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Challenges of perinatal depression care in Mexico city health centers

dc.creatorNavarrete, Lauraes_ES
dc.creatorLara, Ma. Asunciónes_ES
dc.creatorBerenzon, Shoshanaes_ES
dc.creatorMora-Rios, Jazmines_ES
dc.date2022
dc.date.accessioned2024-11-06T17:15:19Z
dc.date.available2024-11-06T17:15:19Z
dc.date.issued2022
dc.identifierJC47DIEP22es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8095
dc.identifier.urihttps://doi.org/10.2147/IJWH.S381196
dc.descriptionBackground: Perinatal depression is a common mental disorder regarded as a severe public health problem. Studies have shown that incorporating mental health care into primary health services that provide pregnancy care makes it easier for women to seek help for depressive symptoms. In this context, the following question is of interest: How prepared are primary health services in Mexico City that provide pregnancy and postpartum care to treat perinatal depression? This article seeks to explore the perceptions and knowledge of perinatal depression in health professionals and analyze the barriers to its care at primary care centers in Mexico City. Methods: An exploratory study with a qualitative approach was conducted. Doctors, nurses, social workers who provide maternal and childcare, mental health personnel, and the directors of four centers were interviewed. Interviews were audio-recorded and transcribed for thematic analysis. Results: Most primary care personnel are unaware of the Official Standard that recommends providing maternal mental health care during the perinatal period. There is no initiative for its incorporation into routine care. A significant barrier to its implementation is health professionals' biased, stereotyped perception of perinatal depression, motherhood, and the role of women. Other barriers include the workload of health professionals, the division of care between professionals, and the lack of communication between the latter. Women with psychological symptoms are not referred to mental health staff in a timely manner. Social workers are in closer contact with women and are more willing to address their emotional distress. Conclusion: Maternal mental health care, contingent on pregnancy, childbirth, and puerperium care at primary care centers is currently not possible due to the lack of knowledge, barriers, and directors' dependence on hospital management decisions.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherDove Medical Presses_ES
dc.relation14:1667-1679
dc.titleChallenges of perinatal depression care in Mexico city health centerses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDirectorate of Epidemiological and Psychosocial Research, National Institute of Psychiatry "Ramón de la Fuente Muñiz", Mexico City, Mexico
dc.contributor.emaillaracan@imp.edu.mx (Ma Asunción Lara)
dc.relation.jnabreviadoINT J WOMENS HEALTH
dc.relation.journalInternational Journal of Women's Health
dc.identifier.placeNueva Zelanda
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1179-1411
dc.identifier.doi10.2147/IJWH.S381196
dc.subject.kwMaternal mental health
dc.subject.kwPerinatal depression
dc.subject.kwPrimary health care


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