This week there are a few interesting articles on postpartum PTSD, a complication of pregnancy which is common but under-reported. 
For more detailed descriptions of many of these topics, you can read the CWMH NEWSLETTER which comes out every Thursday.  You can sign up for our newsletter HERE.

Ruta Nonacs, MD PhD

 

PMS AND PMDD

No articles this week

INFERTILITY AND MENTAL HEALTH

No articles this week

PSYCHIATRIC ILLNESS DURING PREGNANCY

A meta-synthesis of women’s experiences of online forums for maternal mental illness and stigma.

Moore D, Drey N, Ayers S.  Arch Womens Ment Health. 2019 Oct 24.

The study revealed four key themes: (1) a safe place to talk; (2) virtual support; (3) stigma and identity; and (4) repair of the mother identity.


The combined effects of maternal depression and excess weight on neonatal outcomes.

McDonald SD, McKinney B, Foster G, Taylor V, Lutsiv O, Pullenayegum E.  Int J Obes (Lond). 2015 Jul;39(7):1033-40. 

When dually present, maternal overweight/obesity and depression combined have the greatest impact on the risk of adverse neonatal outcomes.

MEDICATIONS AND PREGNANCY

No articles this week

POSTPARTUM PSYCHIATRIC ILLNESS

Effect of a Community Agency-Administered Nurse Home Visitation Program on Program Use and Maternal and Infant Health Outcomes: A Randomized Clinical Trial.

Dodge KA, Goodman WB, Bai Y, O’Donnell K, Murphy RA.  JAMA Netw Open. 2019 Nov 1.

This study indicates that a nurse home visitation program for families of newborns can be implemented by a community agency with high penetration and quality.


Interpersonal psychotherapy for perinatal women: a systematic review and meta-analysis protocol.

Bright KS, Charrois EM, Mughal MK, Wajid A, McNeil D, Stuart S, Hayden KA, Kingston D.  Syst Rev. 2019 Oct 29;8(1):248. Free Article


Beyond postpartum depression: posttraumatic stress-depressive response following childbirth.

Dekel S, Ein-Dor T, Dishy GA, Mayopoulos PA.  Arch Womens Ment Health. 2019 Oct 25. 

The vast majority of women with elevated childbirth-related PTSD symptoms also endorsed elevated postpartum depression symptoms. 


Peritraumatic dissociation in childbirth-evoked posttraumatic stress and postpartum mental health.

Thiel F, Dekel S.  Arch Womens Ment Health. 2019 May 21. 

Peritraumatic dissociation predicted PP-PTSD above and beyond premorbid and other childbirth-related factors. In contrast, we found that when controlling for PP-PTSD symptoms, higher levels of peritraumatic dissociation were associated with lower depression and other psychiatric symptom severity. 


Delivery mode is associated with maternal mental health following childbirth.

Dekel S, Ein-Dor T, Berman Z, Barsoumian IS, Agarwal S, Pitman RK.  Arch Womens Ment Health. 2019 Apr 30. 

Women who underwent unplanned cesarean also had higher levels of childbirth-related PTSD symptoms excluding those with vaginal instrumental. 


Effect of prenatal mindfulness training on depressive symptom severity through 18-months postpartum: A latent profile analysis.

Felder JN, Roubinov D, Bush NR, Coleman-Phox K, Vieten C, Laraia B, Adler NE, Epel E.  J Clin Psychol. 2018 Jul;74(7):1117-1125.

Three depressive symptom severity profiles emerged: none/minimal, mild, and moderate. Adjusting for relevant covariates, women receiving prenatal mindfulness treatment were less likely than treatment as usual participants to be in the moderate profile than the none/minimal profile (OR = 0.13, 95% CI = 0.03-0.54, p = .005).

 

MEDICATIONS AND BREASTFEEDING

No articles this week

PERINATAL SUBSTANCE USE DISORDERS

Educational achievement at age 9.5 years of children born to mothers maintained on methadone during pregnancy.

Lee SJ, Woodward LJ, Henderson JMT.  PLoS One. 2019 Oct 10;14(10):

Children born to opioid-dependent women enrolled in methadone maintenance are at high risk of educational delay by age 9.5 years.  Methadone-exposed children had increased odds of educational delay, but this was only marginally significant (OR = 3.62, [1.01-13.01], p = .049).


Drug screening during pregnancy: Urine dip cups measure up.

Kroska EB, Meller EW, Doyle R, Coker JL, Knight BT, Ray-Griffith SL, Nembhard WN, Stowe ZN.  Drug Alcohol Depend. 2019 Aug 30;204:107461

The dip cup had comparable detection of amphetamines, barbiturates, cocaine, methadone, opiates, and tetrahydrocannabinol to the university hospital laboratory with the exception of benzodiazepines. In addition, the dip cup detected use of buprenorphine (a commonly misused opiate receptor ligand not included in the hospital screen) and was significantly less expensive.

MATERNAL MENTAL HEALTH AND CHILD OUTCOMES

No articles this week

MENOPAUSE AND MENTAL HEALTH

No articles this week

OTHER TOPICS IN WOMEN’S MENTAL HEALTH

Neurosteroids as novel antidepressants and anxiolytics: GABA-A receptors and beyond.

Zorumski CF, Paul SM, Covey DF, Mennerick S.  Neurobiol Stress. 2019 Sep 27.Free Article

This review considers potential mechanisms contributing to antidepressant and anxiolytic effects of allopregnanolone and other GABAergic neurosteroids focusing on their actions as positive allosteric modulators of GABAA receptors.