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Issues in Mental Health Nursing Mar 2023While postpartum depression (PPD) rates in India are among the highest in the world, screening and treatment is minimal. Socio-cultural issues including perceptions of...
While postpartum depression (PPD) rates in India are among the highest in the world, screening and treatment is minimal. Socio-cultural issues including perceptions of stakeholders play role in this treatment gap. Efficient identification and treatment of women experiencing PPD has great importance for not only maternal, but infant outcomes. Infants born to mothers with PPD have a higher likelihood of lower birth weight, breastfeeding, maternal-infant bonding, and even cognitive delays throughout childhood. With the goal of improving maternal mental health outcomes, researchers conducted group and individual interviews with 26 stakeholders working with peripartum women in India to explore social perceptions of PPD. Analysis followed the social ecological model (SEM). Three themes were found: , and . Conclusion: Findings of this research can be used to develop interventions based on the three themes and their relation to the facets of the SEM framework.
Topics: Pregnancy; Infant; Female; Humans; Child; Depression, Postpartum; Mothers; Breast Feeding; Parturition; India
PubMed: 36952312
DOI: 10.1080/01612840.2023.2186701 -
The Journal of Gender-specific Medicine... 1998Psychiatric mood disorders can and do occur in pregnant women. Women with antepartum depression have a risk of poor nutrition, substance abuse, and prenatal... (Review)
Review
Psychiatric mood disorders can and do occur in pregnant women. Women with antepartum depression have a risk of poor nutrition, substance abuse, and prenatal noncompliance. Careful assessment of risk and benefits to the pregnant woman and to the unborn child must be made before pharmacologic therapy is initiated. The three postpartum mood disorders--postpartum "blues," postpartum depression, and postpartum psychosis--are common, and education is an important instrument in the treatment of these disorders.
Topics: Antidepressive Agents; Depression, Postpartum; Depressive Disorder; Electroconvulsive Therapy; Female; Humans; Mass Screening; Patient Education as Topic; Patient Selection; Pregnancy; Pregnancy Complications; Primary Prevention; Risk Factors; Treatment Outcome
PubMed: 11281010
DOI: No ID Found -
Behavioural Neurology 2015Postpartum depression is a frequent and disabling condition whose pathophysiology is still unclear. In recent years, the study of the neural correlates of mental... (Review)
Review
Postpartum depression is a frequent and disabling condition whose pathophysiology is still unclear. In recent years, the study of the neural correlates of mental disorders has been increasingly approached using magnetic resonance techniques. In this review we synthesize the results from studies on postpartum depression in the context of structural, functional, and spectroscopic magnetic resonance studies of major depression as a whole. Compared to the relative wealth of data available for major depression, magnetic resonance studies of postpartum depression are limited in number and design. A systematic literature search yielded only eleven studies conducted on about one hundred mothers with postpartum depression overall. Brain magnetic resonance findings in postpartum depression appear to replicate those obtained in major depression, with minor deviations that are not sufficient to delineate a distinct neurobiological profile for this condition, due to the small samples used and the lack of direct comparisons with subjects with major depression. However, it seems reasonable to expect that studies conducted in larger populations, and using a larger variety of brain magnetic resonance techniques than has been done so far, might allow for the identification of neuroimaging signatures for postpartum depression.
Topics: Adult; Depression, Postpartum; Female; Humans; Magnetic Resonance Imaging
PubMed: 26347585
DOI: 10.1155/2015/913843 -
Medicina (Kaunas, Lithuania) Sep 2019During pregnancy and the postnatal period many changes occur in a woman's body, both in mental and physical spheres. The birth of a child and a new role-of a...
During pregnancy and the postnatal period many changes occur in a woman's body, both in mental and physical spheres. The birth of a child and a new role-of a mother-can sometimes be associated with numerous negative emotions, uncertainty, fear, anxiety, disgust, depression, or sadness. In the puerperium period, the development of baby blues or postpartum depression may occur. Postpartum depression develops within one month of childbirth and may last up to one year. Depressive disorders that may develop in a young mother affect both her and the newborn's health. That is why it is so important to try to search for factors that could significantly reduce the likelihood of developing depression in this period. The study aims at assessing the relationship between physical activity during pregnancy and puerperium or in the postpartum and the development of postnatal depression. A review of the literature was carried out in the Medline-PubMed database. The search terms were "pregnancy" AND "physical activity AND postpartum depression". The study included only English-language publications published in the period 2000-2018. A total of 216 references were found. After establishing the inclusion and exclusion criteria based on the analysis of titles and abstracts, 173 articles were excluded from the review. A total of 43 publications were read in full. Finally, 16 articles were included in the review. It was shown that regular physical activity during pregnancy, pregnancy, and puerperium, or in the postnatal period itself as compared to inactivity, reduces the risk of developing depression in pregnant women and after the birth of a child. Physical activity can be an essential factor in the prevention of depressive disorders of women in the postnatal period.
Topics: Depression, Postpartum; Exercise; Female; Humans; Postpartum Period; Pregnancy
PubMed: 31480778
DOI: 10.3390/medicina55090560 -
The Nursing Clinics of North America Jun 2018According to the World Health Organization, 10% to 13% of postpartum women develop a mental disorder, mainly depression. This number is higher in developing countries.... (Review)
Review
According to the World Health Organization, 10% to 13% of postpartum women develop a mental disorder, mainly depression. This number is higher in developing countries. This percentage increases in adolescents and symptoms in adolescents tend to be overlooked. These disorders can be treated successfully if detected early, which will in turn prevent more severe symptoms from developing. This article provides evidence-based clinical best practices for the assessment and early recognition of postpartum depression, specifically in adolescents. In addition, suggestions for integration into practice and recommendations for interprofessional collaboration are discussed.
Topics: Adolescent; Child; Depression, Postpartum; Female; Humans; Mass Screening; Pregnancy; Pregnancy in Adolescence; Prenatal Diagnosis; Referral and Consultation; Young Adult
PubMed: 29779510
DOI: 10.1016/j.cnur.2018.01.003 -
Archives of Women's Mental Health Feb 2010
Review
Topics: Depression, Postpartum; Depressive Disorder, Major; Diagnostic and Statistical Manual of Mental Disorders; Female; Humans; Pregnancy
PubMed: 20127453
DOI: 10.1007/s00737-009-0119-9 -
The Journal of Perinatal & Neonatal... 2006
Review
Topics: Depression, Postpartum; Evidence-Based Medicine; Female; Humans; Mass Screening; Maternal-Child Nursing; Models, Nursing; Nurse's Role; Nursing Assessment; Obstetric Nursing; Patient Care Planning; Practice Guidelines as Topic; Prevalence; Psychiatric Status Rating Scales; Referral and Consultation; Risk Factors
PubMed: 16508460
DOI: 10.1097/00005237-200601000-00014 -
Journal of Affective Disorders Jul 2023Clinical prediction models have been widely used to screen and diagnose postpartum depression (PPD). This study systematically reviews and evaluates the risk of bias and... (Review)
Review
OBJECTIVES
Clinical prediction models have been widely used to screen and diagnose postpartum depression (PPD). This study systematically reviews and evaluates the risk of bias and the applicability of PPD prediction models.
METHODS
A systematic search was performed in eight databases from inception to June 1, 2022. The literature was independently screened, and data were extracted by two investigators using the checklist for critical appraisal and data extraction for systematic reviews of prediction modeling studies (CHARMS). The risk of bias and applicability was assessed using the Prediction Model Risk of Bias Assessment Tool (PROBAST).
RESULTS
After the screening, 12 studies of PPD risk prediction models were included, with the area under the ROC curve of the models ranging from 0.611 to 0.937. The most-reported predictors of PPD included several aspects, including prenatal mood disorders, endocrine and hormonal influences, psychosocial aspects, the influence of family factors, and somatic illness factors. The applicability of all studies was good. However, there was some bias, mainly due to inadequate outcome events, missing data not appropriately handled, lack of model performance assessment, and overfitting of the models.
CONCLUSIONS
This systematic review and evaluation indicate that most present PPD prediction models have a high risk of bias during development and validation. Despite some models' predictive solid performance, the models' clinical practice rate is low. Therefore, future research should develop predictive models with excellent performance in all aspects and clinical applicability to better inform maternal medical decisions.
Topics: Female; Humans; Pregnancy; Depression, Postpartum; Forecasting; Prognosis; Risk Factors
PubMed: 37084958
DOI: 10.1016/j.jad.2023.04.026 -
Social Work in Health Care 1997Postpartum depression is a common and treatable clinical syndrome which effects up to fifty percent of all women and which can best be considered as a triad of... (Review)
Review
Postpartum depression is a common and treatable clinical syndrome which effects up to fifty percent of all women and which can best be considered as a triad of disorders. Postpartum blues, postpartum affective disorders or major depressions, and postpartum psychosis have distinct symptoms with corresponding implications for social work interventions and treatment strategies. The role of prevention can be pivotal in terms of reducing negative impacts of psychological problems after birth and minimizing adverse consequences for the new baby and all family members.
Topics: Adjustment Disorders; Depression, Postpartum; Depressive Disorder; Family; Female; Humans; Male; Psychotic Disorders; Social Work
PubMed: 9127907
DOI: 10.1300/J010v24n03_08 -
Substance Use & Misuse 2023Many people who have recently delivered a baby (puerperae) experience postpartum depression. The aim of this study is to examine nicotine dependence within the 5 years...
BACKGROUND
Many people who have recently delivered a baby (puerperae) experience postpartum depression. The aim of this study is to examine nicotine dependence within the 5 years prior to delivery (ND5y) as a factor.
METHODS
Data from TriNetX Research Network platform were used. Analysis involved determining risk ratios of postpartum depression among puerperae with/without ND5y in umatched cohorts and propensity score matched cohorts.
RESULTS
The unmatched sample included 1,460 (13.8%) postpartum puerperae with diagnosed ND5y and 9,138 (86.2%) postpartum puerperae without ND5yt. The matched sample included 1,362 participants with and 1,362 participants without ND5y diagnosis. The unmatched and matched risk ratios were 1.75 (95% Confidence Interval [CI]: 1.55, 1.98; < 0.0001) and 0.68 (95% [CI]: 0.59, 0.79; < 0.0001), respectively.
CONCLUSION
Postpartum depression was associated with ND5y in the unmatched sample analysis, but not in the matched sample analysis. As a potential mechanism is unknown, it is possible that some of the matched variables have a shared mechanism with post-partum depression and matching may have masked the true relationship. Therefore, both the unmatched and propensity matched analyses are presented as both have important relevance and may spur future research with non-clinical-based data.
Topics: Female; Humans; Depression, Postpartum; Tobacco Use Disorder; Postpartum Period
PubMed: 37545109
DOI: 10.1080/10826084.2023.2244063