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https://doi.org/10.21256/zhaw-3355| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Perinatal mental disorders in Switzerland : prevalence estimates and use of mental-health services |
| Authors: | Berger, Anke Bachmann, Nicole Signorell, Andri Erdin, Rebekka Oelhafen, Stephan Reich, Oliver Cignacco, Eva |
| DOI: | 10.21256/zhaw-3355 10.4414/smw.2017.14417 |
| Published in: | Swiss Medical Weekly |
| Volume(Issue): | 147 |
| Issue: | w14417 |
| Issue Date: | 2017 |
| Publisher / Ed. Institution: | EMH Schweizerischer Ärzteverlag |
| ISSN: | 1424-7860 1424-3997 0036-7672 |
| Language: | English |
| Subjects: | Health care cost; Insurance claim review; Mental disorder; Mental health service; Midwifery; Perinatal care; Pregnancy; Prevalence; Referral and consultation; Postpartum period |
| Subject (DDC): | 618: Gynecology, obstetrics and midwifery |
| Abstract: | Background: Perinatal mental disorders (PMDs) are the most common complication of pregnancy and the first postpartum year. Since PMD prevalence and use of mental-health services by perinatal women in Switzerland are unknown, we analysed existing health statistics. Methods: We used statistics from a large health insurance company, hospitals and freelance midwives. We assessed the annual rates of mental healthcare use in perinatal women (n = 13 969). We ascertained the annual rates of PMD treatment in obstetric inpatients (n = 89 699), and annual rates of PMD records by freelance midwives (n = 57 951). In 15 104 women who gave birth in 2012 or 2013, we assessed use of mental-healthcare before and during pregnancy, and in the postpartum year. For the same sample, we determined proportions of medication and consultation treatments. We used multiple regression analysis to estimate the influence of PMD on overall healthcare costs of mandatory health insurance. Results: The annual rate of mental-healthcare use by perinatal women was 16.7%. The annual rate of PMD treatment in obstetric inpatients was 1.1%. The annual rate of PMD records in the midwifery care setting was 2.9%. Women with PMD use mental health services mainly in non-obstetric outpatient settings. Medication was the most frequent treatment. Primary care providers and mental health specialists contributed almost equally to consultation treatments. PMD during pregnancy raised overall costs of healthcare in the postpartum year by 1214 Swiss francs. Conclusions: Health-system research and perinatal healthcare should take into consideration the high prevalence of PMD. Real PMD prevalence may be even higher than our data suggest and could be assessed with a survey using our model of PMD prevalence. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/16123 |
| Fulltext version: | Published version |
| License (according to publishing contract): | CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Midwifery and Reproductive Health (IHG) |
| Appears in collections: | Publikationen Gesundheit |
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|---|---|---|---|---|
| 2017_Perinatal_ mental_disorders_in_Switzerland_smw.pdf | 570.05 kB | Adobe PDF |  View/Open |
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Berger, A., Bachmann, N., Signorell, A., Erdin, R., Oelhafen, S., Reich, O., & Cignacco, E. (2017). Perinatal mental disorders in Switzerland : prevalence estimates and use of mental-health services. Swiss Medical Weekly, 147(w14417). https://doi.org/10.21256/zhaw-3355
Berger, A. et al. (2017) ‘Perinatal mental disorders in Switzerland : prevalence estimates and use of mental-health services’, Swiss Medical Weekly, 147(w14417). Available at: https://doi.org/10.21256/zhaw-3355.
A. Berger et al., “Perinatal mental disorders in Switzerland : prevalence estimates and use of mental-health services,” Swiss Medical Weekly, vol. 147, no. w14417, 2017, doi: 10.21256/zhaw-3355.
BERGER, Anke, Nicole BACHMANN, Andri SIGNORELL, Rebekka ERDIN, Stephan OELHAFEN, Oliver REICH und Eva CIGNACCO, 2017. Perinatal mental disorders in Switzerland : prevalence estimates and use of mental-health services. Swiss Medical Weekly. 2017. Bd. 147, Nr. w14417. DOI 10.21256/zhaw-3355
Berger, Anke, Nicole Bachmann, Andri Signorell, Rebekka Erdin, Stephan Oelhafen, Oliver Reich, and Eva Cignacco. 2017. “Perinatal Mental Disorders in Switzerland : Prevalence Estimates and Use of Mental-Health Services.” Swiss Medical Weekly 147 (w14417). https://doi.org/10.21256/zhaw-3355.
Berger, Anke, et al. “Perinatal Mental Disorders in Switzerland : Prevalence Estimates and Use of Mental-Health Services.” Swiss Medical Weekly, vol. 147, no. w14417, 2017, https://doi.org/10.21256/zhaw-3355.
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