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Created on : 05 Aug 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Assessing for psychosocial morbidity in pregnant women. Commentary. Canadian Medical Association Journal 2005;173(3):267.

Author(s) :

Matthey S.

Year of publication :

2005

URL(s) :

http://www.cmaj.ca/cgi/content/full/173/3/267

Résumé (français)  :

Abstract (English)  :

In recent years an increasing number of investigators have supported routine antenatal and postnatal screening for psychological distress or depression. Performing antenatal screening is reasonable since we know that postnatal mood disorders often begin during or before pregnancy. We also know that, in the absence of systematic screening, most postnatal mood disorders are not detected. Furthermore, we know that women with antenatal psychosocial risk factors are more likely to have a postnatal mood disorder. There is also some evidence that antenatal interventions can be beneficial for women.
…
Although some reviews have questioned the validity of undertaking routine psychosocial assessments, it is important to remember that routine assessment does not occur only through a formalized, published measure. It also occurs when the patient is asked how she is feeling, and whether she has any worries or concerns either now or for after her baby is born. Any reply that indicates possible stress should be taken seriously and appropriate support or intervention considered. Thus clinicians should not wait upon the results of empirical trials before deciding whether or not routine antenatal screening is something they or their service should implement — rather, they should consider which questions seem reasonable. By asking such questions, clinicians show their concern not just for the patient’s physical well-being but also for her whole well-being and for that of her family.

Sumário (português)  :

Resumen (español)  :

Comments :

Texte en acces libre.

Argument (français) :

Il existe plusieurs questionnaires de depistage de morbidite psychosociale ante- et post-natals. Neanmoins c’est surtout l’attention que le soignant porte a ces problemes qui permet le depistage.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ depression, anxiety ; evidence-based medicine/midwifery ; psychology ; traumatism

Author of this record :

Cécile Loup — 05 Aug 2005