Screening for Anxiety in the Birth Center Setting: A Quality Improvement Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/616437
Title:
Screening for Anxiety in the Birth Center Setting: A Quality Improvement Project
Author(s):
Toler, Sarah
Lead Author STTI Affiliation:
Non-member
Author Details:
Sarah Toler, RN, sarah_toler@baylor.edu
Abstract:
Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Postpartum anxiety (PPA) is a common, yet frequently overlooked, health concern for millions of women. Affecting nearly one-third of postpartum women, PPA is often, though not always, accompanied by postpartum depression. Depression receives the greatest emphasis during the perinatal period with little attention given to the prevalence and impact of PPA which can be debilitating for women. Without diagnosis or treatment, PPA can negatively affect a new mother, her baby and family structure. It has the potential to delay infant development, decrease success in breastfeeding, and increase the likelihood of maternal major depression. Only recently has a major professional nursing organization issued a position statement outlining the need for every woman to be screened for anxiety disorders in the postpartum period (AWHONN, 2015). Additionally, the American College of Obstetricians and Gynecologists (ACOG) recommends that clinicians screen women at least once during the perinatal period for depression and anxiety symptoms using a standardized, validated tool. It is important to also note that screening by itself is insufficient to improve clinical outcomes and must be coupled with appropriate follow-up and treatment. As such, midwives should be prepared to initiate medical therapy, refer patients to appropriate behavioral health resources when indicated, or both. The purpose of this presentation is to describe a capstone project that is in the process of implementing a screening protocol for postpartum anxiety at several birth centers throughout the U.S.A. The project details a process for educating midwives on how to screen for PPA utilizing a subscale of the Edinburgh Postnatal Depression Scale, documentation strategies, and implementation of effective treatment approaches. An approach for counseling women with high anxiety scores is presented, adapting a tool developed by the American College of Nurse Midwives ? the N*U*R*S*E* Approach for Postpartum Depression. The approach emphasizes nutrition, empathy, rest and relaxation, spirituality, and exercise.
Keywords:
Postpartum mental health; Postpartum anxiety; Maternal anxiety
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST315
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.titleScreening for Anxiety in the Birth Center Setting: A Quality Improvement Projecten
dc.contributor.authorToler, Sarahen
dc.contributor.departmentNon-memberen
dc.author.detailsSarah Toler, RN, sarah_toler@baylor.eduen
dc.identifier.urihttp://hdl.handle.net/10755/616437-
dc.description.abstractSession presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Postpartum anxiety (PPA) is a common, yet frequently overlooked, health concern for millions of women. Affecting nearly one-third of postpartum women, PPA is often, though not always, accompanied by postpartum depression. Depression receives the greatest emphasis during the perinatal period with little attention given to the prevalence and impact of PPA which can be debilitating for women. Without diagnosis or treatment, PPA can negatively affect a new mother, her baby and family structure. It has the potential to delay infant development, decrease success in breastfeeding, and increase the likelihood of maternal major depression. Only recently has a major professional nursing organization issued a position statement outlining the need for every woman to be screened for anxiety disorders in the postpartum period (AWHONN, 2015). Additionally, the American College of Obstetricians and Gynecologists (ACOG) recommends that clinicians screen women at least once during the perinatal period for depression and anxiety symptoms using a standardized, validated tool. It is important to also note that screening by itself is insufficient to improve clinical outcomes and must be coupled with appropriate follow-up and treatment. As such, midwives should be prepared to initiate medical therapy, refer patients to appropriate behavioral health resources when indicated, or both. The purpose of this presentation is to describe a capstone project that is in the process of implementing a screening protocol for postpartum anxiety at several birth centers throughout the U.S.A. The project details a process for educating midwives on how to screen for PPA utilizing a subscale of the Edinburgh Postnatal Depression Scale, documentation strategies, and implementation of effective treatment approaches. An approach for counseling women with high anxiety scores is presented, adapting a tool developed by the American College of Nurse Midwives ? the N*U*R*S*E* Approach for Postpartum Depression. The approach emphasizes nutrition, empathy, rest and relaxation, spirituality, and exercise.en
dc.subjectPostpartum mental healthen
dc.subjectPostpartum anxietyen
dc.subjectMaternal anxietyen
dc.date.available2016-07-13T11:12:33Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:12:33Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.