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Mental health and pregnancy

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https://www.readbyqxmd.com/read/29351116/treatment-of-postpartum-depression-recommendations-for-the-clinician
#1
Michael W O'Hara, Jane Engeldinger
Postpartum depression is a significant public health problem affecting almost 600,000 US women every year. It may arise de novo in the postpartum period or continue from pregnancy. A number of evidence-based psychotherapies and medical treatments exist for major depression and postpartum depression. The obstetrical team has many opportunities to identify high risk and depressed women and refer them to mental health professionals or begin treatment with antidepressant medication. Careful assessment of risk factors for postpartum depression during pregnancy and monitoring depressive symptoms during pregnancy and the postpartum period will lead to better outcomes for women and their families...
January 18, 2018: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29346120/a-view-from-the-uk-the-uk-and-ireland-confidential-enquiry-into-maternal-deaths-and-morbidity
#2
Marian Knight, Derek Tuffnell
The UK Confidential Enquiry into Maternal Deaths has been in operation for more than 60 years, during which time maternal mortality rates have fallen 10-fold. The program includes two aspects, surveillance and confidential case review, providing different information to aid quality improvement in maternity care. The enquiry now also reviews the care of women with specific severe morbidities. Recommendations have very clearly led to improved outcomes for women, most notably shown in the very low mortality rate due to hypertensive and related disorders of pregnancy...
January 16, 2018: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29340801/maternal-depression-trajectories-from-pregnancy-to-3%C3%A2-years-postpartum-are-associated-with-children-s-behavior-and-executive-functions-at-3-and-6%C3%A2-years
#3
Mina Park, Ursula Brain, Ruth E Grunau, Adele Diamond, Tim F Oberlander
The objective of this study was to investigate how patterns of maternal depressive symptoms from mid-pregnancy to 3 years postpartum are associated with children's behavior at age 3 years and executive functions. Maternal depressive symptoms were measured from mid-pregnancy to 3 years postpartum. Growth mixture modeling was used on standardized maternal depression scores (n = 147) to identify trajectories. Children's behavioral problems and mental health symptomatology (internalizing, externalizing, and attention deficit hyperactivity disorder) were obtained at 3 and 6 years...
January 16, 2018: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29339318/dietary-patterns-body-mass-index-and-inflammation-pathways-to-depression-and-mental-health-problems-in-adolescents
#4
Wendy H Oddy, Karina L Allen, Georgina S A Trapp, Gina L Ambrosini, Lucinda J Black, Rae-Chi Huang, Peter Rzehak, Kevin C Runions, Feng Pan, Lawrence J Beilin, Trevor A Mori
BACKGROUND: Observational studies suggest that dietary patterns may impact mental health outcomes, although biologically plausible pathways are yet to be tested. We aimed to elucidate the longitudinal relationship between dietary patterns, adiposity, inflammation and mental health including depressive symptoms in a population-based cohort of adolescents. METHODS: Data were provided from 843 adolescents participating in the Western Australian Pregnancy Cohort (Raine) Study at 14 and 17 years (y) of age...
January 12, 2018: Brain, Behavior, and Immunity
https://www.readbyqxmd.com/read/29338797/maternal-early-pregnancy-obesity-and-depressive-symptoms-during-and-after-pregnancy
#5
Satu M Kumpulainen, Polina Girchenko, Marius Lahti-Pulkkinen, Rebecca M Reynolds, Soile Tuovinen, Anu-Katriina Pesonen, Kati Heinonen, Eero Kajantie, Pia M Villa, Esa Hämäläinen, Hannele Laivuori, Katri Räikkönen
BACKGROUND: Previous studies have linked maternal obesity with depressive symptoms during and after pregnancy. It remains unknown whether obesity associates with consistently elevated depressive symptoms throughout pregnancy, predicts symptoms postpartum when accounting for antenatal symptoms, and if co-morbid hypertensive and diabetic disorders add to these associations. We addressed these questions in a sample of Finnish women whom we followed during and after pregnancy. METHODS: Early pregnancy body mass index, derived from the Finnish Medical Birth Register and hospital records in 3234 PREDO study participants, was categorized into underweight (<18...
January 17, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29337007/postnatal-post-traumatic-stress-an-integrative-review
#6
Madeleine Simpson, Virginia Schmied, Cathy Dickson, Hannah Grace Dahlen
PROBLEM: Post-traumatic stress disorder and post-traumatic stress symptoms following birth occur amongst a small proportion of women but can lead to poor maternal mental health, impairment in mother-infant bonding and relationship stress. This integrative review aims to examine the associated risk factors and women's own experiences of postnatal post-traumatic stress in order to better understand this phenomenon. METHOD: Fifty three articles were included and critically reviewed using the relevant Critical Appraisal Skills Program checklists or Strengthening the Reporting of Observational studies in Epidemiology assessment tool...
January 11, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29324776/effect-of-a-lifestyle-intervention-in-obese-infertile-women-on-cardiometabolic-health-and-quality-of-life-a-randomized-controlled-trial
#7
Lotte van Dammen, Vincent Wekker, Anne M van Oers, Meike A Q Mutsaerts, Rebecca C Painter, Aeilko H Zwinderman, Henk Groen, Cornelieke van de Beek, Anneke C Muller Kobold, Walter K H Kuchenbecker, Ron van Golde, Gerrit J E Oosterhuis, Niels E A Vogel, Ben Willem J Mol, Tessa J Roseboom, Annemieke Hoek
BACKGROUND: The prevalence of obesity, an important cardiometabolic risk factor, is rising in women. Lifestyle improvements are the first step in treatment of obesity, but the success depends on factors like timing and motivation. Women are especially receptive to advice about lifestyle before and during pregnancy. Therefore, we hypothesize that the pre-pregnancy period provides the perfect window of opportunity to improve cardiometabolic health and quality of life of obese infertile women, by means of a lifestyle intervention...
2018: PloS One
https://www.readbyqxmd.com/read/29318118/evaluation-of-the-health-related-behaviour-of-pregnant-women-from-warsaw-poland
#8
Dariusz Boguszewski, Jakub Grzegorz Adamczyk, Wiesław Tomaszewski, Daria Sałata, Ewelina Skowera, Marta Patalon, Anna Obszyńska-Litwiniec, Dariusz Białoszewski
Background: Pregnancy is a period of time when women tend to suffer from the weakening of their psychophysical fitness. This research evaluated several selected elements of the lifestyle of pregnant women compared to those of non-pregnant women. Methods: Overall, 482 women attended to the Childbirth School in Gynecological-Obstetric Hospital "Inflancka" in Warsaw, Poland, in the years 2011-2013; Group 1 contained 214 pregnant, and Group 2 contained 268 non-pregnant completed a survey inquiry...
January 2018: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29314366/barriers-to-midwives-and-nurses-addressing-mental-health-issues-with-women-the-mind-mothers-study
#9
Agnes Higgins, Carmel Downes, Mark Monahan, Ailish Gill, Stephen A Lamb, Margaret Carroll
AIM: To explore barriers to midwives and nurses addressing mental health issues with women during the perinatal period. BACKGROUND: Perinatal mental health is considered an important public health issue with health policy internationally identifying the importance of psychological support for women in the perinatal period. Midwives and primary care nurses are ideally positioned to detect mental distress early, but evidence suggests that they are reluctant to discuss mental health issues with women during pregnancy or in the postnatal period...
January 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29310077/characteristics-of-drug-use-among-pregnant-women-in-the-united-states-opioid-and-non-opioid-illegal-drug-use
#10
Verena E Metz, Qiana L Brown, Silvia S Martins, Joseph J Palamar
BACKGROUND: The opioid epidemic in the US is affecting pregnant women and their offspring, with rising numbers of maternal and neonatal treatment episodes. The aim of this study was to characterize pregnant drug users in order to inform intervention strategies based on sociodemographic, mental health, and substance use characteristics. METHODS: Data on pregnant women aged 18-44 reporting past-year, nonmedical opioid use or use of non-opioid illegal drugs (other than marijuana) were analyzed from the National Survey on Drug Use and Health (2005-2014)...
December 27, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29310065/adverse-childhood-experiences-and-intimate-partner-violence-during-pregnancy-and-their-association-to-postpartum-depression
#11
Bathsheba Mahenge, Heidi Stöckl, Mucho Mizinduko, Jacob Mazalale, Albrecht Jahn
BACKGROUND: Adverse childhood experiences (ACEs) and intimate partner violence (IPV) are recognized global health problems. Both ACEs and IPV have been linked to adverse physical and mental health problems for both mothers and infants. The aim of this study was to determine the prevalence of physical and/or sexual ACEs and IPV and their association to symptoms of postpartum depression among postpartum women in sub-Saharan Africa. METHODS: A cross-sectional survey was conducted in three health centers in the three districts of Dar es Salaam, comprising Ilala, Kinondoni and Temeke...
December 27, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29306622/commonly-occurring-adverse-birth-outcomes-and-maternal-depression-a-longitudinal-study
#12
A M Kingsbury, M Plotnikova, J M Najman
OBJECTIVES: Little is known about whether commonly occurring adverse birth outcomes have a long-term impact on the mental health of mothers. The aim of this study was to investigate whether commonly occurring adverse birth outcomes predicted mothers' depressive-symptom trajectories over a 27-year period following the birth of a baby. STUDY DESIGN: Longitudinal study. METHODS: Participants comprised a sub-group of women from the longitudinal cohort of the Mater and University of Queensland Study of Pregnancy...
January 4, 2018: Public Health
https://www.readbyqxmd.com/read/29306559/differential-associations-of-adverse-childhood-experience-on-maternal-health
#13
Nicole M Racine, Sheri L Madigan, Andre R Plamondon, Sheila W McDonald, Suzanne C Tough
INTRODUCTION: The current study examined whether three distinct antecedent factors related to maternal adverse childhood experiences were differentially associated with maternal health and psychosocial outcomes in the antepartum period. It was hypothesized that all three adverse childhood experience factors would be positively associated with poor health prior to pregnancy, poor reproductive health history, and health complications and psychosocial difficulties during pregnancy. METHODS: Data from 1,994 women (mean age=30...
January 3, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29297407/pregnancy-and-the-global-disease-burden
#14
Barbara J Sina
Pregnant women experience unique physiological changes pertinent to the effective prevention and treatment of common diseases that affect their health and the health of their developing fetuses. In this paper, the impact of major communicable (HIV/AIDS, tuberculosis, malaria, helminth infections, emerging epidemic viral infections) as well as non-communicable conditions (mental illness, substance abuse, gestational diabetes, eclampsia) on pregnancy is discussed. The current state of research involving pregnant women in these areas is also described, highlighting important knowledge gaps for the management of key illnesses that impact pregnancy globally...
December 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29289968/screening-for-maternal-postpartum-depression-and-associationswith-personality-traits-and-social-support-a-polish-follow-upstudy-4-weeks-and-3-months-after-delivery
#15
Karolina Maliszewska, Małgorzata Świątkowska-Freund, Mariola Bidzan, Preis Krzysztof
OBJECTIVES: To investigate the likelihood of postpartum depression and to explore maternal characteristics in terms of personality, social support and other medical and psychological data. METHODS: A sample of 548 patients was investigated 4 weeks and 3 months after delivery. They responded to questionnaires containing sociodemographic questions: the EPDS (Edinburgh Postnatal Depression Scale), the PHQ-9 (Patient Health Questionnaire-9), theNEO-FFI (Personality Inventory), and the BSSS (Berlin Social Support Scales)...
October 29, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/29288285/stigma-in-the-context-of-pregnancy-termination-after-diagnosis-of-fetal-anomaly-associations-with-grief-trauma-and-depression
#16
Franz Hanschmidt, Julia Treml, Johanna Klingner, Holger Stepan, Anette Kersting
Termination of pregnancy after diagnosis of fetal anomaly (TOPFA) is a contested issue and stigma may negatively impact affected women's psychological reactions. This study examined the influence of perceived and internalized stigma on women's long-term adjustment to a TOPFA. One hundred forty-eight women whose TOPFA dated back 1 to 7 years responded to self-report questionnaires. The associations between perceived stigma at the time of the TOPFA, current internalized stigma and symptoms of grief, trauma and depression were modeled using multiple linear regression...
December 29, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29278638/attitudes-of-students-of-medicine-university-of-mostar-according-to-induced-abortion
#17
Zoran Trninić, Marija Bender, Nikica Šutalo, Davorin Kozomara, Valentina Lasić, Danijel Bevanda, Gordan Galić
BACKGROUND: Aim of this study was to establish attitudes of medical students on induced abortion and connection of those attitudes with religiousness, length of their studies, sex and various circumstances of pregnancy. SUBJECTS AND METHODS: In total, 148 students of the first, second, fifth and sixth year of medical faculty participated in the research. The study was conducted at the Medical Faculty of the University in Mostar. While collecting the data, we used a survey taken over from literature...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29278269/childhood-developmental-vulnerabilities-associated-with-early-life-exposure-to-infectious-and-noninfectious-diseases-and-maternal-mental-illness
#18
Melissa J Green, Maina Kariuki, Kimberlie Dean, Kristin R Laurens, Stacy Tzoumakis, Felicity Harris, Vaughan J Carr
BACKGROUND: Fetal exposure to infectious and noninfectious diseases may influence early childhood developmental functioning, on the path to later mental illness. Here, we investigated the effects of in utero exposure to maternal infection and noninfectious diseases during pregnancy on offspring developmental vulnerabilities at age 5 years, in the context of estimated effects for early childhood exposures to infectious and noninfectious diseases and maternal mental illness. METHODS: We used population data for 66,045 children from an intergenerational record linkage study (the New South Wales Child Development Study), for whom a cross-sectional assessment of five developmental competencies (physical, social, emotional, cognitive, and communication) was obtained at school entry, using the Australian Early Development Census (AEDC)...
December 26, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29277063/effect-of-the-2015-nepal-earthquakes-on-symptoms-of-common-mental-disorders-among-women-who-are-pregnant
#19
Goma Kumari Khatri, Thach Duc Tran, Sushil Baral, Jane Fisher
BACKGROUND: Antenatal mental health problems are of concern globally not only because of the burden and limits to participation experienced by women but also because of risks for foetal neurocognitive development and adverse birth outcomes. The aim was to describe the indicative prevalence of and risk and protective factors for clinically-significant symptoms of antenatal common mental disorders (CMDs) among women who experienced the 2015 Nepal earthquakes during pregnancy. METHODS: A population-based cross-sectional study in Bhaktapur, one of 14 districts highly affected by the 2015 Nepal earthquakes...
December 9, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29247083/study-protocol-for-a-randomised-controlled-trial-of-allen-carr-s-easyway-programme-versus-lambeth-and-southwark-nhs-for-smoking-cessation
#20
Kerry V Wood, Ian P Albery, Antony C Moss, Sarah White, Daniel Frings
INTRODUCTION: Smoking is a major cause of ill health and is associated with several diseases including cancer, coronary heart disease and stroke. Many psychological and pharmacological smoking cessation treatments are available and although they are undoubtedly the most cost-effective health interventions available, many people still fail to maintain cessation in the longer term. Recently, National Institute for Health and Care Excellence called for comparative studies to determine the short-term and long-term effectiveness of Allen Carr's Easyway (ACE) method of stopping smoking...
December 14, 2017: BMJ Open
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