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Depression Screening for Pregnant Women. Team Members Kristin Schirott, RN Carol Worth, LPN Margaret O’Connor, RN Bette Okamoto, RN Sharon Bird, RN. Confidential: For Quality Improvement Purposes Only. EPDS Graph. Confidential: For Quality Improvement Purposes Only.

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Depression Screening for Pregnant Women


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    1. Depression Screening for Pregnant Women Team Members Kristin Schirott, RN Carol Worth, LPN Margaret O’Connor, RN Bette Okamoto, RN Sharon Bird, RN Confidential: For Quality Improvement Purposes Only

    2. EPDS Graph Confidential: For Quality Improvement Purposes Only Confidential: For Quality Improvement Purposes Only Confidential: For Quality Improvement Purposes Only Confidential: For Quality Improvement Purposes Only Confidential: For Quality Improvement Purposes Only

    3. Mary Kenny, RN Margaret Bauschard, RN Linda McEnry, RN Cheryl Mclean, RN Mary Davey, RN Peggy Downing, RN Stephanie Exum, MD Sandra Swanson, RN Robyn Thurston Rita Guenther, RN Multidisciplinary Team Members Confidential: For Quality Improvement Purposes Only

    4. Project Aim Statement: • To identify suicide risk due to post partum depression. • Prevalence of major depression during pregnancy is 9.4%-12.7% in US women • Prevalence of major depression post partum • 7.1% within the first 3 months • 21.9% in the first 12 months • 50%-70% affected by Baby Blues • Screen all pregnant women several times during their pregnancy and post partum Confidential: For Quality Improvement Purposes Only

    5. Project Goals and Target 100% of our patients would be screened at 28 weeks ante partum After delivery 2 weeks post partum 6 weeks post partum Using the Edinburgh Postnatal Depression Scale (EPDS) Confidential: For Quality Improvement Purposes Only

    6. Solutions Implemented • Worked with a multidisciplinary team from department of psychiatry, labor and delivery, mother baby unit, ambulatory sites at LOC, NR, OBT and EPIC • Psychiatry department gave in-services on PPD and using the EPDS screening tool • Team created parameters on when and how to make referrals to the psychiatry department or ER • MD, RN and clinical staff were in-serviced

    7. Solutions Implemented • EPIC team created EPDS flow sheet for documentation in EPIC • LOC created data base on how to track when patients need screening • Calling and screening protocol written for the unit

    8. Analysis and Next Step • 100% of our pregnant patients get screen multiple times during pregnancy and post partum • Support group for new mothers created • Will share excel data base with NR and OBT