Preliminary experience aimed at identifying perinatal psychological discomfort in women at risk of obstetrics hospitalized in the department of Obstetrics

Author/s Elisa Masserdotti, Silvia Tessarin, Maria Sofia Palmas, Margherita Capretti, Emanuela Beretta, Enrico Sartori, Rita Simonetti
Publishing Year 2022 Issue 2022/3 Language Italian
Pages 17 P. 137-153 File size 269 KB
DOI 10.3280/PDS2022-003011
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Through the following preliminary experience, we have tried to verify if the introduction of the mental health screening in the ***** obstetrics department proves to be effective in detecting the psychological discomfort of hospitalised women with obstetrical pathology. We have also tried to confirm its usefulness in preventing psychopathological outcomes. For this experiment, which aims at ensuring an adequate support for all women in need, 91 subjects were intercepted over 6 months in 2019 and 87 of them joined the screening programme. The following Operational Procedure was developed: identification of patients with pathological pregnancy who met the criteria for inclusion of the sample; presentation of the Department of Obstetric Psychology and delivery of the information brochure with refer-ences and contacts of the Structured Psychologist; filling of the informed consent; filling of the anamnestic form; first level of mental health screening through the General Health Ques-tionnaire (GENERAL HEALTH QUESTIONNAIRE GHQ-12), a self-administered ques-tionnaire. In case of positive result, a clinical in-depth interview was proposed for the second level of assessment, in addition to the administration of Patient Health Questionnaire-9 (PA-TIENT HEALTH QUESTIONNAIRE-9 (PHQ-9)) and General Anxiety Disorder-7 (GENERAL ANXIETY DISORDER-7 (GAD-7)) tests and the Risk Factors Sheet (modi-fied PDPI). In case of negative result, the possibility of a clinic meeting on request was nev-ertheless guaranteed. Finally, we present an emblematic clinical case to show how a hospital perinatal psychological health screening can allow us to detect women’s discomfort in advance, hopefully resulting in a fostering access to the psychological treatment.

Keywords: perinatal psychology, obstetrics, pregnancy at risk, perinatal discomfort, screening

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Elisa Masserdotti, Silvia Tessarin, Maria Sofia Palmas, Margherita Capretti, Emanuela Beretta, Enrico Sartori, Rita Simonetti, Esperienza preliminare finalizzata all’individuazione del disagio psicologico perinatale in donne a rischio ostetrico ricoverate nel reparto di Ostetricia in "PSICOLOGIA DELLA SALUTE" 3/2022, pp 137-153, DOI: 10.3280/PDS2022-003011