Postpartum depression
- PMID: 19318144
- PMCID: PMC3918890
- DOI: 10.1016/j.ajog.2008.11.033
Postpartum depression
Abstract
Postpartum depression (PPD) affects up to 15% of mothers. Recent research has identified several psychosocial and biologic risk factors for PPD. The negative short-term and long-term effects on child development are well-established. PPD is under recognized and under treated. The obstetrician and pediatrician can serve important roles in screening for and treating PPD. Treatment options include psychotherapy and antidepressant medication. Obstacles to compliance with treatment recommendations include access to psychotherapists and concerns of breastfeeding mothers about exposure of the infant to antidepressant medication. Further research is needed to examine systematically the short-term and long-term effect of medication exposure through breastmilk on infant and child development.
Comment in
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The need for comprehensive psychiatric perinatal care-the University of North Carolina at Chapel Hill, Department of Psychiatry, Center for Women's Mood Disorders launches the first dedicated Inpatient Program in the United States.Am J Obstet Gynecol. 2009 Nov;201(5):e10-1; author reply e11. doi: 10.1016/j.ajog.2009.05.004. Epub 2009 Jul 2. Am J Obstet Gynecol. 2009. PMID: 19573858 No abstract available.
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The whole obstetric team must be involved in screening and prevention of postnatal depression.Am J Obstet Gynecol. 2010 Jan;202(1):e19; author reply e19-20. doi: 10.1016/j.ajog.2009.08.008. Epub 2009 Nov 4. Am J Obstet Gynecol. 2010. PMID: 19889379 No abstract available.
References
-
- Henshaw C. Mood disturbance in the early puerperium: a review. Arch Womens Ment Health. 2003;6:S33–S42. - PubMed
-
- Heron J, Craddock N, Jones I. Postnatal euphoria: are “the highs” an indicator of bipolarity? Bipolar Disord. 2005;7:103–10. - PubMed
-
- Reck C, Stehle E, Reinig K, Mundt C. Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. J Affect Disord. 2009;113:77–87. - PubMed
-
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4. Washington, DC: American Psychiatric Press; 2000. text revised.
-
- Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106:1071–83. - PubMed