A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings

Clin Obstet Gynecol. 2018 Sep;61(3):573-590. doi: 10.1097/GRF.0000000000000360.


This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Systematic Review

MeSH terms

  • Ambulatory Care*
  • Delivery of Health Care, Integrated*
  • Depression* / diagnosis
  • Depression* / therapy
  • Depression, Postpartum* / diagnosis
  • Depression, Postpartum* / therapy
  • Female
  • Humans
  • Mass Screening
  • Patient Satisfaction
  • Perinatal Care
  • Pregnancy
  • Pregnancy Complications* / diagnosis
  • Pregnancy Complications* / therapy
  • Self Efficacy
  • Surveys and Questionnaires