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Review
. 2023 Sep;50(3):589-607.
doi: 10.1016/j.ogc.2023.03.009. Epub 2023 May 8.

Perinatal Depression Treatment Guidelines for Obstetric Providers

Nina E Higgins  1 , Marquette J Rose  2 , Tamara J Gardner  3 , Jennifer N Crawford  4
Affiliations
Review

Perinatal Depression Treatment Guidelines for Obstetric Providers

Nina E Higgins et al. Obstet Gynecol Clin North Am. 2023 Sep.

Abstract

Perinatal depression is the occurrence of depressive symptoms during the antenatal or postnatal period with an annual incidence of 10% to 20%. The consequences of untreated perinatal depression are significant and include negative impacts on maternal health, pregnancy outcomes, and maternal-infant outcomes. The purpose of this article is to provide perinatal pharmacologic and psychological treatment information to help first-line providers more confidently manage depression in the perinatal period. Treatment strategies including medication management using risk versus risk conversations, psychotherapy, and colocated perinatal mental health clinics are discussed.

Keywords: Medication; Perinatal depression; Postpartum depression; Psychotherapy; Reproductive psychiatry.

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