ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Advancing equitable postpartum depression screening in a level-IV NICU: a quality improvement approach shaped by planned experimentation.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
Funding
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Abstract
backgroundGiven the incidence and impact of postpartum depression (PPD) on families in the NICU, we aimed to increase the percentage of birthing parents screened for PPD from 0 to 90% over 18-months and provide psychosocial support.
methodsPlanned experimentation was used to design an effective screening framework in a level IV NICU. Interventions included process standardization, electronic health record (EHR) support, and data visualization for feedback. Data were displayed on a control chart and stratified for race and language to ensure equitable delivery.
resultsProvider screening utilizing the PHQ-2 proved the most reliable screening framework in our context. Screening rates increased to a mean of 75%, with 90% of positive screens referred to a unit psychologist; rates were comparable across stratified groups.
conclusionSuccessful implementation of PPD screening in tertiary NICUs requires planning to ensure efficient and equitable processes and adequate psychosocial support.
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Registered trials
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