Some interesting reviews on the list this week, including some excellent articles from leaders in the field which will be coming out in the September issue of Obstetrics & Gynecology Clinics of North America.


Ruta Nonacs, MD PhD

Latent Trajectory Classes of Postpartum Depressive Symptoms: A Regional Population-Based Longitudinal Study

Analyses identified two classes of women with distinct trajectories; (1) a low-risk (n?=?1 249, 91%) and (2) a high-risk group (n?=?119, 9%). Complications after birth, elevated prenatal depressive symptoms, previous or current mental illness, and gestational week, predicted trajectory class membership.

Relapse in the first three months postpartum in women with history of serious mental illness.

Taylor CL, Stewart RJ, Howard LM.  Schizophr Res. 2018 Aug 5. Free Article

There were 452 full term pregnancies, of which 128 (28.3%) were associated with relapse in the first 3?months postpartum, with recent relapse acting as an independent predictor (aOR; 95% CI:1.30-2.27). There was no evidence of a prophylactic effect of medication (aOR?=?0.99; 0.54-1.83), in women with non-affective or affective psychoses.


Skjothaug T, Smith L, Wentzel-Larsen T, Moe V.Infant Ment Health J. 2018 Aug 9.

Fathers’ symptoms of anxiety and depression during pregnancy as well as adverse childhood experiences predict paternal stress and a negative perception of their children’s behavior at 6 months’ postpartum.

Postpartum Outcomes and Formal Mindfulness Practice in Mindfulness-Based Cognitive Therapy for Perinatal Women.

Luberto CM, Park ER, Goodman JH.  Mindfulness (N Y). 2018 Jun;9(3):850-859.

Improvements in anxiety, worry, mindfulness, and self-compassion observed at one week post-intervention were were maintained during the postpartum period, and reductions in depression further improved (p<.001). Participants were generally adherent to mindfulness practice recommendations during the intervention (54%-80% weekly adherence; M=17.31 total practice hours [SD=7.45]), and many continued practicing one-week post-intervention (91%) and postpartum (55%).

Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers.

Osborne LM.  Obstet Gynecol Clin North Am. 2018 Sep;45(3):455-468.

Treatment of Peripartum Bipolar Disorder.

Clark CT, Wisner KL.  Obstet Gynecol Clin North Am. 2018 Sep;45(3):403-417.

Management of Attention Deficit Hyperactivity Disorder During Pregnancy.

Baker AS, Freeman MP.  Obstet Gynecol Clin North Am. 2018 Sep;45(3):495-509.

Pharmacologic Treatment of Perinatal Depression.

Kimmel MC, Cox E, Schiller C, Gettes E, Meltzer-Brody S.  Obstet Gynecol Clin North Am. 2018 Sep;45(3):419-440.

Childbirth as a forthcoming traumatic event: pretraumatic stress disorder during pregnancy and its psychological correlates.

Goutaudier N, Bertoli C, Séjourné N, Chabrol H.J Reprod Infant Psychol. 2018 Aug 10:1-12.

Childbirth may be experienced as threatening and traumatic and that this traumatic impact might develop way before the delivery.

Neuroactive Steroids and Perinatal Depression: a Review of Recent Literature.

McEvoy K, Payne JL, Osborne LM.  Curr Psychiatry Rep. 2018 Aug 9;20(9):78.

The bulk of the evidence on neuroactive steroids in perinatal depression concerns allopregnanolone.

The Role of Circadian Rhythms in Postpartum Sleep and Mood.

Gallaher KGH, Slyepchenko A, Frey BN, Urstad K, Dørheim SK.  Sleep Med Clin. 2018 Sep;13(3):359-374.

Circadian rhythm disturbances were strongly correlated with depression, social factors and mothers`s exposure to light postpartum.

A randomized controlled trial of a computer-based brief intervention for victimized perinatal women seeking mental health treatment.

Zlotnick C, Wernette GT, Raker CA.  Arch Womens Ment Health. 2018 Aug 7.

Preliminary results found the degree of IPV decreased significantly from baseline to the 4-month follow-up among women receiving the SURE intervention (paired t-test, p?<?0.001), while the control group was essentially unchanged.


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