Postpartum Psychiatric Disorders - MGH Center for Women's Mental Health

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

Can We Identify Women at High Risk for Postpartum Psychosis?

Postpartum psychosis occurs in about 1 to 2 per 1000 women after delivery. While there appears to be a strong link between postpartum psychosis and bipolar disorder, it is estimated that about half of women who present with postpartum psychosis have no psychiatric history prior to delivery, making it difficult to identify those women who are at greatest risk for this illness. A recent study, using data from the Swedish Medical Birth Registry, has examined possible risk factors that may be used to identify women at risk for postpartum psychosis.

By Ruta Nonacs, MD PhD|2025-09-03T16:46:41-04:00August 3rd, 2009|Postpartum Psychiatric Disorders, Postpartum Psychosis, Prevention|Comments Off

OCD in Pregnant and Postpartum Women

The lifetime prevalence rate of obsessive-compulsive disorder (OCD) has been consistently estimated to be 2%-3% in the general adult population throughout the world, making OCD one of more common psychiatric diagnoses; however research on OCD in pregnancy and peurperium has been limited.

By MGH Center for Women's Mental Health|2015-08-12T14:45:14-04:00June 18th, 2009|Anxiety Disorders, Postpartum Psychiatric Disorders, Prevalence & Risk Factors, Psychiatric Disorders During Pregnancy|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

Maternal Depression During Pregnancy May Lead to Infant Sleep Problems

About 15% of women suffer from depression during pregnancy, and many reports have suggested that depression during pregnancy may have negative effects on the fetus. A new study from researchers at the University of Michigan indicates a link between depression during pregnancy and infant sleep problems.

By MGH Center for Women's Mental Health|2015-08-12T14:34:16-04:00May 12th, 2009|Child Outcomes, Depressive Disorders, Outcomes, Postpartum Psychiatric Disorders, Psychiatric Disorders During Pregnancy|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

Maternal depression, in-home violence, and use of physical punishment

Parental use of physical punishment early in childhood may be associated with subsequent maladaptive behaviors such as child aggression and impaired social information processing. There are links between certain childhood behaviors and risk for parental use of physical punishment, although cause and effect are difficult to establish with these associations. Higher rates of physical punishment correlate with maternal depression and domestic violence.

By MGH Center for Women's Mental Health|2015-08-12T12:27:53-04:00January 26th, 2009|Depressive Disorders, Postpartum Psychiatric Disorders|Comments Off

University of North Carolina Center for Mood Disorders Expands Services to Postpartum Women

Last Wednesday, the UNC Medical Center opened an outpatient clinic for women with postpartum depression, and on November 3rd opened an inpatient unit for women with postpartum depression. The inpatient unit is called "the first of its kind" in the United States, and is a progressive example of specialized health care initiatives for improved screening, diagnosis, and treatment of postpartum mood disorders in the US.

By MGH Center for Women's Mental Health|2015-08-12T11:48:26-04:00November 5th, 2008|Postpartum Psychiatric Disorders, Treatment|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

Post-Traumatic Stress Disorder (PTSD) Following Childbirth

Post-Traumatic Stress Disorder (PTSD) after childbirth is an understudied condition. Traditionally, much of the data have been based on case reports, indicating that PTSD can occur following a range of childbirth and child loss situations, including long or complicated labor, severe pain with labor or delivery, cesarean section, and unanticipated pregnancy outcome, such as child loss, miscarriage or infant birth defects. PTSD related to childbirth is frequently overlooked by physicians; the relative newness of the diagnosis and lack of literature on this topic are factors which may hinder recognition of this disorder.

By Ruta Nonacs, MD PhD|2026-01-11T11:58:13-04:00October 8th, 2008|Diagnosis & Screening, Postpartum Psychiatric Disorders, Prevalence & Risk Factors, PTSD and Stress Related Disorders|Comments Off