[Multiprofessional care and mental health in pregnant women].
OBJECTIVE
To identify non-psychotic affective disorders in pregnant women, to intervene by means of psychoprophylactic groups, and to evaluate possible alterations following intervention.


METHODS
One-hundred and three pregnant women (71 adults and 32 adolescents) were seen at a community program in the Paraisópolis neighborhood in the city of Sao Paulo, southeastern Brazil. We used the following instruments: Self Reporting Questionnaire and Beck Depression Inventory. Ten weekly two-hour meetings were held, addressing the link between mother and fetus and subjects related to mother and child, and answering mother's doubts. We used the chi-squared test (chi2) to compare mental health before and after the intervention, with a significance level of p<0.05.


RESULTS
Affective disorders were found in 45 pregnant women (43.7%) before the intervention and in 23 (22.3%) after the intervention. The impact of the intervention on affective disorders was statistically significant (p=0.001). Twenty-one women (20.4%) showed depression before the intervention, and 13 (12.6%) after the intervention, a non-significant difference (p=0.133).


CONCLUSIONS
Multiprofessional care can prevent, detect, and treat affective disorders during pregnancy in both adults and adolescents.
Falcone
Vanda Mafra
VM
Centro de Promoção e Atenção à Saúde, Instituto de Ensino e Pesquisa, Hospital Albert Einstein, São Paulo, SP, Brasil. penc@einstein.br
Mäder
Custódia Virginia de Nóbrega
CV
Nascimento
Christianne Freitas Lima
CF
Santos
Joacira Mota Matos
JM
de Nóbrega
Fernando José
FJ
D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008603:Mental Health; D019964:Mood Disorders / Q000453:epidemiology* / Q000517:prevention & control; D010348:Patient Care Team; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology; D011295:Prenatal Care / Q000706:statistics & numerical data*; D015995:Prevalence; D011569:Psychiatric Status Rating Scales