ArticleArchives of women's mental health2021
Perinatal depression screening practices in a large health system: identifying current state and assessing opportunities to provide more equitable care.
Article in Archives of women's mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
75 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Women's Experiences of Screening and Assessment of Mental Health Problems in the Perinatal Period: A Systematic Review and Meta-synthesis.Clinical child and family psychology review · 2026Pooled it
- Pooled it
- Screening for perinatal depression with the Patient Health Questionnaire depression scale (PHQ-9): A systematic review and meta-analysis.General hospital psychiatryPooled it
- Disparities in Screening and Treatment Patterns for Depression and Anxiety During Pregnancy: An Integrative Review.Journal of midwifery & women's healthPooled it
- Screening for parent and child ADHD in urban pediatric primary care: pilot implementation and stakeholder perspectives.BMC pediatrics · 2023Trial
- Group vs traditional prenatal care for improving racial equity in preterm birth and low birthweight: the Centering and Racial Disparities randomized clinical trial study.American journal of obstetrics and gynecology · 2022Trial
- Assessing Factors that Influence Psychiatric Referral Time and Postpartum Follow-Up in Obstetric Patients.Community mental health journal · 2026Article
- Guidance on providing telebehavioral health care for perinatal populations: An assessment of resources and gaps.Archives of women's mental health · 2026Article
- Perinatal Depression and Infant Mortality.JAMA network open · 2026Article
- Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Patient outcomes following positive depression screening in a postpartum clinic: A single center retrospective cohort study.Medical research archives · 2026Article
- Bridging Gaps in Perinatal Mental Health: A Review of Peer and Non-specialist Supports for Racially, Ethnically and Culturally Diverse Communities in the U.S.Current psychiatry reports · 2026Review
- Women' and midwives' experiences of perinatal mental health care: A qualitative study.International journal of nursing studies advances · 2026Article
- Barriers and Facilitators to Accessing Mental Health Supports Among Black Perinatal Women: Application of the Patient-centered Access Framework.Journal of racial and ethnic health disparities · 2026Article
- Racial differences in diagnosis of perinatal mood and anxiety disorders.Archives of women's mental health · 2026Observational
- Who is screened for perinatal mental health? findings from an academic health system in California.Archives of women's mental health · 2026Article
- Cost-effectiveness of virtual Mindfulness-Based Cognitive Therapy on pregnancies at high risk of perinatal depression.Pregnancy (Hoboken, N.J.) · 2026Article
- Equitable and culturally sensitive perinatal mental health screening and referral for all: experiences and needs from primary care and community-based healthcare providers.BMC health services research · 2026Article
- "And in some cases, we're the best option:" A qualitative study of community-based doula support for black perinatal mental health.American journal of community psychology · 2026Article
- Perinatal depression screening and diagnosis: Identifying opportunities to improve optimal care.Archives of women's mental health · 2026Article
15 more citing papers are in PubMed but not listed here.
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to assess the prevalence of prenatal and postpartum depression screening in a large health system and to identify covariates for screening, with a specific focus in understanding disparities in practice. A retrospective cohort of women with deliveries in 2016 was created using electronic health records. Primary outcomes were depression screening during pregnancy and the first 3 months postpartum. Generalized linear mixed models with women nested within clinic were used to determine the effect of maternal and clinical characteristics on depression screening. The sample included 7548 women who received prenatal care at 35 clinics and delivered at 10 hospitals. The postpartum sample included 7059 women who returned within 3 months for a postpartum visit. Of those, 65.1% were screened for depression during pregnancy, and 64.4% were screened postpartum. Clinic site was the strongest predictor of screening, accounting for 23-30% of the variability in screening prevalence. There were no disparities identified with regard to prenatal screening. However, several disparities were identified for postpartum screening. After adjusting for clinic, women who were African American, Asian, and otherwise non-white (Native American, multi-racial) were less likely to be screened postpartum than white women (AOR (CI)'s 0.81 (0.65, 1.01), 0.64 (0.53, 0.77), and 0.44 (0.21, 0.96), respectively). Women insured by Medicaid/Medicare, a proxy for low-income, were less likely to be screened postpartum than women who were privately insured (AOR (CI) 0.78 (0.68, 0.89)). National guidelines support universal depression screening of pregnant and postpartum women. The current study found opportunities for improvement in order to achieve universal screening and to deliver equitable care.
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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.