all the lack of time, the low reimbursements for consultations and the lack of effective treatment options. Predictors for an active anamnesis were found to be female gender of the gynaecologist, possession of an additional psychosomatic qualification and practice located in an urban catchment area or state of the former West Germany.

conclusionThe results clearly demonstrate a high acceptance for the management of PPD by gynaecologists as well as the need for further action to improve the care of patients with PPD in gynaecological practices.

Indexed as

gynaecologistspostpartum depressionpregnancyrepresentative surveyscreening

Identifiers

PMID27582583
PMCPMC5000812

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