RASTREAMENTO, MANEJO CLÍNICO E CUIDADO INTEGRADO NA DEPRESSÃO PÓS-PARTO: REVISÃO DE ESCOPO
DOI:
https://doi.org/10.71248/fmze1y18Keywords:
Depressão Pós-Parto, Programas de Rastreamento, Prestação Integrada de Cuidados de Saúde, Saúde Materna, Saúde MentalAbstract
A depressão pós-parto é uma condição prevalente que compromete a saúde da mulher, do bebê e da família, e sua identificação e tratamento ainda são insuficientes nos serviços de saúde. Este estudo teve como objetivo mapear as evidências científicas sobre rastreamento, manejo clínico e modelos de cuidado integrado à saúde mental materna no período pós-parto. Trata-se de revisão de escopo orientada pelo referencial do Joanna Briggs Institute e relatada conforme o PRISMA-ScR. A busca foi realizada em outubro de 2026 na PubMed/MEDLINE, com recorte de 2021 a 2026, contemplando revisões sistemáticas, metanálises, ensaios clínicos randomizados e diretrizes. Dos 32 registros identificados, 20 estudos foram incluídos. Os achados foram organizados em três eixos: instrumentos e políticas de rastreamento, com destaque para a Escala de Depressão Pós-Natal de Edimburgo e o PHQ-9; intervenções terapêuticas, com maior consistência para as terapias psicológicas, especialmente a cognitivo-comportamental, inclusive em formato digital, e evidência de menor certeza para antidepressivos, exercício aeróbico e estimulação magnética transcraniana; e organização do cuidado, com resultados promissores para o cuidado escalonado e a necessidade de ajustar os serviços às preferências das mulheres. Conclui-se que o rastreamento só produz benefício quando articulado a percursos assistenciais integrados, contínuos e culturalmente sensíveis.
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