Abstract Body

Background and purpose: Pospartum depression (PPD) leads to an increased vulnerability to the development of mood disorders. In our Family Health Unit (FHU), we verify a reduced and non-systematized utilization of instruments that support the diagnosis of PPD. We aim to improve professionals' knowledge of postpartum depression, to improve postpartum care, with a greater focus on PPD and, finally, to develop a structured approach to PPD.

Methods: Study realized between December 2020 and May 2021. A training session was held for doctors and nurses in the FHU. It was prepared a patient information leaflet and a therapeutic guide for professionals. Family Planning (FP) appointments were scheduled 8 weeks after delivery. Here, the family doctor gives the woman the Edinburgh Posnatal Depression Scale (EPDS) questionnaire and scores the questionnaire and assesses the risk of PPD. If the score is ≥ 12, the possibility of PPD must be assessed and the patient must be referred to a Psychiatry Appointment at the referral hospital. The need to initiate therapy should be assessed.

Results: So far, 5 Family planning appointments have been carried out at 8 weeks after delivery. Of these, two patients had an increased risk of postpartum depression.

Conclusion: Early detection and treatment of PPD have been neglected in clinical practice. Increased efforts are needed to improve perinatal mental health care. Primary health care, as the first place of contact with the health system, constitutes an unique opportunity for timely detection of women at risk of PPD.