Mass General Hospital

Harvard Medical School

Tag Archives | PPD

How Can We Ensure that Women with Perinatal Depression Get Treatment?

  The American College of Obstetricians and Gynecologists (ACOG) now recommends screening for perinatal depression, stating that “clinicians screen patients at least once during the perinatal period for depression and anxiety symptoms using a standard, validated tool.” Having the backing of ACOG is certainly a big step in the right direction.  But as we move […]

Continue Reading · 0

Sacramento: What Can We Learn from a New Mother’s Experience of Postpartum Care?

Over the last few weeks, there has been a lot of coverage of a story involving a new mother from Sacramento.  You can read the details of the story here and here.  Basically, a new mother, Jessica, came to see her obstetrician with her 4-month old baby, explaining, “That I have postpartum depression that is […]

Continue Reading · 1

History of Stillbirth Increases Risk for Depression, Anxiety During Subsequent Pregnancies

  Perinatal loss is a traumatic event for women and their families.  While we clearly understand the potential for perinatal loss to cause significant emotional consequences, we have relatively little data on the prevalence of anxiety and depressive illness in this population of women. A recent study surveyed 609 women who had experienced a stillbirth […]

Continue Reading · 0

It’s OK to Throw Away Some of Those Baby Advice Books

When I meet with mothers of new babies, I often spend a fair amount of time delving into their beliefs about parenting and what they perceive as the “right” way to care for their new baby.  Granted, most of the new mothers I see suffer from depression or anxiety, but I can also look to […]

Continue Reading · 0

How Are We Doing: What Happens to Women Who Screen Positive for Postpartum Depression?

  Postpartum depression (PPD) screening has been increasingly implemented not only in obstetric, but also in primary care and pediatric settings, over the past decade.  While there is a growing appreciation for the prevalence of PPD and an understanding of the debilitating effects it can have if not treated, few studies have investigated the course […]

Continue Reading · 0

What is the Risk of Postpartum Depression in Women with No Psychiatric History?

We know that about 15% of women suffer from postpartum depression (PPD).  But what is less clear is how to reliably identify women with PPD and to then ensure that they get the support and treatment they need.  Women with a history of psychiatric illness are often identified as being at higher risk for postpartum […]

Continue Reading · 0

Announcing the MGH Perinatal Depression Scale at the App Store

We are very pleased to announce the release of the MGH Perinatal Depression Scale available free of charge on the App Store (https://appsto.re/us/-3X4jb.i). The MGHPDS smartphone app includes digital versions of perinatal depression screening tools including the Edinburgh Postpartum Depression Scale (EPDS) as well as other instruments which measure relevant symptoms associated with peripartum psychiatric […]

Continue Reading · 0

Does Universal Screening for Depression in Perinatal Populations Lead to Better Outcomes?

Over the last decade, there has been increased interest around the country in establishing consistent screening for perinatal depression across a range of clinical settings. Approximately 40 states have instituted guidelines and recommendations regarding screening for postpartum depression. These positive developments, in part, follow recommendations from both the U.S. Preventive Services Task Force and the […]

Continue Reading · 0

In Brief: Problem-Solving Education Intervention Reduces Risk of Postpartum Depression

While many women are at risk for postpartum depression, we continue to struggle in providing adequate support and care to women in this setting, especially socioeconomically disadvantaged women.   In a randomized clinical trial including 230 Head Start mothers, those receiving problem-solving education (PSE) were 60% less likely to develop postpartum depression than those receiving […]

Continue Reading · 0

Pilot Study of Telephone-Delivered Interpersonal Therapy for Women with Postpartum Depression

It is clear that screening for perinatal depression substantially improves detection; however, screening alone does not appear to improve rates of treatment or outcomes.  What we find is that many, if not most, women with perinatal depression do not receive adequate care.  There appear to be many obstacles: stigma associated with mental illness, lack of […]

Continue Reading · 0