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Tag Archives | postpartum screening

Credit: Depressed Mother from Wikimedia Commons

The Pediatric Emergency Department: Another Opportunity for Postpartum Screening

Earlier this year, the U.S. Preventive Services Task Force (USPSTF) released recommendations on Screening for Depression in Adults. The Task Force recommends that clinicians screen ALL ADULTS for depression and notes that the evidence indicates that screening in the primary care setting is beneficial. Echoing the recommendations made by the American College of Obstetricians and […]

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Credit: Pregnant Woman from Wikimedia Commons

Will Insurers Make it More Difficult to Screen for Depression  in Pregnancy and Postpartum Women?

You get pregnant.  You have a baby.  You want to do whatever you can to care for your baby should anything happen to you.  So you apply for life insurance.  All of this makes total sense, right? What many women are surprised to discover is that their history of well-managed depression or anxiety may pose […]

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Credit: Depressed Mother from Wikimedia Commons

Postpartum Depression is a Heterogeneous Illness

About 15% of women suffer from postpartum depression (PPD). It appears, however, that women with PPD constitute a heterogeneous population.  One difference that we observe clinically is that a subgroup of women with PPD experience depression only during the postpartum period, whereas other women with PPD report a pattern of recurrent depressive illness consisting of […]

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By Vera Kratochvil [Public domain], via Wikimedia Commons

Screening for Postpartum Depression Isn’t Enough

About ten years ago, we ran a collaborative project with our obstetrics department here at MGH where we screened all new mothers for postpartum depression.  The screening went well.  Nearly all the women completed the Edinburgh Postnatal Depression Scale (EPDS) at their 6-week postpartum visit.  We contacted the women with scores on the EPDS suggestive […]

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The Postpartum Stressors Scale: A Tool For Identifying Postpartum Women at Risk

Stressful life events occurring during pregnancy and the postpartum period have consistently been identified as a risk factor for perinatal mood and anxiety disorders.  While we have instruments to assess for stressful life events and to measure perceived stress, such as the well-established Holmes and Rahe Stress Scale, these tools do not necessarily assess factors […]

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By Vera Kratochvil [Public domain], via Wikimedia Commons

Is It Postpartum Depression or Postpartum Anxiety? What’s The Difference?

Meet Christine.  She is a married 30-year-old woman who just had her first baby about 3 weeks ago.  While the pregnancy went smoothly, the experience of labor and delivery was difficult.  After nearly 20 hours of labor, Christine had an emergency caesarean section.  The baby was healthy, but he had difficulty breastfeeding.  Christine was worried […]

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Credit: Depressed Mother from Wikimedia Commons

What Screening Tools Identify Postpartum Women with Bipolar Disorder?

Women with bipolar disorder (BD) are at extremely high risk for postpartum psychiatric illness, specifically postpartum psychosis.  While the American College of Obstetrics and Gynecology now recommends that all women be screened for depression during pregnancy and the postpartum period, we have little information regarding the screening tools that are best suited for the identification […]

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From Ob Gyn News: Opportunities and Limits in Universal Screening for Perinatal Depression

The American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice recently published a revised opinion on screening for perinatal depression, recommending that “clinicians screen patients at least once during the perinatal period for depression and anxiety symptoms using a standard, validated tool.” The statement adds that “women with current depression or anxiety, a […]

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Screening for Depression During Pregnancy May Lead to Misdiagnosis for Women with Bipolar Disorder

The American College of Obstetrics and Gynecology now recommends that women be screened for depression during pregnancy.  Because depressive symptoms during pregnancy have been associated with worse outcomes and are a robust predictor of postpartum depression, the identification of women with depression during pregnancy would help us to identify women in need of treatment and […]

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ACOG Opinion: Depression Screening for All Pregnant and Postpartum Women

It is estimated that about 15% of women suffer from depression either during pregnancy or the postpartum period. Prior to the 1980s, most new mothers had never heard of postpartum depression.  Over the last few decades we have made considerable progress in educating women about their risk for psychiatric illness during this vulnerable time, and […]

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