This graphic illustrates highlights from the presentations and discussion that were part of the roundtable on behavioral health concerns impacting postpartum health during Day 1 of the P2P Workshop: Identifying Risks and Interventions to Optimize Postpartum Health. To learn more about the workshop or view the recordings, visit the main workshop page.
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Perinatal Health and Mood Disorders
Pregnancy as stress test for brain:
- Self-esteem
- Poverty
- Racism
- Health
- Genetics
Intersectionality increases risk:
- Race
- Gender
- Economic
Prevention:
- Therapy
- Mindfulness
- Medical treatment
- Education
- Biological mechanisms
Gaps:
- Biological risk factors
- Interventions
Challenges to Reproductive Journey
Barriers and stigmas must be addressed:
- Infertility
- Pregnancy loss
- Premature birth
- Equitable care is a must
Perinatal mood anxiety disorders:
- Can last years
- Range of mood disorder beyond postpartum depression
Maternal suicide:
- Hidden cause of maternal death in the U.S.
- COVID-19 made this worse
Care Cascade for Perinatal Depression
Only 3-5% reach remission.
Solutions:
- Work together
- Education and training
- Focus on health equity
Pregnancy Homicide and Violent Death
- Exceeds any obstetric cause of death
- Gun violence
- Partner violence
- About half postpartum
All cases are preventable:
- Policy
- Community prevention
- Identification
Access to Clinical Trials
Gaps:
- Maternal outcomes
- Dosing
- Fetal safety
- Pregnant people excluded from trials
Ethical foundations:
- Protection
- Respect
- Access
Communication of findings must be clear.
Discussion
Causes and prevention of violence:
- Removing guns
- Having structures for escape
- Addressing equity and racism
Impact of abortion restrictions:
- Pregnant person has a heartbeat too
- Stress from lack of autonomy
- Need to focus on both pregnant person and baby
Questions
Hand off between care settings?
- Increase capacity
- Phone support
- Maintain setting
- Cross discipline communication
Screening in BIPOC population:
- Question for connection to care
Access to care for everyone:
- Insufficient across the board
- Group provision
- Support for OB/GYN