Risk Factors for Perinatal Depression.
Unintended pregnancy, medicaid insurance, domestic violence, lower income.
Low levels of social support, previous history of depression, breastfeeding problems.Abstract: Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy trouble the board game or in the first 12 months after delivery, is one of the most common medical complications during pregnancy and the postpartum period, affecting one in seven women.In addition to clinicians not recognizing such symptoms, women may be reluctant to report changes in their mood.PubMed Obstetrics Gynecology Melville JL, Reed SD, Russo J, Croicu CA, Ludman E, LaRocco-Cockburn A,.Gen Hosp Psychiatry 2004;26:28995.Washington, DC: American College of Obstetricians and Gynecologists; 2013.Comparative Effectiveness Review 106.Postpartum depression screening scale (pdss).Los Angeles (CA Western Psychological Services; 2002.Recommendations, although definitive evidence of benefit is limited, the American College of Obstetricians and Gynecologists (the College) recommends that clinicians screen patients at least once during the perinatal period for depression and anxiety symptoms using a standardized, validated tool.This document discusses the obstetric providers role in the initiation of medical therapy and referral of patients to appropriate behavioral health resources when indicated.Retrieved December 8, 2014.Antenatal risk factors for postpartum depression: a synthesis of recent literature.
Anxiety is a prominent feature of perinatal mood disorders, as is insomnia.
Women with current depression or anxiety, a history of perinatal mood disorders, or risk factors for perinatal mood disorders ( Box 1 ) warrant particularly close monitoring, evaluation, and assessment.
Depression during pregnancy: Maternal anxiety, life stress, history of depression, lack of social support.Patient Education Pamphlet AP091.Systems should be in place to ensure follow-up for diagnosis and treatment (7, 8).Several screening instruments have been validated for use during pregnancy and the postpartum period.PubMed Obstetrics Gynecology Myers ER, Aubuchon-Endsley N, Bastian LA, Gierisch JM, Kemper AR, Swamy GK,.For example, the Edinburgh Postnatal Depression Scale consists of 10 self-reported items, takes less than 5 minutes to complete, has been translated into 12 languages, has a low required reading level, and is easy to score.