Maternal Mental Health
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Depression |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/5/2019 |
| Start Date: | January 3, 2019 |
| End Date: | December 2021 |
| Contact: | Murali Gali |
| Email: | Murali.Gali@bcm.edu |
| Phone: | 832-824-3301 |
Addressing Maternal Mental Health Needs During Pediatric Acute Care Hospitalizations
Perinatal (around the time of birth) mental health disorders are common difficulties of
pregnancy. Perinatal depression is made up of major and minor depressive events during
pregnancy and the first 12 months after delivery. It is estimated that 11%-19% of mothers
suffer from perinatal depression. However, rates may be significantly higher among some
subpopulations.
Left untreated, post partum depression (PPD) is linked with several significant negative
health impacts on the mother, her infant, and their families. PPD is linked with lower
quality maternal-child relationship, and this change in emotional attachment can lead to
physiologic changes and poorer cognitive outcomes in the infant.
The purpose of this study is to determine the maternal mental health effect of postpartum
depression screening and intervention during infants' short term hospitalizations. The study
is also aiming to define effects of PPD short term hospitalization interventions on maternal
PPD follow up and child health based on well child care (WCC), emergency department (ED)
visits, hospital readmissions, and parent's feelings on child's health.
pregnancy. Perinatal depression is made up of major and minor depressive events during
pregnancy and the first 12 months after delivery. It is estimated that 11%-19% of mothers
suffer from perinatal depression. However, rates may be significantly higher among some
subpopulations.
Left untreated, post partum depression (PPD) is linked with several significant negative
health impacts on the mother, her infant, and their families. PPD is linked with lower
quality maternal-child relationship, and this change in emotional attachment can lead to
physiologic changes and poorer cognitive outcomes in the infant.
The purpose of this study is to determine the maternal mental health effect of postpartum
depression screening and intervention during infants' short term hospitalizations. The study
is also aiming to define effects of PPD short term hospitalization interventions on maternal
PPD follow up and child health based on well child care (WCC), emergency department (ED)
visits, hospital readmissions, and parent's feelings on child's health.
Half of the study participants will receive a social work consult and treatment with
psychology therapy in the hospital. The psychology therapy will be 2-3 fifty-minute therapy
sessions while the child is in the hospital. An outpatient psychiatry/psychology follow up
appointment will be offered if needed as per routine care.
Discharge Follow Up:
A discharge follow up questionnaire and survey will be completed on an electronic tablet
around the time of the baby's discharge home from the hospital or within 1 week of being at
home. The survey can be completed over the phone or it can be sent via email or text to
complete the survey online.
One Month Follow Up:
A one-time follow up questionnaire and survey will be completed 1 month after discharge from
the hospital. The survey can be completed in approximately 5 - 10 minutes over the phone or
it can be sent via email or text to complete the survey online.
The other half of the study participants will receive social work consult with information
about follow up options for PPD per current standard of care for mothers identified as having
postpartum depression in the hospital setting.
As part of this study a review of the child's medical record, including data collection, will
be performed.
psychology therapy in the hospital. The psychology therapy will be 2-3 fifty-minute therapy
sessions while the child is in the hospital. An outpatient psychiatry/psychology follow up
appointment will be offered if needed as per routine care.
Discharge Follow Up:
A discharge follow up questionnaire and survey will be completed on an electronic tablet
around the time of the baby's discharge home from the hospital or within 1 week of being at
home. The survey can be completed over the phone or it can be sent via email or text to
complete the survey online.
One Month Follow Up:
A one-time follow up questionnaire and survey will be completed 1 month after discharge from
the hospital. The survey can be completed in approximately 5 - 10 minutes over the phone or
it can be sent via email or text to complete the survey online.
The other half of the study participants will receive social work consult with information
about follow up options for PPD per current standard of care for mothers identified as having
postpartum depression in the hospital setting.
As part of this study a review of the child's medical record, including data collection, will
be performed.
Inclusion Criteria:
1. Mothers and their infant ≤365 days of age admitted to the acute care floors at Texas
Children's Hospital Medical Center Campus and their infant based on date of birth in
Epic.
2. English or Spanish speaking mother based on preferred language in Epic.
3. Mother of 18 years old or greater.
Exclusion Criteria:
1. Mother and infant reside outside 50-mile radius of Texas Children's Hospital Medical
Center Campus based on address on demographic form.
2. Mother is not the primary caregiver of infant confirmed at time of informed consent.
3. Enrollment in this study during previous hospitalization based on duplicate identified
in database.
4. Currently under care of psychiatrist or psychologist as reported in screening
questionnaire.
We found this trial at
1
site
6621 Fannin St
Houston, Texas 77030
Houston, Texas 77030
(832) 824-1000
Principal Investigator: Michelle Lopez, MD
Phone: 832-824-3301
Texas Children's Hospital Texas Children's Hospital, located in Houston, Texas, is a not-for-profit organization whose...
Click here to add this to my saved trials
