Registed Nurses' Association of Ontario

Assessment and Interventions for Perinatal Depression

Project / Initiative: 
Mental Health & Addiction Initiative
Type of Guideline: 
Clinical
Status: 
Published
Publish Date: 
2018
About this Guideline:

The Guideline is relevant for all domains of nursing practice (i.e., clinical practice, research, education, and policy and administration) as well as for other members of the interprofessional team across all practice settings at the unit, organization, and system levels that care for persons during pregnancy and postpartum, or the perinatal period. For the purposes of this Guideline, the interprofessional team is comprised of multiple health-care providers who work collaboratively to deliver comprehensive and quality responses, care, and services to people within, between, and across health-care and community settings. The Guideline is applicable in all practice settings during the perinatal period and promotes consistent, evidence-based response and care.

The focus of this guideline is on the screening, assessment, prevention, interventions and evaluation of persons with depression symptoms during pregnancy and in the first year following childbirth.

Guideline recommendations are provided at the following three levels:

  • Practice Recommendations relate to the screening and assessment of depression symptoms and include the implementation of effective preventive and non-pharmacological treatment interventions, including those focusing on psychosocial and psychological supports.
  • Education Recommendations include ongoing professional development to enhance nurses and the interprofessional team's knowledge and skills in mental health services and supports for perinatal depression.
  • Organization and System Policy Recommendations have been developed to address the importance of comprehensive and coordinated mental health services and supports for perinatal depression to support care strategies provided by nurses and the interprofessional team.

The following research questions were established to guide the systematic review:

  1. In the area of perinatal mental health, what are effective screening and assessment strategies for identifying symptoms of depression during pregnancy and postpartum for up to one year after childbirth?
  2. In the area of perinatal mental health, what are effective interventions for persons experiencing depression during pregnancy and postpartum for up to one year after childbirth?
  3. What education and training in perinatal depression are required to ensure the provision of effective assessment and interventions among nurses within the scope of their practice?
  4. How do health-care organizations and the broader health-care system ensure optimal prevention, assessment, and interventions for perinatal depression?

 

Translations for this Guideline: