In a recent postpartum depression research post on the statistics of postpartum depression in the US and Australia, I received a comment that I felt was very important to share with all of you. The reader shared her belief that one thing scientists will find when they DO track the data on postpartum depression is that many doctors out there won’t diagnose their patients with PPD officially in their charts. Her OB told her that she had postpartum depression and that he was treating her for PPD but that he didn’t want to write that down in her medical record because it might make it harder for her to get medical insurance later should she ever need to self-insure. Instead, he wrote in her chart that she was being prescribed an antidepressant for PMS.
I’ve heard input like this before, from both doctors and patients. It is happening, and I believe that it does have the potential to impact postpartum depression research if the researchers choose to use medical charts to identify the incidence or prevalence of PPD.
While it’s true that if the Affordable Care Act is fully implemented it should remove any barriers to getting health insurance because of pre-existing conditions, it’s also true that a certain percentage of women over the last decades who were diagnosed with PPD never had that diagnosis recorded in their medical history. Just something to think about as we watch postpartum depression research continue to evolve …
Rock. Hard place.
I know my Ob diagnosed me with PPD, and did note it in my chart. 3 years later when I applied for Life Insurance thru my employer’s benefits, I had to fill out an entire additional packet, twice, due to “history of depression”. I was eventually approved, but it was a major PITA and took 3 months longer than usual.
I also have a friend who is attempting to adopt, and has been shut down by multiple agencies because she had PPD w/ 2 of her pregnancies, even though hers is documented as being related to a thyroid disorder and was resolved once her thyroid meds were adjusted. But (apparently) many adoption agencies, have a “zero tolerance” for mental health issues.
I’m so glad you have this blog! I feel this isn’t a topic that’s talked about enough. Just days after having my first son I had a panic attack and really thought I was dieing. Needless to say after reading about all the postpartum symptoms that’s what the cause was. Keep it up!