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Revista Medica de Chile Jul 2015Postpartum depression (PPD) is a common condition worldwide and most of the available information is about treatment rather than prevention. This paper is an update on... (Review)
Review
Postpartum depression (PPD) is a common condition worldwide and most of the available information is about treatment rather than prevention. This paper is an update on prevention and treatment of PPD. A simple review of the literature and a critical review of papers' methodology and conclusions was carried out. There is a consensus of the preeminence of psychosocial factors in the genesis of PPD. Considering the complications when the condition is not treated, it is of the utmost importance to implement early detection and management strategies. The use of psychosocial preventive interventions is an alternative that has support in the literature and should be seriously considered.
Topics: Chile; Depression, Postpartum; Female; Humans; Risk Factors
PubMed: 26361026
DOI: 10.4067/S0034-98872015000700010 -
Military Medicine Mar 2022
Topics: Depression, Postpartum; Female; Humans; Postpartum Period; Risk Factors
PubMed: 34586406
DOI: 10.1093/milmed/usab390 -
MCN. the American Journal of Maternal... 2002Approximately 13% of new mothers experience postpartum depression. This crippling mood disorder wreaks havoc not only on the mothers themselves but also on their entire... (Review)
Review
Approximately 13% of new mothers experience postpartum depression. This crippling mood disorder wreaks havoc not only on the mothers themselves but also on their entire families. Between 25% and 50% of mothers with postpartum depression have episodes lasting 6 months or longer. The most significant factor in the duration of the postpartum depression is the length of delay to adequate treatment. The purpose of this article is to describe five different theoretical perspectives of postpartum depression and the interventions for treatment derived from each: the medical model, feminist theory, attachment theory, interpersonal theory, and self-labeling theory. Crucial to clinicians' choice of treatment of postpartum depression is the theoretical lens they use to view this devastating mood disorder. Nursing implications derived from these theoretical perspectives are addressed.
Topics: Depression, Postpartum; Female; Humans; Infant; Infant, Newborn; Maternal-Child Nursing; Mother-Child Relations; Mothers; Nurse's Role; Nurse-Patient Relations; Nursing Assessment; Postnatal Care; Practice Guidelines as Topic; United States
PubMed: 12209059
DOI: 10.1097/00005721-200209000-00008 -
Kathmandu University Medical Journal... 2022Background Postpartum depression (PPD) is a disabling but treatable mental disorder that represents one of the most common complications of childbearing which can exert...
Background Postpartum depression (PPD) is a disabling but treatable mental disorder that represents one of the most common complications of childbearing which can exert a wide range of effect on social, physical and mental health conditions of the mother and baby. Objective To identify the prevalence and factors associated with postpartum depression among mothers visiting immunization clinic at Birendranagar Municipality, Surkhet in year 2020. Method This study was a cross-sectional study. A total of 347 postpartum mothers were interviewed for data collection. Validated Nepali version of Edinburg Postnatal Depression Scale (EPDS) was used to identify postpartum depression. These mothers were permanent resident of Birendranagar who had delivered their babies in municipal hospital. Analysis was done using SPSS version 21.0. Chi square test was applied to identify association of postpartum depression with major interest of variables namely parity of mother, sex of a baby and recent planned or unplanned pregnancy. Odds ratio (OR) was calculated with 95% Confidence Interval (CI). Result The prevalence of postpartum depression was found to be 32.9% (27.9%, 37.8%). Several factors which were significantly associated with postpartum depression were; sex of the baby, history of abortion and recent pregnancy planned or unplanned. Conclusion Nearly one-third of postpartum mothers had depression. Hence screening of mothers for depression is of prime importance throughout the continuum of care. Likewise, the factors identified for postpartum depression needs to be taken care of well in advance for healthy mother and a baby.
Topics: Female; Pregnancy; Humans; Depression, Postpartum; Mothers; Prevalence; Nepal; Cross-Sectional Studies; Risk Factors; Postpartum Period; Immunization
PubMed: 37017160
DOI: No ID Found -
Mayo Clinic Proceedings Jun 2014Postpartum depression (PPD) is a common, potentially disabling, and, in some cases, life-threatening condition. Fortunately, PPD is also readily detectable in routine... (Review)
Review
Postpartum depression (PPD) is a common, potentially disabling, and, in some cases, life-threatening condition. Fortunately, PPD is also readily detectable in routine practice and is amenable to treatment by a wide variety of modalities that are effective for treating nonpuerperal major depression. Postpartum depression screening can improve case identification (an Edinburgh Postnatal Depression Scale score of ≥ 13 indicates a high risk of PPD) and, when associated with a diagnostic and follow-up program, leads to improved clinical outcomes. Symptom severity, patient preference, past response to treatment, availability of local mental health care resources, and patient decisions about breast-feeding will drive management decisions. In general, cognitive-behavioral therapy and interpersonal therapy are preferred psychotherapies for women with mild to moderate PPD, whereas antidepressants are appropriate in more severe cases. Many patients will require other types of assistance, such as parenting support, case management, or care coordination because many barriers to receiving adequate PPD treatment must still be overcome.
Topics: Antidepressive Agents; Breast Feeding; Cognitive Behavioral Therapy; Depression, Postpartum; Diagnosis, Differential; Female; Humans; Psychiatric Status Rating Scales; Psychotherapy; Risk Factors
PubMed: 24943697
DOI: 10.1016/j.mayocp.2014.01.027 -
Health Care For Women International Jul 2008Postpartum depression is a serious disorder that affects many women globally. Studies have shown that cultural factors play a significant role in postpartum depression;... (Review)
Review
Postpartum depression is a serious disorder that affects many women globally. Studies have shown that cultural factors play a significant role in postpartum depression; they may trigger postpartum depression as well as contribute to the alleviation of its depressive symptomatology. The cultural aspects of the postpartum period have been described in the literature; however, the impact of cultural factors upon postpartum depression has been less investigated, and studies that looked at this association have yielded oppositional conclusions. In addition, the literature is inconclusive as to whether there are significant differences among various cultures in the prevalence of postpartum depression. The purpose of this literature review is to identify and critically review published and unpublished studies regarding the effect of cultural factors on the alleviation or deterioration of postpartum depression. Results show that cultures have different rituals and beliefs that may affect the severity of postpartum depression.
Topics: Adult; Cultural Characteristics; Depression, Postpartum; Female; Humans; Postnatal Care; Pregnancy; Prevalence; Social Support
PubMed: 18569045
DOI: 10.1080/07399330802089149 -
AWHONN Lifelines 2005
Comparative Study Review
Topics: Adult; Antidepressive Agents; Combined Modality Therapy; Cooperative Behavior; Depression, Postpartum; Female; Follow-Up Studies; Humans; Incidence; Middle Aged; Mother-Child Relations; Pregnancy; Psychotherapy; Risk Assessment; Self-Help Groups; Severity of Illness Index; Treatment Outcome
PubMed: 16359076
DOI: 10.1177/1091592305283172 -
Southern Medical Journal Feb 2004Postpartum depression (PPD) occurs more commonly in U.S. women than most physicians realize. PPD is present in at least 10% and up to 20% of women in the United States... (Review)
Review
Postpartum depression (PPD) occurs more commonly in U.S. women than most physicians realize. PPD is present in at least 10% and up to 20% of women in the United States within the first 6 months of delivery. The rate may be 25% or higher in women with a history of postpartum depression after a previous delivery. Over half of all women who develop postpartum depression still suffer symptoms a year later. This condition causes tremendous morbidity in terms of suffering and decreased quality of life. As with other psychiatric disorders, patients with PPD are more likely to seek help from their primary care doctors than from mental health professionals. Therefore, these providers should be equipped with the knowledge and tools necessary to properly care for women with PPD.
Topics: Depression, Postpartum; Female; Humans; Primary Health Care; Psychotherapy; United States
PubMed: 14982265
DOI: 10.1097/01.SMJ.0000091029.34773.33 -
Neuron Jul 2008Depression during pregnancy and in the postpartum period is common, devastating to mothers and their offspring, and poorly understood in terms of pathophysiology. In... (Review)
Review
Depression during pregnancy and in the postpartum period is common, devastating to mothers and their offspring, and poorly understood in terms of pathophysiology. In this issue of Neuron, Maguire and Mody provide evidence for a role for aberrant neurosteroid regulation of the GABA(A) receptor subunit in the etiology of postpartum depression, presaging elucidation of the pathophysiology and development of treatments of this depression endophenotype.
Topics: Animals; Comprehension; Depression, Postpartum; Female; GABA Agonists; Humans; Pregnancy; Receptors, GABA-A
PubMed: 18667144
DOI: 10.1016/j.neuron.2008.07.015 -
The New England Journal of Medicine Jul 2002
Review
Topics: Antidepressive Agents; Breast Feeding; Depression, Postpartum; Female; Humans; Milk, Human; Psychotherapy
PubMed: 12124409
DOI: 10.1056/NEJMcp011542