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Tag Archives | postnatal depression

Depression and Hormonal Contraception: Should Depo-Provera Be Used in Postpartum Women?

Because estrogen-containing contraceptives may affect lactation and may increase the risk of thrombosis, progestin-only contraceptives are used in women who are breastfeeding.  Depo-Provera (DMPA), which contains medroxyprogesterone, is frequently used during the immediate postpartum period in women who are breastfeeding and are interested in efficacious, long-term contraception.  (The minipill is another type of progestin-only contraceptive […]

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Credit: Depressed Mother from Wikimedia Commons

Therapist-Assisted, Internet-Delivered CBT for Depression in Postpartum Women

  As we move toward universal screening for perinatal depression, one of our most significant challenges will be to evaluate and deliver care to the women who are identified as being depressed.  It is discouraging to note that recommendations regarding screening have not necessarily resulted in increased rates of treatment in women with perinatal depression. […]

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Credit: Pregnant Woman from Wikimedia Commons

Predicting Postpartum Depression: Elevated Leptin Levels as Biomarker?

Biomarkers (or biological markers) are used in many fields of medicine to provide objective information on normal or pathological biological processes and to predict response to therapeutic interventions.  Researchers have long searched for biomarkers which could be used to identify women with postpartum depression (PPD) or, even better, to predict which women are at highest […]

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Credit: Depressed Mother from Wikimedia Commons

Suicide in Postpartum Women: Can We Predict Who is at Risk?

Women are at significant risk for severe psychiatric illness after childbirth, particularly during the first three months.  Suicide is a rare but tragic outcome of untreated psychiatric illness in this setting.  In order to prevent suicide, we must be able to identify which women are at highest risk for suicide; however, relatively few studies have […]

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Breastfeeding Status Does Not  Affect Risk for Postpartum Depression

For decades, researchers have postulated a connection between breastfeeding and postpartum depression (PPD). Many have suggested that breastfeeding may protect against postpartum depression and have suggested that the cessation of breastfeeding may be a trigger for postpartum depression and/or anxiety. However, the research examining the association between postpartum depression and breastfeeding has been mixed and […]

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By Vera Kratochvil [Public domain], via Wikimedia Commons

Maternal Depression and Its Effects on the Child:  What is the Role of Oxytocin?

There is significant literature indicating that a mother’s depression may adversely affect her young child.  Studies have demonstrated that the children of depressed mothers are more likely than the children of non-depressed mothers to exhibit developmental delays and childhood behavioral problems.  It has also been demonstrated that the children of depressed mothers are more likely […]

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You Asked: Do Progestin-Only Contraceptives Cause Postpartum Depression?

One of our readers contacted us noting that she developed a severe episode of postpartum depression after receiving an injection of the contraceptive, Depo-Provera.  She is pregnant again and now wonders if she should avoid Depo-Provera given her previous experience. Depo-Provera (DMPA), also known as the birth control shot, is a highly effective form of […]

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By Vera Kratochvil [Public domain], via Wikimedia Commons

What Were We Thinking? A New Approach to Preventing Postpartum Depression and Anxiety

What Were We Thinking (WWWT) is a psychoeducational program for couples which was designed to prevent postpartum mood and anxiety disorders in first-time mothers.  The hope is that by addressing relevant and potentially modifiable risk factors for postpartum depression and anxiety, this type of intervention can reduce the risk of postpartum mental health issues.  This […]

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Credit: Pregnant Woman from Wikimedia Commons

Risk of Postpartum Depression in Immigrant Women

Previous studies have identified immigrant women as being at increased risk for postpartum depression.  While we have considerable data on the prevalence and predictors of postpartum depression (PPD), most of these data do not specifically identify risk factors for PPD in this population. Canadian researchers analyzed data from a prospective cohort study, The Ontario Mother […]

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