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Detection and care practices for postpartum depressive symptoms in public-sector obstetric units in Mexico: Qualitative results from a resource-constrained setting.
Place, Jean Marie S; Allen-Leigh, Betania; Billings, Deborah L; Dues, Kiya M; de Castro, Filipa.
Afiliação
  • Place JMS; Department of Nutrition and Health Science, Ball State University, Muncie, IN, USA.
  • Allen-Leigh B; Center for Population Health Research, National Institute of Public Health, Cuernavaca, Mexico.
  • Billings DL; Choose Well Initiative, Columbia, SC, USA.
  • Dues KM; Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
  • de Castro F; Department of Nutrition and Health Science, Ball State University, Muncie, IN, USA.
Birth ; 44(4): 390-396, 2017 12.
Article em En | MEDLINE | ID: mdl-28833511
BACKGROUND: Postpartum depression (PPD) is amenable to detection and treatment, but effectively addressing it is contingent on policies, practices, and health care providers working together to address the issue. The aim of this study is to describe a sample of health care providers' existing practices in public-sector obstetric units in Mexico related to detecting and offering care to women with depressive symptomology. METHODS: Semi-structured interviews with 40 health care providers (16 physicians, 13 nurses, three social workers, and eight psychologists) from one tertiary-level and two secondary-level, public-sector obstetric units, were conducted by members of a trained research team from May to July 2012. Qualitative data were analyzed in Spanish according to Grounded Theory, using Nvivo 10 software. RESULTS: Lack of hospital guidelines, training, and time constraints are reasons given for not detecting PPD symptoms among women. Providers reported that their role is cursory and limited to giving women anticipatory guidance for what to expect emotionally after childbirth or providing a trusting atmosphere for women to express their feelings. Care is fragmented and inadequate, in part because of the lack of protocols that define who makes mental health referrals and where. Providers indicated PPD is important but not prioritized in health care for pregnant and postpartum women. CONCLUSION: Critical needs in obstetric units include formal mental health care detection and care protocols during the perinatal period, strategies to address mental health needs despite short hospital stays, and training for providers on how to implement detection and care protocols and strategies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pós-Natal / Atitude do Pessoal de Saúde / Depressão Pós-Parto / Hospitais Públicos Tipo de estudo: Diagnostic_studies / Guideline / Qualitative_research Limite: Female / Humans / Pregnancy País/Região como assunto: Mexico Idioma: En Revista: Birth Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pós-Natal / Atitude do Pessoal de Saúde / Depressão Pós-Parto / Hospitais Públicos Tipo de estudo: Diagnostic_studies / Guideline / Qualitative_research Limite: Female / Humans / Pregnancy País/Região como assunto: Mexico Idioma: En Revista: Birth Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos