Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders

Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders

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DOI 10.20900/jpbs.20240003
刊名
JPBS
年,卷(期) 2024, 9(2)
作者
作者单位

1 Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, USA;
2 Program on Women’s Healthcare Effectiveness Research, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI 48109, USA;
3 Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA;
4 Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI 48109, USA;
5 Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor MI 48109, USA;
6 VA Ann Arbor Healthcare System, Ann Arbor MI 48105, USA

Abstract
Perinatal mood and anxiety disorders (PMAD), which include depression and/or anxiety in the year before and/or after delivery, are common complications of pregnancy, affecting up to one in four perinatal individuals, with costs of over $15 billion per year in the US. In this paper, we provide an overview of the disparities in utilization and delivery outcomes for individuals with perinatal mood and anxiety disorders in the US. In addition, we discuss the current US screening and treatment guidelines as well as the high societal costs of illness of PMAD for both perinatal individuals and children. Finally, we outline opportunities for quality improvement of PMAD care in the US, including leveraging increased engagement with healthcare system during prenatal care, working toward a more cohesive national strategy to address PMAD, leaning into evidence-based policymaking through collaboration with a panel of experts, and generating state-level profiles focused on PMAD.
KeyWord
PRAMS; perinatal mood and anxiety disorders; perinatal depression; perinatal anxiety; perinatal mental health
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Kara Zivin*,Anna Courant. Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders, Journal of Psychiatry and Brain Science. 2024; 9; (2). https://doi.org/10.20900/jpbs.20240003.

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