Postpartum Depression - MGH Center for Women's Mental Health

Ultra-Brief ECT for the Treatment of Severe Postpartum Depression

This is a small case report but is an important one, demonstrating the effectiveness of ultra-brief electroconvulsive therapy (ECT) for the treatment of severe postpartum depression. While most women with postpartum illness have mild to moderate illness, there are some women with severe depression that significantly impairs their ability to function and to care for their child. Women with severe PPD are also at higher risk for suicide.

By MGH Center for Women's Mental Health|2015-08-12T11:36:10-04:00October 4th, 2012|Postpartum Depression, Postpartum Psychiatric Disorders, Treatment|Comments Off

Using the Edinburgh Postnatal Depression Scale to Screen for Antenatal Depression: Once is Not Enough

Over the past few years, there has been a push to screen women for depression both during pregnancy and the postpartum period. While there have been various initiatives mandating screening, there remain questions regarding the optimal timing of screening and the best screening tools to use.

By MGH Center for Women's Mental Health|2015-08-12T12:23:32-04:00July 30th, 2012|Diagnosis & Screening, Postpartum Depression, Psychiatric Disorders During Pregnancy|Comments Off

A Blood Test for Identifying Women at Risk for Postpartum Depression?

Wouldn’t it be nice if we could identify women who were at risk for postpartum depression (PPD)? Maybe if we could do that, we could actually prevent the depression from occurring. Or at least, we could intervene in some way so that the depression would not significantly affect the mother and her family.

By MGH Center for Women's Mental Health|2015-08-12T14:59:41-04:00June 4th, 2012|Diagnosis & Screening, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off

Children of Depressed Mothers Exposed to Multiple Risk Factors for Psychopathology

Multiple studies have concluded that the children of depressed mothers are at increased risk for behavioral problems and other mental health issues. Data from 7429 mother–child pairs participating in the Avon Longitudinal Study of Parents and Children in the UK indicate that maternal depression (assessed when the children were 1.5 year old) is associated with an increased risk of psychiatric diagnoses in the children at 7.5 years of age.

By MGH Center for Women's Mental Health|2015-08-12T16:45:37-04:00March 12th, 2012|Depressive Disorders, Long-Term Outcomes, Outcomes, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off

Men Get Postpartum Depression Too

While postpartum depression (PPD) is typically considered to be a woman’s illness, a number of studies have suggested that, although men do not experience any of the dramatic physiologic or hormonal changes that go along with pregnancy, new fathers may also suffer from PPD. The most recent study was a meta-analysis published in the May 19th issue of the Journal of the American Medical Association.

By MGH Center for Women's Mental Health|2020-11-26T08:40:58-04:00June 7th, 2010|Breastfeeding & Medications, Postpartum Depression, Postpartum Psychiatric Disorders, Prevalence & Risk Factors|Comments Off

Examining Modifiable Risk Factors for Postpartum Depression

Approximately 10-15% of women will experience mood symptoms that meet criteria for a Major Depressive Episode during the postpartum period. However, as many as 50% of women may experience some level of depressive symptoms during the postpartum period. Recent evidence suggests that even depressive symptoms that do not qualify for a diagnosis of postpartum depression may have a negative impact on both mother and child. In spite of the fact that so many postpartum women will experience depressive symptoms, little research has been conducted in order to identify potentially modifiable factors that could reduce the risk of depressive symptoms or the development of a major depressive episode during this time.

By MGH Center for Women's Mental Health|2015-08-12T15:02:04-04:00August 31st, 2009|Postpartum Depression, Postpartum Psychiatric Disorders, Prevention|Comments Off

Postpartum Depressive Symptoms Increase the Risk of Smoking Relapse

While many women who smoke successfully quit smoking during pregnancy, most of these women return to smoking within 12 months of delivery. Several studies have suggested that certain factors may increase the risk of postpartum relapse, including unwanted pregnancy, multiparity, and stressful life events. Two recent studies indicate that postpartum depressive symptoms may also increase the risk of smoking relapse after delivery.

By MGH Center for Women's Mental Health|2016-03-28T13:23:58-04:00May 19th, 2009|Nicotine, Perinatal Substance Use, Postpartum Depression, Postpartum Psychiatric Disorders, Prevalence & Risk Factors|Comments Off

A Mouse Model of Postpartum Depression

Maguire and Mody's report, GABAA R Plasticity during Pregnancy: Relevance to Postpartum Depression, in the July 2008, Neuron, provides evidence that an abnormal Gamma-aminobutyric acid (GABAA) receptor subunit in pregnant mice may be a useful model for postpartum depression. The report describes how GABAA receptors, specifically, the delta-subunit-containing GABA receptor, are a preferred target for neurosteroids. They designed a study to identify functional changes in these receptors during pregnancy and postpartum and then looked at possible behavioral correlates in the mice.

By MGH Center for Women's Mental Health|2015-08-12T14:07:14-04:00March 10th, 2009|Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off

Identifying Postpartum Depression: A Three Question Screening Tool

While postpartum depression is common among new mothers, our ability to reliably detect this illness remains poor. Recent studies have indicated that most obstetricians report that they screen for postpartum psychiatric problems at routine follow-up visits but typically do not use standardized instruments to assess for postpartum depression. Unfortunately, studies which have measured the success of routine screening suggest that without the use of standardized screening tools like the Edinburgh Postnatal Depression Scale, many women with postpartum depression are not identified.

By MGH Center for Women's Mental Health|2015-08-12T11:45:03-04:00October 27th, 2008|Diagnosis & Screening, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off

Postpartum Depression in Men Linked to Psychiatric Illness in Their Children

While many studies have looked at the impact of postpartum depression in mothers on their children, there is very limited data on postnatal depression in the fathers and the potential impact it may have on their children.

By MGH Center for Women's Mental Health|2015-08-11T13:27:52-04:00May 26th, 2008|Child Outcomes, Outcomes, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off