J Korean Soc Matern Child Health.  2022 Jul;26(3):146-163. 10.21896/jksmch.2022.26.3.146.

Review and Future Perspectives of the Korea Counseling Center for Fertility and Depression Based on User Characteristics: Focusing on Those During Pregnancy and Early After Delivery

• Kim J
• Chu K
• Chon SJ
• Cho SE
• Lee TH
• Lee SJ
• Tae CM
• Lim JY
• Yang JB
• Choi A

• KMID: 2532471
• DOI: http://doi.org/10.21896/jksmch.2022.26.3.146

Abstract

Purpose
This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system.
Methods
Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified. Finally, a paired sample t-test was conducted to verify the effect of counseling services.
Results
An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor.
Conclusion
For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management—covering the periods before and after childbirth—should be provided by establishing organic ties between domestic projects.

Keyword

Peripartum depression; Counseling system; Risk factors; Screening test; Postpartum depression; Pregnancy

Figure

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  Fig. 1. Estimated service users of Korea Counseling Center for fertility and depression. 1) National Health Insurance Service (2021). 2) Chung (2017). 3) Health Insurance Review and Assessment Service (2021). 4) Ministry of Health and Welfare (2022).

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