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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3355
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dc.contributor.authorBerger, Anke-
dc.contributor.authorBachmann, Nicole-
dc.contributor.authorSignorell, Andri-
dc.contributor.authorErdin, Rebekka-
dc.contributor.authorOelhafen, Stephan-
dc.contributor.authorReich, Oliver-
dc.contributor.authorCignacco, Eva-
dc.date.accessioned2019-03-15T14:08:37Z-
dc.date.available2019-03-15T14:08:37Z-
dc.date.issued2017-
dc.identifier.issn1424-7860de_CH
dc.identifier.issn1424-3997de_CH
dc.identifier.issn0036-7672de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/16123-
dc.description.abstractBackground: 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.de_CH
dc.language.isoende_CH
dc.publisherEMH Schweizerischer Ärzteverlagde_CH
dc.relation.ispartofSwiss Medical Weeklyde_CH
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/de_CH
dc.subjectHealth care costde_CH
dc.subjectInsurance claim reviewde_CH
dc.subjectMental disorderde_CH
dc.subjectMental health servicede_CH
dc.subjectMidwiferyde_CH
dc.subjectPerinatal carede_CH
dc.subjectPregnancyde_CH
dc.subjectPrevalencede_CH
dc.subjectReferral and consultationde_CH
dc.subjectPostpartum periodde_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titlePerinatal mental disorders in Switzerland : prevalence estimates and use of mental-health servicesde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.21256/zhaw-3355-
dc.identifier.doi10.4414/smw.2017.14417de_CH
dc.identifier.pmid28322424de_CH
zhaw.funding.euNode_CH
zhaw.issuew14417de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume147de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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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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