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Non-Pharmacologic Treatments for Maternal Mental Health Conditions

NOMINATED TOPIC | June 3, 2022

1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evidence would be helpful?

We are interested in non-pharmacologic treatments for mental health conditions during pregnancy, lactation, and postpartum. An evidence summary would be helpful in developing a future evidence-based guideline that provides practitioners with information on the effectiveness, as well as harms and benefits, of non-pharmacologic treatments for mental health conditions in pregnant, lactating, and postpartum patients.

Question:
1. What are effective non-pharmacologic treatments for mental health conditions during pregnancy?
Population: pregnant, lactating, and postpartum individuals
Interventions and Comparators: non-pharmacologic treatment (Cognitive Behavioral Therapy (CBT), other methods of therapy, yoga, meditation, mindfulness, acupuncture, supplements, etc.) vs placebo or no treatment, one treatment vs another
Outcomes: benefit of treatment, symptoms, quality of life, adherence to treatment, discontinuation of treatment, obstetric outcomes, maternal harms, fetal/neonatal/child harms

2. Why are you struggling with this issue?

We are struggling with this issue because lack of extensive evidence-based guidelines are available to clinicians related to the effectiveness and safety of non-pharmacologic treatments for pregnant, lactating, and postpartum individuals with mental health conditions. As organizations and practices aim to improve health outcomes in pregnant, lactating, and postpartum patients with mental health conditions, it is important to provide current and evidence-based guidance to clinicians.

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

We want to see evidence-based findings that can be integrated into clinical guidance. We want evidence-based recommendations to help clinicians provide effective and safe treatment options to pregnant, lactating, and postpartum patients with mental health conditions. We will know the issue has been addressed when health outcomes improve for pregnant, lactating, and postpartum patients with mental health conditions.

4. When do you need the evidence report?

Mon, 06/03/2024

5. What will you do with the evidence report?

The evidence report will be used by the American College of Obstetricians and Gynecologists (ACOG) to potentially develop a future clinical consensus or clinical practice guideline document. Therefore, an evidence report will help support development of future evidence-based recommendations used by practitioners to treat mental health conditions in pregnant, lactating, and postpartum patients.

Optional Information About You

What is your role or perspective? Professional Organization

If you are you making a suggestion on behalf of an organization, please state the name of the organization American College of Obstetricians and Gynecologists (ACOG)

May we contact you if we have questions about your nomination? Yes

Page last reviewed June 2022
Page originally created June 2022

Internet Citation: Non-Pharmacologic Treatments for Maternal Mental Health Conditions. Content last reviewed June 2022. Effective Health Care Program, Agency for Healthcare Research and Quality, Rockville, MD.
https://effectivehealthcare.ahrq.gov/get-involved/nominated-topics/non-pharmacologic-treatments

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