scholarly journals Hormonal conditions of postpartum depression

2020 ◽  
Vol 2 (2) ◽  
pp. 43-51
Author(s):  
Katarzyna Jankowska ◽  
Piotr A. Woźniak

The sudden drop in the level of postpartum certain hormones, especially estrogens and progesterone, promotes mood disorders. Some women may have severe symptoms of postpartum depression, that need timely diagnosis and proper treatment. Women with premenstrual syndrome symptoms are particularly at risk of depression. To prevent the dangerous consequences of unrecognized postpartum depression, a requirement was introduced in 2019 in Poland for gynecologists to interview pregnant women and to exclude the occurrence of depression in the postpartum period. The aim of the study is to present the hormonal determinants of postpartum depression with particular attention to risk factors.




2015 ◽  
Vol 5 (2) ◽  
pp. 11-19 ◽  
Author(s):  
N Shrestha ◽  
P Hazrah ◽  
R Sagar

Postpartum depression (PPD) is defined as presence of depressive symptoms in the postpartum period. A seemingly innocuous disorder, if untreated can lead to foeticide or maternal suicide. Unfortunately there are very few studies which have looked into the burden of the disease. The prevalence and incidence of postpartum depression vary across culture, region and communities, with very few studies having addressed the issue, thereby making it difficult to estimate the actual burden of the disease. The present study was undertaken to estimate the incidence and prevalence of postpartum depression in a rural community of India. A cohort of 200 pregnant women were interviewed in the third trimester of pregnancy and subsequently at 6 weeks postpartum to screen for presence and severity of depressive symptoms using BDI, ICD10 and EPDS scores. A cutoff score > 13 was considered as positive for depression in EPDS. The prevalence of PPD was 12% and incidence of PPD 4.4%.



2004 ◽  
Vol 110 (5) ◽  
pp. 338-346 ◽  
Author(s):  
C.-L. E. Dennis ◽  
P. A. Janssen ◽  
J. Singer


2015 ◽  
Vol 125 ◽  
pp. 30S ◽  
Author(s):  
Lysistrati A. Alimonos ◽  
Gunda Simpkins ◽  
Michael DeAngelo ◽  
Sofia Chernoff ◽  
Krystal Hunter ◽  
...  


Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Olga Sacristan-Martin ◽  
Miguel A. Santed ◽  
Javier Garcia-Campayo ◽  
Larissa G. Duncan ◽  
Nancy Bardacke ◽  
...  

Abstract Background Pregnancy and the postpartum period are times of great change for women and their partners, often bringing substantial challenges and stress. Approximately 10%–20% of women suffer from mood disorders such as depression in the perinatal period. There are risks involved in using psychopharmacological interventions to treat perinatal depression. Mindfulness and compassion-based educational programs could be efficacious and cost-effective options for the prevention and treatment of perinatal mood disorders. The aim of this study is to assess the efficacy of an adapted Mindfulness-Based Childbirth and Parenting (MBCP) program that includes compassion training for pregnant women in primary care (PC) settings in the Spanish National Health System to decrease perinatal depression. Methods A multicenter randomized controlled trial (RCT) will be conducted. Participants will be pregnant women (n = 122) and their partners who wish to participate. They will be enrolled and assessed in PC settings and randomly assigned to either: (1) an adapted MBCP educational program tailored to the Spanish National Health System + treatment as usual (TAU); or (2) TAU only. The main outcome to be assessed will be depression, evaluated with the Edinburgh Postnatal Depression Scale (EPDS). Secondary outcomes will include self-reported measures of perceived stress, affects, mindfulness, self-compassion, maternal self-efficacy, and use of health and social services. Patients will be assessed at four timepoints: baseline; post-treatment; and at three and six months after childbirth. Intention-to-treat and per-protocol analyses will be carried out using linear regression mixed models. Effect sizes will be estimated using Cohen’s d. Discussion Perinatal depression is a significant health problem. An effective and low-cost childbirth education program that incorporates mindfulness and compassion practices may be a beneficial preventive complementary healthcare modality for expectant women and their partners. This study will be the first multicenter RCT in Spanish PC settings using adapted MBCP and compassion practices to reduce symptoms of depression during pregnancy and the postpartum period. Trial registration ClinicalTrials.gov, NCT03247491. Registered on 31 July 2017.



2021 ◽  
Vol 3 (2) ◽  
pp. 95
Author(s):  
Dwi Sri Handayani ◽  
Yuni Purwati

In these recent days, Covid-19 becomes the global health problem. One of the effects of the Covid-19 pandemic is a mother’s anxiety during pregnancy and the puerperium. This anxiety can put mothers at risk for postpartum mood disorders. Prevention of postpartum mood disorders can be done from the pregnancy time with preparatory education in dealing with the mothers’ roles for their babies. As an effort to maintain health protocols in this pandemic era, services to pregnant and postpartum women during the Covid-19 pandemic can be done through online communication media. This service aims to determine the data of the risk of postpartum mood disorders or postpartum depression since pregnancy and prepare mothers to welcome their role as postpartum mothers.The service method was carried out by screening the risk of postpartum mood disorders using the Edinburgh Postnatal Depression Scale (EPDS) and health education about the management of postpartum care for mothers and babies to the third-trimester pregnant women through online media. The results showed that six pregnant women (42.86%) had no risk of depression; seven pregnant women (50%) indicated that depression might occur, and one pregnant woman (7.14%) indicated the possibility of depression. During the counselling session, the mothers were less active in group discussions in online media and some mothers preferred private consultations. In addition, the mothers also expressed their desire to learn materials about pregnancy exercise, postpartum exercise, and lactation management during the outreach activities. From the results of screening using EPDS regarding postpartum mood disorders since pregnancy, it was found that there was a risk of depression during pregnancy and a possible risk of postpartum depression. Online health education for postpartum care management for postpartum mothers and babies as an effort to prevent postpartum mood since pregnancy during the Covid-19 pandemic can be done using the online method



Author(s):  
Ricardo Tavares Pinheiro ◽  
Jéssica Puchalski Trettim ◽  
Mariana Bonati de Matos ◽  
Karen Amaral Tavares Pinheiro ◽  
Ricardo Azevedo da Silva ◽  
...  


2008 ◽  
Vol 11 (5-6) ◽  
pp. 319-325 ◽  
Author(s):  
Kathy Crockett ◽  
Caron Zlotnick ◽  
Melvin Davis ◽  
Nanetta Payne ◽  
Rosie Washington


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