Health Indicator Report of Postpartum depression
Postpartum depression is the most common complication related to childbirth. While postpartum depression is treatable, many women who suffer from it remain undiagnosed. Untreated postpartum depression can last as long as one to two years and may affect the ability of a woman to function in normal daily tasks. Further, untreated postpartum depression may impact family relationships, a woman's ability to bond with her baby, and the cognitive development of her baby as well as other children in the home. There may be a variety of reasons a woman does not receive treatment for postpartum depression including the inability to recognize the signs and symptoms as well as the uncertainty of knowing who to ask for help.
Percentage of Utah women who reported postpartum depression symptoms by prenatal care payer, Utah PRAMS, 2019-2021
NotesWomen were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never). [[br]][[br]]"Some Other Insurance Coverage" also includes self-payment.
Data SourceThe Utah Department of Health and Human Services Pregnancy Risk Assessment Monitoring System (PRAMS)
Data Interpretation IssuesThe data here represent self-reported postpartum depression symptoms and not clinical diagnoses of postpartum depression.
DefinitionThe percentage of Utah women who reported postpartum depression symptoms divided by the number of Utah women who delivered a live infant.
NumeratorThe number of Utah women who reported postpartum depression symptoms.
DenominatorThe number of Utah women who delivered a live infant.
Healthy People Objective MICH-34:(Developmental) Decrease the proportion of women delivering a live birth who experience postpartum depressive symptoms
U.S. Target: Developmental
Other ObjectivesThe following developmental Healthy People 2030 objective: Increase the proportion of women who get screened for postpartum depression.
How Are We Doing?In 2021, 16.2% of women reported symptoms of postpartum depression.
How Do We Compare With the U.S.?The latest comparative data for postpartum depression symptoms is from 2020. Utah's rate was 14.9% compared to 12.9% among the 46 states reporting.
What Is Being Done?The Maternal and Infant Health Program (MIHP) has been working on increasing awareness of postpartum depression and the need to screen for it among health care providers through a variety of methods. The Utah Maternal Mental Health Referral Network is a directory of professionals and support groups with training in perinatal mental health. Providers can be located by county, payer type, or specialty. The resource can be found at: [https://maternalmentalhealth.utah.gov/].
Evidence-based PracticesIn 2018, the American College of Obstetricians and Gynecologists (ACOG) issued the following updated mental health screening recommendations for perinatal caregivers: * Screen patients at least once during the perinatal period using a standardized, validated tool. * Closely monitor patients with current depression or anxiety, or risk factors for perinatal mood disorders. * Couple screening with appropriate follow-up and treatment. Clinical staff should be prepared to initiate medical therapy or refer patients for mental or behavioral health resources when indicated. *Systems should be in place to ensure follow-up for diagnosis and treatment. In 2019, the American Academy of Pediatrics (AAP) issued the following statement, "On the basis of knowledge regarding peak occurrence times for PPD, routine screening in which a validated screening tool is used should occur at well-infant visits at 1, 2, 4, and 6 months."
Available ServicesTimely access to mental health resources is vital for parents and providers. Maternal mental health resources, including counselors/therapists, support groups, and other types of providers trained in maternal mental health can be found on the statewide referral network: [https://maternalmentalhealth.utah.gov]. At this site, providers can be found based on location, provider type, and insurance type. Listed providers work with people who have complications during pregnancy and postpartum, infertility, miscarriages, losses, and issues with partner support among other services. The UWNQC published the Maternal Mental Health Provider toolkit in Fall 2022 to provide screening, treatment, and referral recommendations to providers in Utah. The resource can be found at: [https://mihp.utah.gov/mmhtoolkit]. 24/7, Free, Confidential Hotline for Pregnant and New Moms in English and Spanish The National Maternal Mental Health Hotline can help. Call or text 1-833-943-5746 (1-833-9-HELP4MOMS). Information and materials about maternal mental health and prevention resources can be found on the Maternal and Infant Health website: [https://mihp.utah.gov/maternal-mental-health] To speak with someone who will administer a mental health screening in Spanish or English, in addition to providing resources for support, please contact Help Me Grow Utah at 801-691-5322. Education and resources are regularly shared on the Utah Maternal Mental Health Program's Instagram page [https://www.instagram.com/maternalmentalhealthutah] and Facebook page [https://www.facebook.com/MaternalMentalHealthUtah]. The Utah Department of Health and Human Services Maternal and Infant Health Program maintains a Community Resources Guide with contact information for several mental health agencies. The Community Resources Guide can be found at [https://mihp.utah.gov/wp-content/uploads/MIHP_English_Community_Resources.pdf].
Page Content Updated On 01/20/2023, Published on 02/01/2023