Executive Summary

 Position The purpose of this statement is to alert and inform all healthcare providers and consumers about the incidence and significance of Perinatal Mood Disorders (PMD) that women experience during and after pregnancy which affect the newborn, the immediate family, and the community.  Therefore, providers can offer resources for the identification of presenting signs and symptoms, screening, referrals, and interventions.
Mission Every woman who becomes pregnant needs the support of her family and community during and after pregnancy to improve birth and family outcomes. The Michigan Statewide PMD Coalition exists to maintain ONE Voice to improve the emotional health and well-being of pregnant and postpartum women and their families through education, outreach, advocacy, and support. The goal is to inform providers and community about the significance of PMD and the effect on the mother, the newborn, the family, and the community.
Summary Women need to be screened for signs and symptoms of PMD so early identification and prompt intervention can be offered. PMD can occur within days to one year after giving birth. Women with a previous history of a mental health condition have an increased risk of developing PMD and should be counseled before conception about their risks. Healthcare professionals including obstetricians, family physicians, pediatricians, nurse midwives, nurses, home visitors and others need education on the risk factors for developing PMD, how to screen for PMD, the need for early intervention, and treatment. Once the woman is identified as having PMD, treatment can begin. PMD is responsive to a variety of different treatment options.
The following recommendations for preventing PMD were developed initially from the Indiana Perinatal Network’s Postpartum Depression Committee and further reviewed and adapted for Michigan by the Michigan Statewide PMD Coalition.§ Facilitate integration of PMD training into the curriculum at health-related professional schools throughout Michigan to ensure that health professionals are competent in the identification of PMD risk factors, interventions, treatments, and resources.

§ Request healthcare providers and hospitals to provide informational PMD materials to patients and their families.

§ Create an ongoing interdisciplinary coalition to define PMD awareness, education, diagnosis, and treatment problems specific to Michigan.

§ Disseminate via the web, at conferences, etc., this newly developed executive summary.

§ Recommend current educational materials on PMD to all providers who work with prenatal and postpartum women and families.

§ Develop a Michigan care pathway for PMD screening with the Edinburgh Postnatal Depression Scale.

§ Encourage providers to screen women multiple times during pregnancy and postpartum, and at the well newborn visits in the first year of life.

§ Instruct women to monitor their moods for PMD and encourage them to notify their providers of changes.

§ Collaborate with hospital emergency department, their staffs, and law enforcement personnel to raise awareness of symptoms and behaviors associated with PMD.

§ Develop a centralized referral list of Michigan’s PMD trained mental health professionals, PMD support groups, PMD specific programs and resources.

§ Develop a multifaceted approach to promote early identification of women at risk for PMD and the need for prompt intervention and treatment. Develop an ad hoc committee to actively pursue Medicaid coverage of PMD screening in Michigan.

 Michigan Resources:

Pine Rest Christian Mental Health Services:  www.pinerest.org

Tree of Hope:   www.treeofhopefoundaton.org

MomsBloom:  www.momsbloom.org

Healthy Kent PMD Resource Manual:  www.healthykent.org                                         Go to Infant Health and then to PMD Resource Manual

 

Professional Resources:

American Congress of Obstetricians & Gynecologists (ACOG)

www.acog.com

American Academy of Family Physicians (AAFP)

www.aafp.org

American Psychological Association (APA)

www.apa.org

Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN)

www.awhonn.org

Office on Women’s Health (OWH) US Dept. of Health and Human Services

www.womenshealth.gov

 

Additional Resources:

Postpartum Support International:  www.postpartum.net

Online PMD Support Group:  www.ppdsupportpage.com

The Postpartum Stress Center:  www.postpartumstress.com

Postpartum Dads:  www.postpartumdads.com

Postpartum Progress:  www.postpartumprogress.com

Pacific Postpartum Support Society:  www.postpartum.org

 

 

This document reflects the consensus of the Michigan Statewide Perinatal Mood Disorders Coalition.  It has been adapted from the Indiana Perinatal Network Advisory Board.  This document is intended to serve as a recommendation only-not established standard.  Healthcare providers must make the best decisions possible within the limitations of the situation. All are invited to make suggestions for improving this document.