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Knowledge, attitudes and practices of Obstetrician-Gynecologists in screening for postpartum depression and psychosis in a private tertiary hopistal
Santi Rex G. Cang, MD and Nerissa Nano-De Guzman, MD, FPOGS, FPSUOG, FPSMFM
Department of Obstetrics and Gynecology, The Medical City
Objective: This study aims to describe the knowledge, attitude and practices of the OBGYN’s practicing in a local tertiary hospital using a survey created by Leddy et al. in 2011.
Methodology: This survey is a 5-section questionnaire that tackled the clinical practice, knowledge, beliefs and attitudes of the subjects. It was given to 160 consultants with a response rate of 40% (n=64) during the time period of May 17, 2018 to June 27, 2018.
Results: The results showed that most OBGYN do not routinely screen for PPD and PPP (54.69%), which is analogous to literature but contrary to the original study. Most OBGYN agree that all the specified barriers to screening were limiting, the most cited among of which were their limited knowledge in the diagnostic criteria (PPD: 79.69%, PPP: 79.56%) and treatment options (PPD: 76.56%; PPP: 78.13%) and their lack in training in postpartum mental illnesses (PPD: 78.13%; PPP: 84.38%). These barriers were paralleled by the low scores in the knowledge section, despite the higher accuracy in diagnosing patients in the clinical cases. However, there was a low frequency screening rate among OBGYN’s with recent and personal experience with the disease.
Conclusion: This gap in knowledge can be addressed by organizing events for continuing medical education, focusing on peripartum mental health illnesses, creating avenues for research to increase knowledge among residents-in-training and fellows of the local organizing body, and establishing clear guidelines to incorporate screening in local practice during prenatal and postpartum care.