Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services
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Authors
Berger, Anke
Signorell, Andri
Erdin, Rebekka
Oelhafen, Stephan
Reich, Oliver
Cignacco, Eva
Author (Corporation)
Publication date
07.03.2017
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Type
01A - Journal article
Editors
Editor (Corporation)
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Parent work
Swiss Medical Weekly
Special issue
DOI of the original publication
Link
Series
Series number
Volume
147
Issue / Number
w14417
Pages / Duration
1-9
Patent number
Publisher / Publishing institution
EMH Schweizerischer Ärzteverlag
Place of publication / Event location
Edition
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Abstract
BACKGROUND
Perinatal mental disorders (PMDs) are the most common complication of pregnancy and the first postpartum year. Since PMD prevalence and use of mental-health services by perinatal women in Switzerland are unknown, we analysed existing health statistics.
METHODS
We used statistics from a large health insurance company, hospitals and freelance midwives. We assessed the annual rates of mental healthcare use in perinatal women (n = 13 969). We ascertained the annual rates of PMD treatment in obstetric inpatients (n = 89 699), and annual rates of PMD records by freelance midwives (n = 57 951). In 15 104 women who gave birth in 2012 or 2013, we assessed use of mental-healthcare before and during pregnancy, and in the postpartum year. For the same sample, we determined proportions of medication and consultation treatments. We used multiple regression analysis to estimate the influence of PMD on overall healthcare costs of mandatory health insurance.
RESULTS
The annual rate of mental-healthcare use by perinatal women was 16.7%. The annual rate of PMD treatment in obstetric inpatients was 1.1%. The annual rate of PMD records in the midwifery care setting was 2.9%. Women with PMD use mental health services mainly in non-obstetric outpatient settings. Medication was the most frequent treatment. Primary care providers and mental health specialists contributed almost equally to consultation treatments. PMD during pregnancy raised overall costs of healthcare in the postpartum year by 1214 Swiss francs.
Keywords
Perinatal mental disorders
Subject (DDC)
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ISBN
ISSN
0036-7672
1424-3997
1424-7860
1424-3997
1424-7860
Language
English
Created during FHNW affiliation
Yes
Strategic action fields FHNW
Publication status
Published
Review
No peer review
Open access category
License
Citation
Berger, A., Bachmann, N., Signorell, A., Erdin, R., Oelhafen, S., Reich, O., & Cignacco, E. (2017). Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services. Swiss Medical Weekly, 147(w14417), 1–9. https://doi.org/10.4414/smw.2017.14417