Psychiatric Emergencies in Pregnancy and Postpartum

Rodriguez-Cabezas, Lisette; Clark, Crystal T.

doi:10.1097/grf.0000000000000377

Cited by 54 publications

(75 citation statements)

References 65 publications

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“…Using the EPDS, both systematic and expert review studies conclude that the prevalence of PPD ranges from approximately 10 to 20% (Pearlstein et al, 2009; Shorey et al, 2018; Matsumoto et al, 2011). Although previous work has documented the high prevalence of PPD and its potentially serious outcomes among parturients (including suicide; Rodriguez-Cabezas & Clark, 2018), PPD has remained a major public health concern worldwide. Thus, specialists have recommended that parturients should be more closely observed during their first year postpartum (Van der Zee-van den Berg et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Association of late-onset postpartum depression of mothers with expressive language development during infancy and early childhood: the HBC study

Aoyagi

Takei

Nishimura

et al. 2019

PeerJ

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Background While it has been implied that an infant’s exposure to maternal postpartum depression (PPD) may be associated with delayed development of expressive language, it remains unclear whether such a delay persists into childhood and whether the onset of PPD onset—early (within 4 weeks after childbirth) vs. late (between 5 and 12 weeks postpartum)—is relevant in this context. Objective To examine whether children of mothers with early- or late-onset PPD have reduced expressive language scores during infancy and early childhood (up to 40 months of age). Methods This longitudinal, observational study was conducted as a part of the Hamamatsu Birth Cohort for Mothers and Children (HBC Study), a population-representative sample in Japan. A total of 969 neonates and their mothers were included in the analysis. Exposures Early- and late-onset PPD was measured using the Edinburgh Postnatal Depression Scale. Main Outcomes and Measures Expressive language development was measured using the Mullen Scales of Early Learning. Six points over time were monitored (10, 14, 18, 24, 32, and 40 months postpartum). The relationship between the exposure variable and any change in expressive language score was evaluated using multiple linear regression analysis and growth curve analysis, both adjusted for covariates. Results Results from the adjusted regression analysis showed that children of mothers with late-onset PPD had significantly lower expressive language scores at 18 months of age and beyond, with a score reduction of approximately 0.6 standard deviations from the reference value at 40 months of age (95% CI [−0.888 to −0.265], p < .001). This association was confirmed on growth curve analysis, which revealed a significant, monotonic decline of expressive language development between 10 and 40 months of age among children of mothers with late-onset PPD, but not among children of mothers with early-onset PPD. Conclusion Exposure to late-onset PPD may lead to a persistent decline in the rate of expressive language development in offspring during infancy and early childhood, highlighting the significance of monitoring for late-onset PPD to facilitate early detection and intervention.

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Section: Introductionmentioning

confidence: 99%

Association of late-onset postpartum depression of mothers with expressive language development during infancy and early childhood: the HBC study

Aoyagi

Takei

Nishimura

et al. 2019

PeerJ

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“…In addition, telemedicine including home telephonebased peer support, health visits, and psychotherapy will as well help in preventing PP [37].There is a knowledge gap as to partners' experiences of PPP. This is partly due to the inadequate awareness on the account of the both parents to involve in monitoring PPP [47].When partners are more vigilant to signs of relapse and inculcate positive attitudes and relationships, it will help in alleviating the stressful conditions that leads to depression [47] Maternity and mental health services should address domestic violence to improve health outcomes for women [55].…”

Section: Prevention Of Postpartum Psychosismentioning

confidence: 99%

“…The role of psychological stressors and underlying biology on the development of PPP is an area that requires careful study [23]. If obstetrician/gynecologists cannot treat the patient, the patient will have to be referred as clinically appropriate [7]. We recommend screening pregnant and postpartum women for depression and this should be based on two-step and one-step screening strategies.…”

Section: Psychosocial Supportmentioning

confidence: 99%

“…This will be timely enough to avoid non negligible consequences for the mother to develop PPP [6]. The identified clinical features include abnormal thoughts or behaviors, confusion and mood fluctuation, psychosis or, excessive anxiety during the perinatal period [6,7]. Bipolar disorder, affective psychosis, and schizophrenia are as well much under study [8].…”

Section: Introductionmentioning

confidence: 99%

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Postpartum Psychosis: Risk factors and Management

Bajinka¹

2022

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Following childbirth, with a psychosis and associated mood disturbance, Postpartum Psychosis (PPP) is studied to be a severe mental health condition. PPP affects 1 to 2 per 1000 women among the psychiatric emergency. To curb this severe disorder, acute clinical intervention is warranted. Maternal mental health problems with a focus on depression as the condition with the biggest public health impact should be the way forward. This review is set to look into the risk factors, prevention and management of PPP. Both the acute onset and recurrence of psychiatric illness are common during the perinatal period as women are more vulnerable during this period. Timely detection and effective management of perinatal psychiatric disorders are critical for managing PPP. Part of the management strategies for women who experience PPP is to seek guidance on further pregnancies and risk of illness. Since PPP is a disturbing complication of childbirth that carries high risks for both mother and child, if one is at high risk of developing puerperal psychosis, there is the need for a specialist care during pregnancy and be seen by a psychiatrist.

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“…Fast ein Viertel der Todesfälle schwangerer Patientinnen geht auf Suizide zurück, wobei Suizidgedanken den stärksten Prädiktor für Suizidhandlungen darstellen. Weitere Risikofaktoren für perinatale Suizidalität sind [1]…”

Section: Prävention/screening Von Suizidalitätunclassified

Dilemmasituation: Akute psychische Erkrankungen in der Schwangerschaft

Minkwitz¹,

Schwerthöffer²

2021

Dtsch Med Wochenschr

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Psychiatric Emergencies in Pregnancy and Postpartum

Cited by 54 publications

References 65 publications

Association of late-onset postpartum depression of mothers with expressive language development during infancy and early childhood: the HBC study

Association of late-onset postpartum depression of mothers with expressive language development during infancy and early childhood: the HBC study

Postpartum Psychosis: Risk factors and Management

Dilemmasituation: Akute psychische Erkrankungen in der Schwangerschaft

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