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Postpartum mental health

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https://www.readbyqxmd.com/read/29757074/differences-in-screening-and-treatment-for-antepartum-versus-postpartum-patients-are-providers-implementing-the-guidelines-of-care-for-perinatal-depression
#1
Gina L Fedock, Carmen Alvarez
BACKGROUND: National guidelines recommend universal depression screening for perinatal patients and provide treatment recommendations to prevent adverse maternal/child health outcomes. However, providers rarely screen all patients, and most women with perinatal depression remain undertreated. This study investigated predictors of universal screening and guideline-congruent care for perinatal depression by obstetrician-gynecologists and examined differences in practices with pregnant and postpartum patients...
May 14, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29745705/course-of-ante-and-postnatal-depressive-symptoms-related-to-mothers-hpa-axis-regulation
#2
Heidemarie Laurent, Sherryl H Goodman, Zachary N Stowe, Meeka Halperin, Faaiza Khan, Dorianne Wright, Benjamin W Nelson, D Jeffrey Newport, James C Ritchie, Catherine Monk, Bettina Knight
Given high health costs of depression during pregnancy and the first postnatal year, it is important to understand mechanisms involved in the emergence and perpetuation of symptoms during this time. In a series of 2 studies, we aim to clarify bidirectional relations between mothers' physiological stress regulation-stress-related activation of the hypothalamic-pituitary-adrenal (HPA) axis-and their course of depressive symptoms. In Study 1, 230 pregnant women recruited from a women's mental health program gave 3 saliva samples in the context of psychosocial stress at 24, 30, and 36-weeks gestation...
May 2018: Journal of Abnormal Psychology
https://www.readbyqxmd.com/read/29740746/psychosocial-and-demographic-predictors-of-postpartum-physical-activity
#3
Christine M Guardino, Calvin J Hobel, Madeleine U Shalowitz, Sharon L Ramey, Christine Dunkel Schetter
Physical activity promotes better health outcomes across the lifespan, and provides physical and mental health benefits for women who have recently given birth. However, research has not adequately characterized physical activity levels or risk factors for inadequate physical activity during the postpartum period. The objective of the present study was to describe levels and correlates of physical activity at 6 months postpartum in mothers of diverse race/ethnicity (55% African American, 23% White, 22% Hispanic/Latina), with the majority living in or near poverty...
May 8, 2018: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29721624/human-and-economic-resources-for-empowerment-and-pregnancy-related-mental-health-in-the-arab-middle-east-a-systematic-review
#4
REVIEW
Laurie James-Hawkins, Eman Shaltout, Aasli Abdi Nur, Catherine Nasrallah, Yara Qutteina, Hanan F Abdul Rahim, Monique Hennink, Kathryn M Yount
This systematic review synthesizes research on the influence of human and economic resources for women's empowerment on their pre- and postnatal mental health, understudied in the Arab world. We include articles using quantitative methods from PubMed and Web of Science. Two researchers reviewed databases and selected articles, double reviewing 5% of articles designated for inclusion. Twenty-four articles met inclusion criteria. All 24 articles measured depression as an outcome, and three included additional mental health outcomes...
May 2, 2018: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29709411/-we-don-t-want-to-be-judged-perceptions-about-professional-help-and-attitudes-towards-help-seeking-among-pregnant-and-postpartum-mexican-american-adolescents
#5
Pamela Recto, Jane Dimmitt Champion
PURPOSE: The purpose of this qualitative study is to understand how depression is recognized, as well as perceptions of professional help and attitudes concerning perinatal depression among pregnant and postpartum (perinatal) Mexican-American adolescents. DESIGN AND METHODS: This qualitative descriptive study used deductive and inductive content analysis to analyze data. Categories and subcategories describing the mental health literacy of perinatal Mexican-American adolescents concerning perinatal depression are presented...
April 27, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29699036/-a-prospective-cohort-study-on-the-relationship-between-maternal-prenatal-depressive-symptoms-and-children-s-behavioral-problems-at-2-years-old
#6
F Li, Y P Tian, X M Liu, R L Xia, L M Jin, X W Sun, X X Song, W Yuan, H Liang
Objective: To explore the associations between maternal and prenatal depressive symptoms and children's behavioral problems at 2 years old. Methods: In the present study, a total of 491 mother-child pairs were selected from the Shanghai-Minhang Birth Cohort Study (S-MBCS) which was conducted in Maternal and Child Health Hospital of Minhang District in Shanghai between April and December, 2012. Data from the Center for Epidemiologic Studies on Depression was gathered to assess the maternal depressive symptoms in the second and third trimester of pregnancy, as well as at 6 months and 12 months postpartum...
April 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29684795/screening-for-postpartum-anxiety-a-quality-improvement-project-to-promote-the-screening-of-women-suffering-in-silence
#7
Sarah Toler, Susan Stapleton, Kim Kertsburg, Tiffany J Callahan, Marie Hastings-Tolsma
BACKGROUND: Postpartum anxiety is a mental health problem that has largely been ignored by maternity care providers despite an estimated incidence as high as 28.9%. Though postpartum anxiety may or may not be accompanied by depression, and while screening for postpartum depression has become more common place, postpartum anxiety is often not assessed or addressed. PURPOSE: The purpose of this pilot quality improvement project was to implement a screening, treatment and referral program for postpartum anxiety in the birth centre environment...
April 3, 2018: Midwifery
https://www.readbyqxmd.com/read/29683308/maternity-care-update-postpartum-care
#8
Andrew Smith, Wendy B Barr, Erin Bassett-Novoa, Nicholas LeFevre
Family physicians are uniquely situated to play a major role in postpartum care. Postpartum issues that should be monitored and addressed include reproductive and contraceptive planning, breastfeeding counseling and support, and maternal mental health. All women should be screened for postpartum depression using a validated tool at the postpartum visit and/or at well-child visits. Patients with positive screening results should be offered support and treatment. Women are more likely to breastfeed if they are provided with breastfeeding support and counseling routinely during the prenatal and postpartum periods...
April 2018: FP Essentials
https://www.readbyqxmd.com/read/29675280/what-can-happen-when-postpartum-anxiety-progresses-to-psychosis-a-case-study
#9
Vesna Pirec
This case report describes a primipara without documented psychiatric history prior to complicated delivery. Onset of severe insomnia and anxiety was right after childbirth but not treated. Obsessive thinking pattern became more prominent. The patient became depressed and sought psychiatric help four months after delivery. Insomnia was then treated pharmacologically. Anxiety and depression persisted, suicidal ideation emerged, and the patient became confused, indecisive, overwhelmed, and delusional regarding her child's health...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29669175/antidepressants-for-preventing-postnatal-depression
#10
REVIEW
Emma Molyneaux, Laurence A Telesia, Carol Henshaw, Elizabeth Boath, Eleanor Bradley, Louise M Howard
BACKGROUND: Depression is common in the postnatal period and can lead to adverse effects on the infant and wider family, in addition to the morbidity for the mother. It is not clear whether antidepressants are effective for the prevention of postnatal depression and little is known about possible adverse effects for the mother and infant, particularly during breastfeeding. This is an update of a Cochrane Review last published in 2005. OBJECTIVES: To assess the effectiveness of antidepressant medication for the prevention of postnatal depression, in comparison with any other treatment, placebo or standard care...
April 18, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29653295/feasibility-of-a-mindfulness-based-cognitive-therapy-group-intervention-as-an-adjunctive-treatment-for-postpartum-depression-and-anxiety
#11
Barbara Shulman, Royce Dueck, Deirdre Ryan, Genevieve Breau, Isabel Sadowski, Shaila Misri
BACKGROUND: Many women experience moderate-to-severe depression and anxiety in the postpartum period for which pharmacotherapy is often the first-line treatment. Many breastfeeding mothers are reticent to increase their dose or consider additional medication, despite incomplete response, due to potential adverse effects on their newborn. These mothers are amenable to non-pharmacological intervention for complete symptom remission. The current study evaluated the feasibility of an eight-week mindfulness-based cognitive therapy (MBCT) intervention as an adjunctive treatment for postpartum depression and anxiety...
January 2, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29652937/trajectories-of-maternal-depressive-symptoms-during-pregnancy-and-the-first-12-months-postpartum-and-child-externalizing-and-internalizing-behavior-at-three-years
#12
Dawn Kingston, Heather Kehler, Marie-Paule Austin, Muhammad Kashif Mughal, Abdul Wajid, Lydia Vermeyden, Karen Benzies, Stephanie Brown, Scott Stuart, Rebecca Giallo
BACKGROUND: Most evidence of the association between maternal depression and children's development is limited by being cross-sectional. To date, few studies have modelled trajectories of maternal depressive symptoms from pregnancy through the early postpartum years and examined their association with social emotional and behavior functioning in preschool children. The objectives of this study were to: 1) identify distinct groups of women defined by their trajectories of depressive symptoms across four time points from mid-pregnancy to one year postpartum; and 2) examine the associations between these trajectories and child internalizing and externalizing behaviors...
2018: PloS One
https://www.readbyqxmd.com/read/29642868/adaptation-of-an-evidence-based-postpartum-depression-intervention-feasibility-and-acceptability-of-mothers-and-babies-1-on-1
#13
S Darius Tandon, Julie A Leis, Erin A Ward, Hannah Snyder, Tamar Mendelson, Deborah F Perry, Mya Carter, Jaime Hamil, Huynh-Nhu Le
BACKGROUND: Mothers and Babies (MB) is a cognitive-behavioral intervention with demonstrated efficacy in reducing depressive symptoms and preventing depressive episodes among perinatal women when delivered in a group format by mental health professionals. Study aims were to describe the adaptation of MB into a 1-on-1 modality (MB 1-on-1) and provide data on the adapted intervention's acceptability and feasibility. METHODS: Seventy-five home visitors trained on MB 1-on-1 delivered the 15-session intervention to 1-2 clients...
April 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29628054/women-s-self-reported-factors-that-influence-their-postpartum-exercise-levels
#14
REVIEW
Susan Liipfert Shelton, Shih-Yu Sylvia Lee
The birth of a child is a life transition that can signal an opportunity to promote wellness and self-care. Nurses and other health care providers can encourage women to engage in exercise for physical and mental health and to enhance weight loss after birth. However, incorporating an exercise routine into life with an infant can be challenging. Sixty-two women provided feedback about their exercise patterns before and during pregnancy, and 18 of these women gave additional insight into barriers to and facilitators of exercise engagement after childbirth...
April 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29604550/trajectories-of-maternal-stress-and-anxiety-from-pregnancy-to-three-years-and-child-development-at-3-years-of-age-findings-from-the-all-our-families-aof-pregnancy-cohort
#15
Muhammad Kashif Mughal, Rebecca Giallo, Paul Arnold, Karen Benzies, Heather Kehler, Katherine Bright, Dawn Kingston
BACKGROUND: Existing literature on maternal distress has focused on stress and anxiety during the pregnancy or postnatally and their relationship with child development. However, few studies have investigated the association between maternal stress and anxiety symptoms over time and child development in preschool children. The aim of this study was to examine the association between trajectories of maternal stress and anxiety symptoms from mid-pregnancy to three years postpartum and child development at age three years...
July 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29603202/the-effects-of-a-couples-based-health-behavior-intervention-during-pregnancy-on-latino-couples-dyadic-satisfaction-postpartum
#16
Kristina Coop Gordon, Patricia N E Roberson, Jessica A Hughes, Alexander M Khaddouma, Geeta K Swamy, Devon Noonan, Alicia M Gonzalez, Laura Fish, Kathryn I Pollak
Many couples tend to report steadily decreasing relationship quality following the birth of a child. However, little is known about the postpartum period for Latino couples, a rapidly growing ethnic group who are notably underserved by mental and physical health caregivers in the United States. Thus, this study investigated whether a brief couples' intervention focused on helping couples support each other while increasing healthy behaviors might improve dyadic functioning postpartum. This study presents secondary analyses of data regarding couple functioning from a larger randomized controlled trial with 348 Latino couples to promote smoking cessation...
March 30, 2018: Family Process
https://www.readbyqxmd.com/read/29587654/antepartum-urinary-tract-infection-and-postpartum-depression-in-taiwan-a-nationwide-population-based-study
#17
Jui-Ming Liu, Feng-Hsiang Chiu, Yueh-Ping Liu, Shu-Pin Chen, Hsun-Hao Chan, Jing-Jung Yang, Fung-Wei Chang, Ren-Jun Hsu
BACKGROUND: Urinary tract infections (UTIs) are among the most common bacterial infections in pregnant women due to anatomic and physiologic changes in the female urinary tract during pregnancy, and antepartum UTIs can cause adverse pregnancy outcomes that may induce mental stress. There have only been a few studies, however, investigating antepartum UTIs and mental stress. As such, the present study was conducted in order to investigate the association between antepartum UTIs and postpartum depression (PPD)...
March 27, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29580213/feasibility-and-acceptability-of-expressive-writing-with-postpartum-women-a-randomised-controlled-trial
#18
Rosalind Crawley, Susan Ayers, Susan Button, Alexandra Thornton, Andy P Field, Suzanne Lee, Andrew Eagle, Robert Bradley, Donna Moore, Gill Gyte, Helen Smith
BACKGROUND: Pregnancy, birth and adjusting to a new baby is a potentially stressful time that can negatively affect women's mental and physical health. Expressive writing, where people write about a stressful event for at least 15 min on three consecutive days, has been associated with improved health in some groups but it is not clear whether it is feasible and acceptable for use with postpartum women. This study therefore examined the feasibility and acceptability of expressive writing for postpartum women as part of a randomised controlled trial (RCT)...
March 27, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29569357/postpartum-depressive-symptoms-gestational-weight-gain-as-a-risk-factor-for-adolescents-who-are-overweight-or-obese
#19
Shayna D Cunningham, Shilpa Mokshagundam, Hannah Chai, Jessica B Lewis, Jessica Levine, Jonathan N Tobin, Jeannette R Ickovics
INTRODUCTION: Obesity is a risk factor for adverse physical health outcomes during pregnancy. Much less is known about the association between obesity and maternal mental health. Evidence suggests that prenatal depression is associated with excessive weight gain during pregnancy and that this relationship may vary according to pregravid body mass index (BMI). Young women may be particularly vulnerable to postpartum depression. The objective of this study is to examine the association between prepregnancy BMI, gestational weight gain, and postpartum depressive symptoms among adolescents...
March 23, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29558832/the-relationship-between-maternal-fetal-attachment-and-maternal-self-efficacy-in-iranian-women-a-prospective-study
#20
Mina Delavari, Sakineh Mohammad-Alizadeh-Charandabi, Mojgan Mirghafurvand
INTRODUCTION: This prospective study was conducted to determine the relationship between maternal-fetal attachment and maternal self-efficacy. Maternal self-efficacy contributes significantly to the mental health of the mother and infant. Maternal-fetal attachment facilitates maternal role attainment and might improve maternal self-efficacy. METHODS: This study was conducted on 242 women. The data collection tools used included a socio-demographic and obstetric questionnaire, Cranley's Maternal-Fetal Attachment Scale, the Edinburgh Postnatal Depression Scale and the Maternal Self-Efficacy Scale...
March 21, 2018: Journal of Reproductive and Infant Psychology
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