Effects of Deployment on Depression Screening Scores in Pregnancy at an Army Military Treatment Facility

• DOI: 10.1097/aog.0b013e3181eb6c84
• Publication Date: 2010-08-25T07:23:22Z
• Authors: Denise C. Smith; Michelle L. Munroe; Lisa M. Foglia; Peter E. Nielsen; Shad H. Deering
• Keywords: Military deployment; Spouse; Depression

In Brief OBJECTIVE: To estimate the relationship of positive screening for depression during and after pregnancy with deployment status spouse. METHODS: We conducted a retrospective cohort study by reviewing departmental database women who completed Edinburgh Postpartum Depression Scale from 2007 to 2009. Per protocol, is offered at initial obstetric visit, 28 weeks gestation, 6 postpartum. A score 14 or higher was considered high risk having depression, referral additional evaluation recommended. Included in our survey an question that asked if patient's spouse currently deployed, returning deployment, preparing deploy, no planned. All data were entered into electronic statistical analysis performed comparing scores each time period status. RESULTS: total 3,956 surveys complete available analysis. The screen more than doubled compared control group (no planned) deployed 28–32 week visit (4.3% 13.1%, P=.012) postpartum (8.1% 16.2%, P=.006). CONCLUSION: Deployment has measurable effect on prevalence elevated period. These findings suggest intense monitoring, assessment, treatment may be warranted this at-risk population. LEVEL OF EVIDENCE: II Spousal significant