title: Identifying psychosocial risk among mothers in an Australian private maternity setting: A pilot study.
abstract: BACKGROUND
  Psychosocial assessment and depression screening are recommended for all pregnant and postnatal women in Australia. However, women who give birth in private maternity settings remain less likely to participate in psychosocial assessment programs, making it difficult to comment on the potential resource implications.
  
  
  OBJECTIVE
  To describe the psychosocial profile of a sample of women who had recently given birth in a private hospital and to examine the acceptability and feasibility of introducing psychosocial assessment as a routine component of maternity care.
  
  
  METHODS
  Two hundred and twenty participants were recruited in a four-month period from a private tertiary hospital located in Murdoch, Western Australia. All participants completed the Edinburgh Depression Scale (EDS) and a Antenatal Risk Questionnaire (ANRQ) prior to discharge via an iPad.
  
  
  RESULTS
  The mean total score for the EDS was 4.77 (SD = 3.93), with 5% of women scoring above the recommended cut-off of 13 or more. The mean total score for the ANRQ was 17.73 (SD = 10.72). 45.0% of all women endorsed no significant risk factors. The proportion of women scoring above the recommended ANRQ cut-off of 23 or more was 32.3%. Approximately 11% of women were referred for additional support or treatment. Acceptability of the ANRQ was high at 97.3%.
  
  
  CONCLUSIONS
  This study describes the psychosocial profile of a sample of women who recently gave birth in an Australian private maternity hospital and demonstrates that with additional resources, the implementation of psychosocial assessment as a routine component of maternity care was feasible and highly acceptable in this setting.
authors.affiliation: Perinatal & Women's Mental Health Unit, St John of God Health Care, University of New South Wales, Burwood, New South Wales, Australia.
authors.forename: Nicole
authors.initials: N
authors.lastname: Reilly
authors.affiliation: Perinatal & Women's Mental Health Unit, St John of God Health Care, University of New South Wales, Burwood, New South Wales, Australia.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Yin
authors.affiliation: St John of God Murdoch Hospital, Murdoch, Western Australia, Australia.|University of Notre Dame Australia, Murdoch, Western Australia, Australia.|School of Nursing and Midwifery, Edith Cowan University of Western Australia, Joondalup, Western Australia, Australia.
authors.forename: Leanne
authors.initials: L
authors.lastname: Monterosso
authors.affiliation: St John of God Murdoch Hospital, Murdoch, Western Australia, Australia.
authors.forename: Sue
authors.initials: S
authors.lastname: Bradshaw
authors.affiliation: St John of God Murdoch Hospital, Murdoch, Western Australia, Australia.
authors.forename: Kizzi
authors.initials: K
authors.lastname: Neale
authors.affiliation: Murdoch Raphael Centre, St John of God Murdoch Hospital, Murdoch, Western Australia, Australia.
authors.forename: Beate
authors.initials: B
authors.lastname: Harrison
authors.affiliation: Perinatal & Women's Mental Health Unit, St John of God Health Care, University of New South Wales, Burwood, New South Wales, Australia.|The Black Dog Institute, Prince of Wales Hospital, Burwood, New South Wales, Australia.
authors.forename: Marie-Paule
authors.initials: MP
authors.lastname: Austin
mesh_terms: D000328:Adult; D001315:Australia; D015331:Cohort Studies; D019052:Depression, Postpartum / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D016304:Hospitals, Private; D006801:Humans; D007231:Infant, Newborn; D008423:Maternal Age; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D011181:Postnatal Care / Q000379:methods / Q000523:psychology*; D049590:Postpartum Period; D011247:Pregnancy; D011584:Psychology / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012720:Severity of Illness Index; D062606:Tertiary Care Centers
keywords: depression screening; obstetric; postnatal; private; psychosocial assessment