RESUMO
Background: Postpartum depression is a serious, common, treatable condition, with broad repercussions in mother and family life, but frequently under diagnosed. A screening tool, the Edinburgh Postnatal Depression Scale (EPDS) could improve the detection rate of depressive symptoms. Aim: To assess the efficacy of EPDS in the detection rates for depressive symptoms in the postpartum period. To evaluate the feasibility of routine use of this screening scale in a Family Medicine Center. Material and methods: The medical records of women attended during 2002, were reviewed to detect the registry of depressive symptoms or request for psychiatric consultations for depression. During 2003, the EPDS was applied to a sample of 110 women. To confirm the postpartum depression diagnosed using the instrument, a structured psychiatric interview was administered to these women. Results: The medical records of 110 women aged 24±7years were reviewed and the instrument was applied to 110 women aged 26±7years. In the first group, the spontaneous detection rate for depressive symptoms was 4.6 percent (5/110). In 26.4 percent of women in whom the instrument was applied, depressive symptoms were found and 15 percent had a postpartum depression. The application rate of the scale was 88 percent and the rate of acceptance by mothers was 100 percent. Conclusions: The EPDS improves significantly the detection rates of postpartum depressive symptoms, and it is well accepted by health professionals and mothers.
Assuntos
Adulto , Feminino , Humanos , Gravidez , Adulto Jovem , Depressão Pós-Parto/diagnóstico , Programas de Rastreamento/métodos , Inquéritos e Questionários/normas , Distribuição de Qui-Quadrado , Chile , Depressão Pós-Parto/psicologia , Saúde da Família , Estudos de Viabilidade , Estado Civil , Relações Mãe-Filho , Paridade , Escalas de Graduação Psiquiátrica , Adulto JovemRESUMO
Es importante para el pediatra y médico general conocer las variaciones experimentadas por los parámetros estadísticos, que reflejan en parte la evolución de la medicina y lo que le va ocurriendo a la población de su país. Este artículo analiza lo ocurrido en los últimos años con las tasas de natalidad y mortalidad en las diferentes edades, y así como las causas de morbilidad a partir de los egresos hospitalarios y lo observado en la evaluación del estado nutritivo. El conocimiento y análisis de las estadísticas son necesarios para la planificación de políticas de salud y para evaluar el impacto de los programas y del desarrollo de una región o país