title: Evolution of the perinatal care system.
abstract: BACKGROUND
  The perinatal support system for mothers and babies, which has evolved over the past 6 years at the Morioka Red Cross Hospital, is described.
  
  
  METHODS
  Between July 1995 and August 1999, 1864 puerperal mothers at the Morioka Red Cross Hospital responded to the Maternity Blues Scale (MB) and the Edinburgh Postnatal Depression Scale (EPDS) at 1 month, each with an open comment form.
  
  
  CONCLUSIONS
  There was a significant difference in each MB item between individuals who scored above 9 points and those who scored lower in the EPDS. Those who later scored high in the EPDS had responses to a preceding MB where we had checked items of 'confusion', 'experience of crying', 'anxiety', 'exhaustion', 'feeling depressed', 'nervousness', 'agitation' and 'forgetfulness'. Administration of the MB and provision of a free comment form significantly decreased EPDS scores. Ensuring that the views of mothers are acknowledged within the context of an adequate care system is central to effective perinatal care.
authors: Suzuki Hiroko Research Laboratory for Psychological Treatment, Iwate, Japan. suhiro@dc4.so-net.ne.jp
authors: H
authors: H
authors: Suzuki
mesh_terms: D000328:Adult; D019052:Depression, Postpartum / Q000175:diagnosis; D005260:Female; D006764:Hospitals, Community / Q000458:organization & administration; D006801:Humans; D007564:Japan; D008347:Manifest Anxiety Scale; D018743:Perinatal Care / Q000379:methods / Q000458:organization & administration*; D012720:Severity of Illness Index