title: The effect of postpartum depression on women's consultations with physicians.
abstract: BACKGROUND
  Postpartum depression is a well-known phenomenon that occurs in about 10% of births and affects the quality of life of the mother as well as the family. As in other cases of depression, under-diagnosis of PPD may keep patients from getting proper care and increase their physical and emotional distress.
  
  
  OBJECTIVE
  To identify patients with PPD and to describe their consultation patterns with primary care physicians for themselves and their babies.
  
  
  METHODS
  Using a telephone survey and the Edinburgh Postnatal Depression Scale questionnaire we identified PPD in a sample of women who gave birth in HaEmek Medical Center. We also assessed the extent to which the women consulted with family physicians, gynecologists and/or pediatricians.
  
  
  RESULTS
  The survey included 574 women, of whom 9.9% were diagnosed with PPD. There was a higher rate of PPD among Arab compared to Jewish women, among women with a prior history of depression, among women whose pregnancy was unplanned, among those who described the course of pregnancy as "difficult," and among women who described their general health as "not good." Women with PPD consulted more with family physicians and pediatricians. The reasons for the consultations are physical and emotional. There were cases of somatization manifested directly by the mother or indirectly through the baby.
  
  
  CONCLUSIONS
  Women with PPD have higher consultation rates than those without. By asking a few simple questions it is possible to identify a significant proportion of women with PPD.
authors.affiliation: Department of Family Medicine, HaEmek Medical Center, Afula, Israel. eilat_s@netvision.net.il
authors.forename: Sophia
authors.initials: S
authors.lastname: Eilat-Tsanani
authors.forename: Ayelet
authors.initials: A
authors.lastname: Merom
authors.forename: Shabtai
authors.initials: S
authors.lastname: Romano
authors.forename: Alon
authors.initials: A
authors.lastname: Reshef
authors.forename: Idit
authors.initials: I
authors.lastname: Lavi
authors.forename: Hava
authors.initials: H
authors.lastname: Tabenkin
mesh_terms: D000328:Adult; D018912:Arabs / Q000706:statistics & numerical data; D019052:Depression, Postpartum / Q000453:epidemiology* / Q000523:psychology; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D006304:Health Status; D006801:Humans; D007557:Israel / Q000453:epidemiology; D007585:Jews / Q000706:statistics & numerical data; D016015:Logistic Models; D010372:Pediatrics / Q000706:statistics & numerical data; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires