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Volume 21
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10.3390/ijerph21040454
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Article

Combining the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale in Early Pregnancy in Danish Antenatal Care—A Qualitative Descriptive Study

by
Lotte Broberg
1,2,*,
Jane M. Bendix
3,
Katrine Røhder
4,
Ellen Løkkegaard
3,
Mette Væver
4,
Julie C. Grew
1,
Helle Johnsen
5,
Mette Juhl
5,
Vibeke de Lichtenberg
5 and
Michaela Schiøtz
1
1
Center for Clinical Research and Prevention, Bispebjerg-Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark
2
Department of Gynecology and Obstetrics, Slagelse Hospital, Fælledvej 14, 4200 Slagelse, Denmark
3
Department of Gynecology and Obstetrics, Copenhagen University Hospital—North Zealand, Dyrehavevej 29, 3400 Hillerød, Denmark
4
Center for Early Intervention and Family Research, Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353 Copenhagen, Denmark
5
Department of Midwifery and Therapeutic Science, University College Copenhagen, Sigurdsgade 26, 2200 Copenhagen, Denmark
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2024, 21(4), 454; https://doi.org/10.3390/ijerph21040454
Submission received: 15 March 2024 / Revised: 4 April 2024 / Accepted: 4 April 2024 / Published: 8 April 2024
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Abstract

Pregnant women with a history of mental disorders, neglect, or low social support are at increased risk of mental health problems. It is crucial to identify psychosocial risk factors in early pregnancy to reduce the risk of short- and long-term health consequences for mother and child. The Antenatal Risk Questionnaire has been found acceptable as a psychosocial screening tool among pregnant women in Australia, but it has not been tested in a Scandinavian context. The aim of this study was to explore the experiences of pregnant women when using the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale as part of a model to identify psychosocial vulnerabilities in pregnancy in Denmark. We conducted individual interviews (n = 18) and used thematic analysis. We identified two main themes: (1) Feeling heard and (2) An occasion for self-reflection. Overall, the pregnant women deemed the online ANRQ/EPDS acceptable as a screening tool. The screening model provided a feeling of being heard and provided an occasion for self-reflection about mental health challenges related to pregnancy and motherhood. However, some women expressed that the screening raised concerns and fear of the consequences of answering honestly. A non-judgmental, open, emphatic, and reassuring approach by clinicians may help reduce stigma.
Keywords: mental health; depression; pregnancy; interview mental health; depression; pregnancy; interview

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MDPI and ACS Style

Broberg, L.; Bendix, J.M.; Røhder, K.; Løkkegaard, E.; Væver, M.; Grew, J.C.; Johnsen, H.; Juhl, M.; de Lichtenberg, V.; Schiøtz, M. Combining the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale in Early Pregnancy in Danish Antenatal Care—A Qualitative Descriptive Study. Int. J. Environ. Res. Public Health 2024, 21, 454. https://doi.org/10.3390/ijerph21040454

AMA Style

Broberg L, Bendix JM, Røhder K, Løkkegaard E, Væver M, Grew JC, Johnsen H, Juhl M, de Lichtenberg V, Schiøtz M. Combining the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale in Early Pregnancy in Danish Antenatal Care—A Qualitative Descriptive Study. International Journal of Environmental Research and Public Health. 2024; 21(4):454. https://doi.org/10.3390/ijerph21040454

Chicago/Turabian Style

Broberg, Lotte, Jane M. Bendix, Katrine Røhder, Ellen Løkkegaard, Mette Væver, Julie C. Grew, Helle Johnsen, Mette Juhl, Vibeke de Lichtenberg, and Michaela Schiøtz. 2024. "Combining the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale in Early Pregnancy in Danish Antenatal Care—A Qualitative Descriptive Study" International Journal of Environmental Research and Public Health 21, no. 4: 454. https://doi.org/10.3390/ijerph21040454

APA Style

Broberg, L., Bendix, J. M., Røhder, K., Løkkegaard, E., Væver, M., Grew, J. C., Johnsen, H., Juhl, M., de Lichtenberg, V., & Schiøtz, M. (2024). Combining the Antenatal Risk Questionnaire and the Edinburgh Postnatal Depression Scale in Early Pregnancy in Danish Antenatal Care—A Qualitative Descriptive Study. International Journal of Environmental Research and Public Health, 21(4), 454. https://doi.org/10.3390/ijerph21040454

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