According to Rutgers Health research mild and moderate to severe perinatal depressive symptoms among new mothers are associated with the increased use of emergency rooms to treat their infants.
The study, published in the April issue of Health Affairs, examines the association between the severity of perinatal depression and the use of emergency departments in the first year of an infant’s life.
Using the emergency department can be costly, especially for Medicaid, which is billed for disproportionately more pediatric emergency department visits compared with private insurance.
While perinatal people may experience a broad range of depression symptom severity, there is little research examining the relationship between symptom severity and health care use and emergency department use. To address this gap, Slawa Rokicki, an assistant professor at the Rutgers School of Public Health, reviewed data in New Jersey, a state with universal maternal depression screening.
Rokicki, who linked birth record data for the years 2016-2018 to hospital discharge records for infants in their first year of life, found that infants of mothers with moderate to severe depressive symptoms had 21 percent more emergency department visits than those who had no depression, while infants of mothers with mild symptoms had 10 percent more emergency department visits.
According to the study, for infants whose delivery was paid for by Medicaid, the total emergency department charges in the first year were 43 percent higher for infants with mothers with moderate to severe depression and 19 percent higher for mothers with mild symptoms compared to those with no symptoms.
The study’s findings suggest that universal screening of perinatal people at delivery may be beneficial in identifying those who may be at risk of postpartum depression before they leave the hospital. “This is critical because postpartum people often face multiple barriers to postpartum care and most people with perinatal mental health conditions are not diagnosed,” said Rokicki.
Additionally, routine screening in emergency departments may also help identify parental mental health conditions and connect individuals to resources.
“We know from prior research that postpartum depression screenings in pediatric emergency departments are feasible,” said Rokicki.
Rokicki said emergency department screens need to follow patient-centered, non stigmatizing approaches as those in the emergency department who screen positive for depression are likely to be part of a socially vulnerable population.
(Newswise/AP)