PIDEMIOLOGICAL INVESTIGAtions from the United States and Europe demonstrate that higher intakes of n-3 long-chain polyunsaturated fatty acids (LCPUFA) from fish and seafood during pregnancy are associated with a reduced risk of depressive symptoms in the postnatal period, 1 as well as improved developmental outcomes in the offspring. 2,3 Of the n-3 LCPUFA, it is hypothesized that docosahexaenoic acid (DHA) may be responsible for the observed associations based on estimates of dietary requirements during pregnancy and the results of experimental animal studies. 4 However, n-3 LCPUFA intervention trials in human pregnancy have reported mixed results and have not been conclusive largely because of methodological limitations. Studies focused on perinatal mood have had open-label designs, small sample sizes, or large attrition, and most did not analyze by intention-to-treat. 5 Similarly, trials focused on the developmental outcomes of the children have made post-See also p 1717 and Patient Page.