As a result of the research study in Uppsala there are plans for the implementation of a screening manual for women at risk of printing at BB. Parallel with this, the Women's Clinic at the Academy Hospital develops a multi-professional support group.
Most focus on newborns
– Health professionals need smarter tools to detect women in early childhood depression and be able to provide the right support; Efforts can not wait. We know that the first six months of the baby are extremely valuable. Today screening is available through a pediatric health center, where the visit focuses on the child. Many new moments also feel shame and guilty and do not hesitate to ask questions about their own health, says Alkistis Skalkidou, a professor and chief physician at the Women's Clinic at the Academic Hospital, which studies maternity depression.
In the so-called. The BASIC study, which began in 2009, the research group was attended by more than 6,000 women in Uppsala County during pregnancy and childbirth. All pregnant women were invited to participate in the routine ultrasound check in the week of pregnancy 16-17. The recruitment of the participants ended at the end of October 2018.
"We also explore biological and other risk factors, such as cortisone stress hormone levels, sleep disorders, partner support, and breastfeeding," explains Alkistis Skalkidou.
Both during pregnancy and after childbirth, women responded to web surveys. With regard to birth, blood and tissue samples from the placenta and the umbilical cord are taken. In the women who were deprived of the planned carcass, the spinal cord was also taken.
An early review manual will be developed, which will be used with BB printing. The manual is based on the data collected from the BASIC study and is based on mathematical algorithms. The ambition is that it should facilitate early retirement care with a high risk of depression during childbirth, which can be provided with early support.
The main known risk factor is whether a woman has had depression beforehand, though it was mild. But also depression earlier in life without any connection to pregnancy / birth. Also, bad partner support, anxious personality, severe life events, and severe PMS disorders are important. Research has also shown that the impact on partner relationship and the psycho-emotional development of children.
Become better in paying attention
Gunilla Hallberg, head of obstetrics and obstetrics at the Academy Hospital, emphasizes that it is more important to pay attention to mental health than to motherhood, but now also to the experience of childbirth that has been strongly associated with childhood depression.
"Within women's care, there is a group working with maternity wards to develop and work indirectly with depression and general mental health." The idea is that the multiprofessional group consists of gynecologists and midwives from a female clinic and psychiatrists from psychiatry. that we will get with representatives of basic care, says Gunilla Hallberg.
It also mentions that you have a psychiatric psychiatric and psychiatric collaboration group working with common documents and continuing psychiatric and psychiatric disorders in order to reach consensus on these women during pregnancy and family formation. Psychiatry has also developed a special form of support called a pregnant woman, nurse / curator who helps women during pregnancy and helps in all contacts with different bodies.
It must be easier to get support
Alkistis Skalkidou emphasizes that new mothers need to be easy to get support. they
Full with your baby and maybe even some other kids. Some people skeptical about looking for care and depression in themselves may mean that you can not always follow the instructions.
With suspicion of childbirth, she believes it is extremely important to see and confirm a woman and to make it understand the importance of helping in the first place.
"The first council will help you rest, sleep four hours in a row and have their time, for example, for walking, and if that does not have a quick effect, medications may be required with antidepressant or call therapy. can be combined with breastfeeding, completing Alkistis Skalkidou.
Alkistis Skalkidou, senior lecturer and full professor at the Women's and Child Health Department, Academic Hospital / Uppsala University, [email protected] or [email protected]
Gunilla Hallberg, Head of Obstetrics and Obstetrics, Academic Hospital, [email protected]
Educational Growth on Depression Depression – BASIC Study
The goal is to increase awareness of childbearing depression and develop a more effective screening so that pregnant women can catch early and offer support / care.
All pregnant women in the Uppsala County were invited to participate in a routine ultrasound check in the week of pregnancy 16-17.
Began in 2009; Recruitment ended at the end of October 2018.
More than 6,000 women are involved