Perinatal Disorders: Advancing Public Health Opportunities

Wisner, Katherine L.; Scholle, Sarah Hudson; Stein, Bradley D.

doi:10.4088/jcp.v69n1010

Cited by 18 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A comprehensive screening and diagnostic characterization coupled with diagnosis-specific intervention strategies might reduce maternal disability, improve function, and avert a new generation at risk. 8,62 …”

Section: Commentmentioning

confidence: 99%

Onset Timing, Thoughts of Self-harm, and Diagnoses in Postpartum Women With Screen-Positive Depression Findings

Wisner¹,

Sit²,

McShea³

et al. 2013

JAMA Psychiatry

Self Cite

857

576

View full text Add to dashboard Cite

The period prevalence of depression among women is 21.9% during the first postpartum year; however, questions remain about the value of screening for depression.Objectives: To screen for depression in postpartum women and evaluate positive screen findings to determine the timing of episode onset, rate and intensity of self-harm ideation, and primary and secondary DSM-IV disorders to inform treatment and policy decisions.Design: Sequential case series of women who recently gave birth.

show abstract

Section: Commentmentioning

confidence: 99%

Onset Timing, Thoughts of Self-harm, and Diagnoses in Postpartum Women With Screen-Positive Depression Findings

Wisner¹,

Sit²,

McShea³

et al. 2013

JAMA Psychiatry

Self Cite

857

576

View full text Add to dashboard Cite

show abstract

“…Depression in women during their childbearing years is a major public health concern 1,2 . Because childbirth is a complex life event associated with numerous biopsychosocial changes, it may trigger psychiatric disorders in women with predisposing genetic or psychosocial vulnerabilities 3 .…”

Section: Introductionmentioning

confidence: 99%

Is mode of delivery associated with postpartum depression at 6 weeks: a prospective cohort study

Sword¹,

Landy²,

Thabane³

et al. 2011

BJOG: An International Journal of Obstetrics &Amp; Gynaecology

127

101

View full text Add to dashboard Cite

Objective To examine the relationship between delivery mode and postpartum depression at 6 weeks following hospital discharge.Design A prospective cohort study.Setting Eleven hospitals in Ontario, Canada.Sample A total of 2560 women ‡16 years of age who delivered singleton, live infants at term.Methods Women completed a questionnaire in hospital and 74% (n = 1897) participated in a structured telephone interview 6 weeks after discharge. Additional data were extracted from labour and delivery records. Generalised estimating equations (GEEs) were used to investigate factors associated with postpartum depression.Main outcome measure Women were screened for depression at 6 weeks following hospital discharge using the Edinburgh Postnatal Depression Scale (EPDS). A score of ‡12 on the EPDS was used as a measure of the primary outcome, depression.Results Mode of delivery was not independently associated with postpartum depression, and did not factor into the main-effects model. The multivariable analysis identified 11 predictor variables for depression: young maternal age (OR 5.27; 95% CI 2.73-10.15); maternal hospital readmission (OR 3.02; 95% CI 1.46-6.24); non-initiation of breastfeeding (OR 2.02; 95% CI 0.99-4.11); good, fair, or poor self-reported postpartum health (OR 1.82; 95% CI 1.19-2.80); urinary incontinence (OR 1.79; 95% CI 1.06-3.03); multiparity (OR 1.59; 95% CI 1.22-2.08); low mental health functioning (OR 1.20; 95% CI 1.15-1.25); low subjective social status (OR 1.16; 95% CI 1.02-1.33); high number of unmet learning needs in hospital (OR 1.12; 95% CI 1.03-1.22); low social support (OR 1.06; 95% CI 1.03-1.09); and low physical health functioning (OR 1.03; 95% CI 1.003-1.055). An exploratory interaction model revealed that caesarean section was associated with higher odds of becoming depressed in Canadian-born women, but that in women born outside of Canada it was associated with a lower risk of becoming depressed.Conclusions Delivery mode had no significant impact on the development of postpartum depression in the main-effects model. However, it may interact with place of birth and other unmeasured factors to create a risk for depression.

show abstract

“…To try to mitigate these serious adverse outcomes of PPD, there has been increasing focus on the importance of early and accurate detection and treatment of depression after or during pregnancy 38. Identification of depression in the postpartum period may be complicated by some of the normal physical and emotional demands of new motherhood, including changes in energy and appetite, sleep deprivation, and heightened concern for the infant.…”

Section: Introductionmentioning

confidence: 99%

Treatment of post-partum depression: a review of clinical, psychological and pharmacological options

Fitelson¹,

Kim²,

Baker³

et al. 2010

IJWH

View full text Add to dashboard Cite

Postpartum depression (PPD) is a common complication of childbearing, and has increasingly been identified as a major public health problem. Untreated maternal depression has multiple potential negative effects on maternal-infant attachment and child development. Screening for depression in the perinatal period is feasible in multiple primary care or obstetric settings, and can help identify depressed mothers earlier. However, there are multiple barriers to appropriate treatment, including concerns about medication effects in breastfeeding infants. This article reviews the literature and recommendations for the treatment of postpartum depression, with a focus on the range of pharmacological, psychotherapeutic, and other nonpharmacologic interventions.

show abstract

Perinatal Disorders: Advancing Public Health Opportunities

Cited by 18 publications

References 16 publications

Onset Timing, Thoughts of Self-harm, and Diagnoses in Postpartum Women With Screen-Positive Depression Findings

Onset Timing, Thoughts of Self-harm, and Diagnoses in Postpartum Women With Screen-Positive Depression Findings

Is mode of delivery associated with postpartum depression at 6 weeks: a prospective cohort study

Treatment of post-partum depression: a review of clinical, psychological and pharmacological options

Contact Info

Product

Resources

About