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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
Published in : Swiss Medical Weekly
Volume(Issue) : 147
Issue : w14417
Issue Date: 2017
Publisher / Ed. Institution : EMH Schweizerischer Ärzteverlag
ISSN: 1424-7860
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.
Fulltext version : Published version
License (according to publishing contract) : CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Appears in Collections:Publikationen Gesundheit

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