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https://www.readbyqxmd.com/read/29790850/-the-practical-considerations-of-antidepressant-use-during-pregnancy-and-breastfeeding
#1
Peter Dome, Gabor Faludi
Main indications of antidepressants (ADs) as major depressive disorder (MDD) and different kinds of anxiety disorders are quite prevalent during pregnancy and the postpartum period. Due to the possible hazards of in utero and breast milk exposition of ADs, both psychiatrists and mothers frequently have concerns about the use of ADs during the periods of pregnancy and breastfeeding. However, we should also bear in mind that affective disorders left untreated during these periods are also associated with health risks for the mother and the baby as well...
March 2018: Neuropsychopharmacologia Hungarica
https://www.readbyqxmd.com/read/29777965/what-do-we-know-about-sibling-attended-birth-an-integrative-literature-review
#2
REVIEW
Nora L Naber, Suzanne Miller, Sally A Baddock
OBJECTIVE: to consolidate existing research in the field of sibling attended birth (SAB) into a body of knowledge to inform decision-making processes and guide midwifery practice throughout the sibling attended birth experience. DESIGN: An integrative literature review. DATA SOURCES: CINAHL Complete, Cochrane Library, PubMed, Index New Zealand, Australia/New Zealand Reference Centre, grey literature databases REVIEW METHODS: An extensive search of five electronic databases as well as 17 grey literature databases was conducted...
May 8, 2018: Midwifery
https://www.readbyqxmd.com/read/29777410/startling-differences-using-the-acoustic-startle-response-to-study-sex-differences-and-neurosteroids-in-affective-disorders
#3
REVIEW
Liisa Hantsoo, Carla E M Golden, Sara Kornfield, Christian Grillon, C Neill Epperson
PURPOSE OF REVIEW: Neuroactive steroid hormones, such as estradiol and progesterone, likely play a role in the pathophysiology of female-specific psychiatric disorders such as premenstrual dysphoric disorder (PMDD) and postpartum depression and may contribute to the marked sex differences observed in the incidence and presentation of affective disorders. However, few tools are available to study the precise contributions of these neuroactive steroids (NSs). In this review, we propose that the acoustic startle response (ASR), an objective measure of an organism's response to an emotional context or stressor, is sensitive to NSs...
May 18, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29766470/perinatal-depression-prevention-through-home-visitation-a-cluster-randomized-trial-of-mothers-and-babies-1-on-1
#4
S Darius Tandon, Erin A Ward, Jaime L Hamil, Cindy Jimenez, Mya Carter
Postpartum depression is highly prevalent in low-income women and has significant health effects on mother and child. This pilot study tested the effectiveness of the newly adapted Mothers and Babies (MB) 1-on-1 intervention. A cluster randomized trial was conducted with 8 programs using trained home visitors to deliver MB 1-on-1 and 6 delivering usual home visiting. One hundred twenty pregnant women not experiencing major depression were enrolled. Outcomes were assessed at baseline and 3- and 6-months postpartum...
May 15, 2018: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29749628/maternal-activity-anxiety-and-protectiveness-during-moderate-nutrient-restriction-in-captive-baboons-papio-sp
#5
Lydia E O Light, Thad Q Bartlett, Annica Poyas, Mark J Nijland, Hillary F Huber, Cun Li, Kate Keenan, Peter W Nathanielsz
BACKGROUND: We hypothesized that maternal nutrient restriction (NR) would increase activity and behavioral indicators of anxiety (self-directed behaviors, SDBs) in captive baboons (Papio sp.) and result in more protective maternal styles. METHODS: Our study included 19 adult female baboons. Seven females ate ad libitum (control group), and eight females ate 30% less (NR group) and were observed through pregnancy and lactation. RESULTS: Control females engage in higher rates of SDB than NR females overall (P ≤ ...
May 11, 2018: Journal of Medical Primatology
https://www.readbyqxmd.com/read/29722066/placentophagy-among-women-planning-community-births-in-the-united-states-frequency-rationale-and-associated-neonatal-outcomes
#6
Daniel C Benyshek, Melissa Cheyney, Jennifer Brown, Marit L Bovbjerg
BACKGROUND: Limited systematic research on maternal placentophagy is available to maternity care providers whose clients/patients may be considering this increasingly popular practice. Our purpose was to characterize the practice of placentophagy and its attendant neonatal outcomes among a large sample of women in the United States. METHODS: We used a medical records-based data set (n = 23 242) containing pregnancy, birth, and postpartum information for women who planned community births...
May 2, 2018: Birth
https://www.readbyqxmd.com/read/29708090/couples-psychological-adjustment-to-twin-parenthood-mode-of-conception-spontaneous-versus-assisted-reproduction-and-gender-differences
#7
Iva Tendais, Bárbara Figueiredo, Catarina Canário, David A Kenny
AimTo examine whether mode of conception and gender are associated with parents' psychological adjustment across the transition to twin parenthood. BACKGROUND: There is limited knowledge on the psychological adjustment of couples to twin parenthood during pregnancy and early postpartum, especially for fathers. The available research suggests that first-time mothers of twins conceived by assisted reproduction techniques (ART) may experience lower psychosocial well-being than mothers of spontaneously conceived (SC) twins...
April 30, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29695824/postpartum-psychiatric-disorders
#8
REVIEW
Samantha Meltzer-Brody, Louise M Howard, Veerle Bergink, Simone Vigod, Ian Jones, Trine Munk-Olsen, Simone Honikman, Jeannette Milgrom
Pregnancy is a complex and vulnerable period that presents a number of challenges to women, including the development of postpartum psychiatric disorders (PPDs). These disorders can include postpartum depression and anxiety, which are relatively common, and the rare but more severe postpartum psychosis. In addition, other PPDs can include obsessive-compulsive disorder, post-traumatic stress disorder and eating disorders. The aetiology of PPDs is a complex interaction of psychological, social and biological factors, in addition to genetic and environmental factors...
April 26, 2018: Nature Reviews. Disease Primers
https://www.readbyqxmd.com/read/29684795/screening-for-postpartum-anxiety-a-quality-improvement-project-to-promote-the-screening-of-women-suffering-in-silence
#9
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/29678804/feasibility-and-acceptability-of-a-web-based-treatment-with-telephone-support-for-postpartum-women-with-anxiety-randomized-controlled-trial
#10
Miriam T Ashford, Ellinor K Olander, Heather Rowe, Jane Rw Fisher, Susan Ayers
BACKGROUND: Postpartum anxiety can have adverse effects on the mother and child if left untreated. Time constraints and stigma are common barriers to postpartum treatment. Web-based treatments offer potential flexibility and anonymity. What Am I Worried About (WaWa) is a self-guided treatment based on cognitive-behavioral and mindfulness principles for women experiencing postpartum anxiety. WaWa was developed in Australia and consists of 9 modules with optional weekly telephone support...
April 20, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29675280/what-can-happen-when-postpartum-anxiety-progresses-to-psychosis-a-case-study
#11
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/29668689/association-between-particulate-air-pollution-exposure-during-pregnancy-and-postpartum-maternal-psychological-functioning
#12
Perry E Sheffield, Rosa Speranza, Yueh-Hsiu Mathilda Chiu, Hsiao-Hsien Leon Hsu, Paul C Curtin, Stefano Renzetti, Ashley Pajak, Brent Coull, Joel Schwartz, Itai Kloog, Rosalind J Wright
METHODS: We studied associations between prenatal exposure to particulate matter with diameter ≤ 2.5 μm (PM2.5) and postpartum psychological functioning in a lower income, ethnically mixed sample of urban US women enrolled in a pregnancy cohort study. Analyses included 557 mothers who delivered at ≥37 weeks gestation. Daily estimates of residential PM2.5 over gestation were derived using a satellite-based spatio-temporally resolved model. Outcomes included the Edinburgh Postnatal Depression Scale (EPDS) score from 6 or 12 months postpartum and subscale scores for anhedonia, depressive and anxiety symptoms...
2018: PloS One
https://www.readbyqxmd.com/read/29653295/feasibility-of-a-mindfulness-based-cognitive-therapy-group-intervention-as-an-adjunctive-treatment-for-postpartum-depression-and-anxiety
#13
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/29653128/serotonin-specific-lesions-of-the-dorsal-raphe-disrupt-maternal-aggression-and-caregiving-in-postpartum-rats
#14
M Allie Holschbach, Erika V Vitale, Joseph S Lonstein
The behavioral modifications associated with early motherhood, including high aggression, caring for young, and low anxiety are all affected by acute pharmacological manipulation of serotonin signaling. However, the effects on these behaviors of permanently disrupting serotonin signaling at one of its primary sources, the dorsal raphe (DR), have not been examined in detail. To address this, serotonin-specific lesions centered on the dorsomedial DR (DRdm; subregion most implicated in emotional behaviors) were induced at mid-pregnancy (day 15) or early postpartum (day 2) in rats using a saporin-conjugated neurotoxin targeting the serotonin transporter (Anti-SERT-SAP)...
April 10, 2018: Behavioural Brain Research
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
#15
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/29650168/thought-stopping-and-supportive-therapy-can-reduce-postpartum-blues-and-anxiety-parents-of-premature-babies
#16
Sri Laela, Budi Anna Keliat, Mustikasari
OBJECTIVE: The parents of premature baby tend to be at risk undergoing postpartum blues and anxiety. It is due to many problems faced by postpartum mother of premature baby. This research is aim to identifying influence of thought stopping and supportive therapy of postpartum blues and anxiety parents of premature babies. METHOD: This is quantitative with quasi-experiment with control group pretest-posttest design and consecutive sampling method. Sample in this research are 62 postpartum mothers of premature babies in perinatal NICU (neonatal intensive care unit)...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29649502/a-behavioral-mechanistic-investigation-of-the-role-of-5-ht-1a-receptors-in-the-mediation-of-rat-maternal-behavior
#17
Xiaonan Li, Xiaojing Ding, Ruiyong Wu, Leilei Chen, Jun Gao, Gang Hu, Ming Li
Previous work suggests that 5-HT1A receptors play a special role in rodent maternal aggression, but not in other aspects of maternal care (e.g. pup retrieval and nest building). The present study re-assessed the basic effects of 5-HT1A activation or blockade on various maternal responses in postpartum female rats. We also examined the possible behavioral mechanisms underlying the maternal effects of 5-HT1A . Sprague-Dawley mother rats were injected with a 5-HT1A agonist 8-OH-DPAT (0.1, 0.5 or 1.0 mg/kg, sc), a 5-HT1A antagonist WAY-101405 (0...
April 9, 2018: Pharmacology, Biochemistry, and Behavior
https://www.readbyqxmd.com/read/29619759/severity-of-anxiety-moderates-the-association-between-neural-circuits-and-maternal-behaviors-in-the-postpartum-period
#18
Chaohui Guo, Eydie Moses-Kolko, Mary Phillips, James E Swain, Alison E Hipwell
Neuroimaging research has suggested that activity in the amygdala, center of the socioemotional network, and functional connectivity between the amygdala and cortical regions are associated with caregiving behaviors in postpartum mothers. Anxiety is common in the early postpartum period, with severity ranging from healthy maternal preoccupation to clinical disorder. However, little is known about the influence of anxiety on the neural correlates of early caregiving. We examined these relationships in a community cohort of 75 postpartum women (ages 18-22; predominantly low-SES, minority race) who listened to infant cry sounds while undergoing an fMRI assessment...
April 4, 2018: Cognitive, Affective & Behavioral Neuroscience
https://www.readbyqxmd.com/read/29619392/the-effect-of-progressive-muscle-relaxation-and-guided-imagery-on-stress-anxiety-and-depression-of-pregnant-women-referred-to-health-centers
#19
Saeideh Nasiri, Hossein Akbari, Leila Tagharrobi, Akram Sadat Tabatabaee
BACKGROUND: If anxiety and depression do not detect in pregnant women, they may cause complications for the mother, child, and family, including postpartum depression. With regard to the administrative capability of relaxation in health centers, this study was conducted to determine the effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression in pregnant women. MATERIALS AND METHODS: This randomized clinical trial was conducted on pregnant women in the city of Kashan at 28-36 weeks...
2018: Journal of Education and Health Promotion
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
#20
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
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