(546) Examining the Impact of 1-Week Postpartum Mood Check

Postpartum(PP) mood disorders are prevalent and often go undetected and untreated. A 1-week mood check(MC) is a common early touchpoint to attempt to mitigate these risks. Little data exists exploring the efficacy of this visit to address postpartum mood disorders. We examined the rate of intervention at the 1-week postpartum MC among high-risk postpartum patients.

Study Design:

IRB approved retrospective cohort study of high-risk postpartum patients from a single academic health system between 4/1/2020-3/31/2022 attending a telehealth MC within 10 days of postpartum discharge. Primary outcome was the rate of intervention at MC. Intervention defined as change to care, including referrals, extra visits, medication change/start. Secondary outcomes included rate of emergent intervention, rate of mental health-related intervention, and risk factors for needing intervention at the mood check. Descriptive statistics used to analyze data; logistic regression used to identify factors associated with needing intervention at MC.

Results:

During the study period, 313 patients had a MC. Of those, 80(25.6%) required an intervention. Psych-related interventions occurred in 62(19.8%) patients. Nine patients(2.9%) were advised to seek urgent/emergent care, including for suicidal ideation(n=2), concern for preeclampsia(n=3), intractable headache(n=2), wound issues(n=1), and orthopnea(n=1). Other interventions in table.

Comparing patients who required intervention at MC vs those who did not, both history of anxiety(56.6%vs42.5%,p=0.03) and cocaine use(3%vs8.8%,p=0.03) were more common among those requiring intervention. Other demographics did not differ. In regression models, only cocaine remained associated with need for intervention at MC(aOR 3.56, 95%CI 1.17,10.80).

Conclusion:

1 in 4 patients who attended the one-week postpartum MC required intervention, with 3% requiring urgent/emergent care. These data emphasize the importance of this visit with a high-risk population. By identifying patients who require additional support, the MC may facilitate early intervention.