Identification of postpartum depression.

Full Abstract

Postpartum depression (PPD) is the most common medical complication of childbearing. Universal screening maximizes the likelihood of prompt identification of PPD. Obstetrician-gynecologists routinely evaluate postpartum women for a general health examination and review of family planning options at approximately 6 weeks after birth; therefore, they are well positioned to identify PPD. In this study, we review the diagnostic criteria for postpartum depressive disorders and clinical risk factors predictive of PPD. We examine depression screening tools, appropriate cut-points associated with positive screens, the optimal timing for screening, and the acceptability of depression screening in obstetrical settings. Finally, we explore how to manage patients who screen positive for depression and treatment options for women with PPD.

Author information

Author/s: Sit, Dorothy K Y (DK); Wisner, Katherine L (KL);

Affiliation: Department of Psychiatry, Western Psychiatric Institute and Clinic University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA 15213, USA. sitdk(-atsign-)upmc.edu

Grants: K23 MH082114-01A2 (Agency:NIMH NIH HHS) ; R01 MH071825 (Agency:NIMH NIH HHS) ; R01 MH075921 (Agency:NIMH NIH HHS) ; R01 MH60335 (Agency:NIMH NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't

Journal: Clinical obstetrics and gynecology (Clin Obstet Gynecol), published in United States. (Language: eng)

Reference: 2009-Sep; vol 52 (issue 3) : pp 456-68

Dates: Created 2009/08/07; Completed 2009/11/03;

PMID: 19661761, status: MEDLINE (last retrieval date: 11/3/2009, IMS Date: )

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