Post-Natal Depression Results
A retrospective survey of scores over the past eighteen months
has identified the following results:
Of the 218 women screened for post-natal depression, 83 (38%)
had elevated scores, (ie 9 and above) at either the first or the second
37 (17%) women scored between 9 and 12 ie borderline scores.
46 (21%) women scored above 12, indicative of being in a
depressed state of mind.
Of the 83 women identified 67 (81%) received Health Visitor
Further analysis of the data identifies what support and
treatment was provided by the Primary Health Care Team as a whole.
1st score normal, 2nd raised.
15 women scored below 9 on first screening, but then scored
higher on their second screening. 11 scored between 9-12 and 4 scored above 12 on
their second screening. This highlights the necessity for repeating the
screening between 12-16 weeks following the birth.
All the women were offered support visits, however 6 declined (2
of these women were already taking anti-depressant medication.) Explanations
ranged from work commitments to already having a supportive family network.
1 woman moved out of the area.
Of the remaining 8 women:
4 received support visits only.
3 received support visits and were also prescribed
1 woman received support visits, anti-depressants and was
also referred to the surgery counselling service.
1st scored raised, 2nd score normal
12 women had initial borderline scores ie, between 9-12 followed
by a second score of below 9
10 women scored above 13 on first screening and below 9 on
Of the women with initial borderline scores, 5 declined support
visits and 1 woman moved away. Of the remaining 6 women:
3 received support visits only.
3 required support visits and anti-depressant therapy.
Of the 10 women who scored above 13 initially, only 1 declined support
|5 received support visits only.|
|1 received support visits and anti-depressant therapy.|
|1 received both of the above and was also referred to a counsellor.|
|2 women, as well as receiving support visits and anti-depressants were
also referred to the 'Take Control' exercise scheme.|
Both scores raised, 2nd higher.
13 women recorded initial borderline scores with the second score being above
3 women recorded scores above 12 on first and second screening.
|3 received support visits only.|
|7 were also prescribed anti-depressant medication.|
|As well as the above, 2 women were also referred to the 'Take Control'
|1 woman received support visits, referral to 'Take Control' and was also
referred to a Social Worker.|
|2 women received support visits, anti-depressants and referral to a
|1 woman received support visits, anti-depressants and referral to the
Community Psychiatric Nursing service.|
Both scores raised, 2nd lower.
13 women scored above 12 on first screening, of which 9 had borderline scores
on second screening while the remaining 4 still recorded scores above 12.
4 women recorded borderline scores on both occasions with the second score
being marginally lower. All 17 women received support visits.
|8 required support visits only.|
|4 were prescribed anti-depressant therapy as well as support visits.|
|3 women received support visits, anti-depressants and were also referred
to a Counsellor.|
|1 woman received support visits, anti-depressants and was referred to
the Community Mental Health Team.|
|1 woman received support visits only and referral to the Community Mental
1st score raised, no second score available
6 women recorded borderline scores and 7 recorded scores above 12 on first
screening. No second scores were recorded. Reasons for this are varied: 4 women
moved away, 1 woman suffered a bereavement where it was deemed inappropriate to
record a second score. One baby sustained a non-accidental injury and was
removed from the care of the mother, where it was again deemed inappropriate to
record a second score. Of the remaining 7, access was not made available, either
because the woman was working or did not keep the pre-arranged appointment
specified. Of the 13 women, 11 received support visits.
|3 received support visits only.|
|5 received support visits and anti-depressant therapy.|
|1 woman received support visits, anti-depressants and was also referred to
|1 woman received support visits only and was referred to a counsellor.|
|1 woman received support visits, anti-depressants, referral to a
Counsellor as well as referral to the Community Psychiatric Nursing Service.|
|Of the 83 women identified with borderline or actual depression, 67 (81%)
received between 1 and 6 support visits.|
|46 (21%) women scored above 12, ie indicative of being in a depressed
state. The national average is 10-15%|
|37 (17%)women recorded borderline depression scores.|
|26 (39%) women received support visits only.|
|35 (52%) women were prescribed anti-depressant therapy.|
|11 (16%) women were referred to a Counsellor.|
|5 (7%) women were referred to the 'Take Control' exercise scheme.|
|4 (6%) women were referred to the Community Mental Health Team.|
|12 (18%) women declined support visits.|
|12 (18%) women scored positively to question 10, ie self-harm. Immediate
liaison with the GP occurred in each case.|