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  • Australian Midwives’ Awareness and Management of Antenatal and Postpartum Depression

    Author(s)
    Jones, Cindy J
    Creedy, Debra K
    Gamble, Jenny A
    Griffith University Author(s)
    Gamble, Jenny A.
    Creedy, Debra K.
    Jones, Cindy J.
    Year published
    2012
    Metadata
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    Abstract
    Background The detection of maternal depression can be improved with routine screening. This practice is expected to be integrated into midwifery practice under the Australia National Perinatal Depression Initiative. Research objective To describe midwives' self-reported practice in caring for women suffering from antenatal and postpartum depressive symptoms; and assess midwives' ability to detect depression and their knowledge of therapeutic interventions for depressive symptoms in childbearing women. Method Using a descriptive cohort study design, a postal survey was sent to all members of the Australian College of ...
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    Background The detection of maternal depression can be improved with routine screening. This practice is expected to be integrated into midwifery practice under the Australia National Perinatal Depression Initiative. Research objective To describe midwives' self-reported practice in caring for women suffering from antenatal and postpartum depressive symptoms; and assess midwives' ability to detect depression and their knowledge of therapeutic interventions for depressive symptoms in childbearing women. Method Using a descriptive cohort study design, a postal survey was sent to all members of the Australian College of Midwives (n = 3000). The survey consisted of items drawn from beyondblue's "National Baseline Survey - Screening Evaluation Questionnaire" and questions relating to a hypothetical case study of a depressed woman "Mary" developed by Buist et al.25 Findings A total of 815 completed surveys were received. 69.1% of midwives reported screening for antenatal and postpartum depression using instruments such as the Edinburgh Postnatal Depression Scale. Time constraints were perceived as the major barrier to effective emotional care. 63.3% of midwives correctly recognised depression in the case study and 82.4% reported that "Mary" required assistance. Antidepressants were more likely to be recommended postnatally (93.2%) than antenatally (61.5%) by midwives. Conclusions Further training is required to ensure midwives' competency in psychosocial assessment and management of women experiencing antenatal and postpartum depression. Systemic issues (e.g. time constraints) encountered by midwives need to be addressed to support the delivery of effective emotional care to childbearing women.
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    Journal Title
    Women & Birth
    Volume
    25
    Issue
    1
    DOI
    https://doi.org/10.1016/j.wombi.2011.03.001
    Subject
    Midwifery
    Medical and Health Sciences
    Publication URI
    http://hdl.handle.net/10072/46064
    Collection
    • Journal articles

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