One of the more interesting articles this week is the first on the list.  According to this study, the prevalence of postpartum depression is decreasing.

Trends in Postpartum Depressive Symptoms – 27 States, 2004, 2008, and 2012.

Ko JY, Rockhill KM, Tong VT, Morrow B, Farr SL.  MMWR Morb Mortal Wkly Rep. 2017 Feb 17;66(6):153-158.   Free Article

In this population-based sample of postpartum women, a decline in the prevalence of self-reported depressive symptoms was observed from 2004 to 2012 overall.

NICU-based Interventions To Reduce Maternal Depressive and Anxiety Symptoms: A Meta-analysis.

Mendelson T, Cluxton-Keller F, Vullo GC, Tandon SD, Noazin S.  Pediatrics. 2017 Feb 21.

Combined interventions significantly reduced maternal depressive but not anxiety symptoms. The evidence is strongest for the impact of cognitive behavioral therapy interventions on maternal depressive symptoms.

History of depression and risk of hyperemesis gravidarum: a population-based cohort study.

Kjeldgaard HK, Eberhard-Gran M, Benth JŠ, Nordeng H, Vikanes ÅV.  Arch Womens Ment Health. 2017 Jan 7.

A lifetime history of depression was associated with higher odds for hyperemesis gravidarum (aOR = 1.49). Two thirds of women with hyperemesis gravidarum had neither a history of depression nor symptoms of current depression, and 1.2% of women with a history of depression developed HG.

Consumption of alcohol during pregnancy-A multinational European study.

Mårdby AC, Lupattelli A, Hensing G, Nordeng H.  Women Birth. 2017 Jan 19.

On average, 15.8% reported alcohol consumption during pregnancy. The highest proportion of alcohol consumption during pregnancy was found in the UK (28.5%), Russia (26.5%), and Switzerland (20.9%) and the lowest in Norway (4.1%), Sweden (7.2%), and Poland (9.7%).

Maternal attachment style and psychiatric history as independent predictors of mood symptoms in the immediate postpartum period.

Croce Nanni R, Troisi A.  J Affect Disord. 2017 Jan 24;212:73-77.

In a convenience sample of 120 mothers, those with higher scores on the preoccupied and fearful attachment scales had more severe postpartum anxiety and depression symptoms.

Sertraline in pregnancy – Therapeutic drug monitoring in maternal blood, amniotic fluid and cord blood.

Paulzen M, Goecke TW, Stickeler E, Gründer G, Schoretsanitis G.  J Affect Disord. 2017 Jan 21;212:1-6.

Amniotic fluid concentrations of sertraline strongly correlated with the daily dose of sertraline while neither maternal serum concentrations nor cord blood concentrations correlated with the daily dose.

Postpartum depression risk factors among recent refugee, asylum-seeking, non-refugee immigrant, and Canadian-born women: results from a prospective cohort study.

Dennis CL, Merry L, Gagnon AJ.  Soc Psychiatry Psychiatr Epidemiol. 2017 Feb 20.

Recent migrant women had significantly higher rates (6%) of postpartum depressive symptoms than Canadian-born women (2.9%). Asylum-seekers had the highest rate (14.3%), followed by refugee (11.5%) and non-refugee immigrant women (5.1%).

Identifying women at risk for sustained postpartum anxiety.

Dennis CL, Brown HK, Falah-Hassani K, Marini FC, Vigod SN.  J Affect Disord. 2017 Feb 14;213:131-137.

522 mothers completed a mailed questionnaire at 1, 4, and 8 weeks postpartum.  The prevalence of sustained postpartum anxiety was 12.6%.  Predictors of sustained anxiety were perceived stress at 1 week (1 SD increase; aOR 3.74) and partner social support at 1 week (1 SD increase; aOR 0.59).

Propensity Score Matching in Nonrandomized Studies: A Concept Simply Explained Using Antidepressant Treatment During Pregnancy as an Example.

Andrade C.  J Clin Psychiatry. 2017 Feb;78(2):e162-e165.

Whereas propensity score matching can substantially reduce baseline differences between groups in observational studies, it can never correct for unmeasured confounds; therefore, cause-effect relationships can never be deduced from such studies.

 

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