Peripartum mood disturbances natural history, complications and prognosis: Difference between revisions
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==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
* [[Postpartum]] blues is a temporary condition characterised by [[sadness]], weeping, impatience, anxiety, sleeplessness, fatigue, and reduced focus , as well as mood lability that can include elation. | *[[Postpartum]] blues is a temporary condition characterised by [[sadness]], weeping, impatience, anxiety, sleeplessness, fatigue, and reduced focus , as well as mood lability that can include elation. | ||
* Symptoms usually appear two to three days after delivery, peak within a few days, and disappear within two weeks. | *Symptoms usually appear two to three days after delivery, peak within a few days, and disappear within two weeks. | ||
* Although postpartum blues is frequent and temporary, it is crucial to recognize it because women who have postpartum blues are more likely to develop postpartum severe depression, [[psychosis]] and [[postpartum]] [[anxiety disorders]] than those who do not. | *Although postpartum blues is frequent and temporary, it is crucial to recognize it because women who have postpartum blues are more likely to develop postpartum severe depression, [[psychosis]] and [[postpartum]] [[anxiety disorders]] than those who do not. | ||
* Untreated postpartum depression can resolve on its own or with therapy, or it might progress to a chronic (long-term) depressive illness. In 30 to 50 percent of patients, postpartum serious depression lasts at least a year.<ref name="urlThe Course of Postpartum Depression: A Review of Longitudina... : Harvard Review of Psychiatry">{{cite web |url=https://journals.lww.com/hrpjournal/fulltext/2014/01000/the_course_of_postpartum_depression__a_review_of.1.aspx |title=The Course of Postpartum Depression: A Review of Longitudina... : Harvard Review of Psychiatry |format= |work= |accessdate=}}</ref> | *Untreated postpartum depression can resolve on its own or with therapy, or it might progress to a chronic (long-term) depressive illness. In 30 to 50 percent of patients, postpartum serious depression lasts at least a year.<ref name="urlThe Course of Postpartum Depression: A Review of Longitudina... : Harvard Review of Psychiatry">{{cite web |url=https://journals.lww.com/hrpjournal/fulltext/2014/01000/the_course_of_postpartum_depression__a_review_of.1.aspx |title=The Course of Postpartum Depression: A Review of Longitudina... : Harvard Review of Psychiatry |format= |work= |accessdate=}}</ref> | ||
* Recurrence is a concern for patients who have recovered from an episode of postpartum depression. It occurs in around 40 to 50 percent of women with postnatal depression.<ref name="pmid17533557">{{cite journal |vauthors=Josefsson A, Sydsjö G |title=A follow-up study of postpartum depressed women: recurrent maternal depressive symptoms and child behavior after four years |journal=Arch Womens Ment Health |volume=10 |issue=4 |pages=141–5 |date=2007 |pmid=17533557 |doi=10.1007/s00737-007-0185-9 |url=}}</ref><ref name="pmid32290590">{{cite journal |vauthors=Rollè L, Giordano M, Santoniccolo F, Trombetta T |title=Prenatal Attachment and Perinatal Depression: A Systematic Review |journal=Int J Environ Res Public Health |volume=17 |issue=8 |pages= |date=April 2020 |pmid=32290590 |pmc=7216181 |doi=10.3390/ijerph17082644 |url=}}</ref> | *Recurrence is a concern for patients who have recovered from an episode of postpartum depression. It occurs in around 40 to 50 percent of women with postnatal depression.<ref name="pmid17533557">{{cite journal |vauthors=Josefsson A, Sydsjö G |title=A follow-up study of postpartum depressed women: recurrent maternal depressive symptoms and child behavior after four years |journal=Arch Womens Ment Health |volume=10 |issue=4 |pages=141–5 |date=2007 |pmid=17533557 |doi=10.1007/s00737-007-0185-9 |url=}}</ref><ref name="pmid32290590">{{cite journal |vauthors=Rollè L, Giordano M, Santoniccolo F, Trombetta T |title=Prenatal Attachment and Perinatal Depression: A Systematic Review |journal=Int J Environ Res Public Health |volume=17 |issue=8 |pages= |date=April 2020 |pmid=32290590 |pmc=7216181 |doi=10.3390/ijerph17082644 |url=}}</ref> | ||
* Postpartum psychosis can affect maternal-infant attachment, which is further interrupted by the mother's inpatient hospitalization. Psychosis can be severe and last for a long time.<ref name="pmid32160423">{{cite journal |vauthors=Gilden J, Kamperman AM, Munk-Olsen T, Hoogendijk WJG, Kushner SA, Bergink V |title=Long-Term Outcomes of Postpartum Psychosis: A Systematic Review and Meta-Analysis |journal=J Clin Psychiatry |volume=81 |issue=2 |pages= |date=March 2020 |pmid=32160423 |doi=10.4088/JCP.19r12906 |url=}}</ref> <br>Women who have had their first episode of postpartum psychosis have a significant chance of recurrence outside of the postpartum period.<ref name="pmid25455248">{{cite journal |vauthors=Howard LM, Molyneaux E, Dennis CL, Rochat T, Stein A, Milgrom J |title=Non-psychotic mental disorders in the perinatal period |journal=Lancet |volume=384 |issue=9956 |pages=1775–88 |date=November 2014 |pmid=25455248 |doi=10.1016/S0140-6736(14)61276-9 |url=}}</ref><br> | *Postpartum psychosis can affect maternal-infant attachment, which is further interrupted by the mother's inpatient hospitalization. Psychosis can be severe and last for a long time.<ref name="pmid32160423">{{cite journal |vauthors=Gilden J, Kamperman AM, Munk-Olsen T, Hoogendijk WJG, Kushner SA, Bergink V |title=Long-Term Outcomes of Postpartum Psychosis: A Systematic Review and Meta-Analysis |journal=J Clin Psychiatry |volume=81 |issue=2 |pages= |date=March 2020 |pmid=32160423 |doi=10.4088/JCP.19r12906 |url=}}</ref> <br>Women who have had their first episode of postpartum psychosis have a significant chance of recurrence outside of the postpartum period.<ref name="pmid25455248">{{cite journal |vauthors=Howard LM, Molyneaux E, Dennis CL, Rochat T, Stein A, Milgrom J |title=Non-psychotic mental disorders in the perinatal period |journal=Lancet |volume=384 |issue=9956 |pages=1775–88 |date=November 2014 |pmid=25455248 |doi=10.1016/S0140-6736(14)61276-9 |url=}}</ref><br> | ||
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==References== | ==References== | ||
Revision as of 22:52, 3 August 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunita Kumawat, M.B.B.S[2]
Overview
Complications during the perinatal period may affect a woman's long term medical health. The sleep deprivation, hormonal fluctuations and care for the newborn may cause the mental illnesses and increases their psychobiological vulnerability for future psychiatric illness. These not only affect the new mothers but also their newborns and the family.
Natural History, Complications, and Prognosis
- Postpartum blues is a temporary condition characterised by sadness, weeping, impatience, anxiety, sleeplessness, fatigue, and reduced focus , as well as mood lability that can include elation.
- Symptoms usually appear two to three days after delivery, peak within a few days, and disappear within two weeks.
- Although postpartum blues is frequent and temporary, it is crucial to recognize it because women who have postpartum blues are more likely to develop postpartum severe depression, psychosis and postpartum anxiety disorders than those who do not.
- Untreated postpartum depression can resolve on its own or with therapy, or it might progress to a chronic (long-term) depressive illness. In 30 to 50 percent of patients, postpartum serious depression lasts at least a year.[1]
- Recurrence is a concern for patients who have recovered from an episode of postpartum depression. It occurs in around 40 to 50 percent of women with postnatal depression.[2][3]
- Postpartum psychosis can affect maternal-infant attachment, which is further interrupted by the mother's inpatient hospitalization. Psychosis can be severe and last for a long time.[4]
Women who have had their first episode of postpartum psychosis have a significant chance of recurrence outside of the postpartum period.[5]
References
- ↑ "The Course of Postpartum Depression: A Review of Longitudina... : Harvard Review of Psychiatry".
- ↑ Josefsson A, Sydsjö G (2007). "A follow-up study of postpartum depressed women: recurrent maternal depressive symptoms and child behavior after four years". Arch Womens Ment Health. 10 (4): 141–5. doi:10.1007/s00737-007-0185-9. PMID 17533557.
- ↑ Rollè L, Giordano M, Santoniccolo F, Trombetta T (April 2020). "Prenatal Attachment and Perinatal Depression: A Systematic Review". Int J Environ Res Public Health. 17 (8). doi:10.3390/ijerph17082644. PMC 7216181 Check
|pmc=value (help). PMID 32290590 Check|pmid=value (help). - ↑ Gilden J, Kamperman AM, Munk-Olsen T, Hoogendijk W, Kushner SA, Bergink V (March 2020). "Long-Term Outcomes of Postpartum Psychosis: A Systematic Review and Meta-Analysis". J Clin Psychiatry. 81 (2). doi:10.4088/JCP.19r12906. PMID 32160423 Check
|pmid=value (help). Vancouver style error: initials (help) - ↑ Howard LM, Molyneaux E, Dennis CL, Rochat T, Stein A, Milgrom J (November 2014). "Non-psychotic mental disorders in the perinatal period". Lancet. 384 (9956): 1775–88. doi:10.1016/S0140-6736(14)61276-9. PMID 25455248.