Antenatal psycho-social assessment among pregnant women in alzahra teaching hospital: a best practice implementation project

Abstract

The perinatal period is a period of great change in a woman's life, and women experience a wide range of emotions. For many women, the feelings of worry and stress go away on their own. But in some women, they can cause symptoms of serious mental health problems. Mental health issues during pregnancy not only have a significant impact on the woman herself, but also on the health and well-being of her baby and other family members. Health professionals (including midwives, obstetricians, and general practitioners) during pregnancy should make sensitive assessments and consider a woman's individual needs and preferences. It is estimated that at least one in ten women will experience depression, anxiety, or both during pregnancy. Increasing the prevalence of perinatal mental disorders among women in low- and middle-income countries needs attention. , In particular, the creation of high quality evidence on the basis of which procedures and policies can be established. Considering the importance of perinatal mental health in pregnant women and the small number of studies conducted in this field, especially in our country, the present study was designed with the aim of "psychosocial assessment of pregnant women referred to Al-Zahra Teaching Hospital - a functional executive project". Materials and methods: In this project, the implementation of evidence from the practical use of the clinical evidence system of the Joanna Briggs Institute (JBI PACES) and GRiP (Getting Research into Practice). JBI PACES and Grip's framework for promoting evidence base healthcare includes three phases of activity: 1. Creating a team for the project and conducting a baseline review based on evidence-based criteria. 2. Reflecting on the results of the baseline survey and designing and implementing strategies to resolve the non-compliance in the baseline survey that is provided by JBI'S GRiP's. 3.Conducting a follow-up review to evaluate the results of the interventions made to improve practice, and identify future practical issues that should be addressed in subsequent reviews. Findings: Results: The baseline assessment showed that the compliance rate in criteria 4 and 5 was below 50%, which indicates poor compliance with existing evidence, after the implementation of plans to remove obstacles and the use of strategies and training programs, there was an increase in compliance in In all 5 criteria, we saw an increase in compliance in the first criterion from an acceptable average level (32.19 and 15.9 to 75.9%).