Table 4.

Concordance of perceived facilitators among perinatal health care providers and postpartum women

Facilitators
Patient level
Feeling empowered and supported by interactions with perinatal health care professionals Destigmatization of depression Being prepared for possible depression and emotional distress that can occur during and after birth
Provider level
Perinatal health care professional training in how to detect, manage and discuss depression Training in assessment, diagnosis and treatment of depression Screening, education and treatment and/or referral for treatment Perinatal health care professionals provide psychoeducation by distributing and reviewing resource and referral guide and educational material on perinatal depression Simplified referral process Utilizing a multidisciplinary approach which includes improved communication among mental health and perinatal health care professionals Obstetricians start medications if depression is detected Perinatal health care professionals use their limited time wisely by asking the probing questions and making empathic and destigmatizing statements
Systems level
Improved coordination and follow-up of perinatal depression care Communication between providers of different disciplines so they work together as a team Care coordinator Colocation of mental health and medical care More visits in order to allow for ample opportunities to discuss depression and prepare and support women into postpartum period