Account

The Journal of Clinical Psychiatry, 63 Suppl 7, 31-44, 2002

The treatment of postpartum depression: minimizing infant exposures

Arnold A , Z N Stowe

Author affiliations
Read at source

Abstract

The first 3 postpartum months represent a high-risk period for psychiatric illnesses. This article reviews the prevalence and diagnostic criteria for postpartum illnesses, including the "maternal blues," postpartum depression, and postpartum psychosis. Pharmacologic treatment of these disorders is often complicated by a patient's desire to breast-feed, yet there are no controlled trials of antidepressant treatment during lactation. Infant exposure and limitations to monitoring infant sera are reviewed. Lastly, a model and guide for reducing fetal and infant exposures is presented.

Topics

Postpartum > Mental Health > Postpartum Depression TreatmentPregnancy > Postpartum Care > Pharmacotherapy During Lactation
postpartum depression pharmacologic treatment breastfeeding, antidepressant lactation infant exposure, postpartum psychosis maternal blues treatment review, postpartum depression medication breast milk infant safety, Newport Stowe postpartum depression treatment, reducing fetal infant antidepressant exposure breastfeeding, postpartum psychiatric illness prevalence diagnostic criteria, lactation antidepressant prescribing minimizing infant risk, postpartum depression pharmacotherapy guidelines nursing mothers

Cite this article

Newport, D. J., Hostetter, A., Arnold, A., & Stowe, Z. N. (2002). The treatment of postpartum depression: minimizing infant exposures. *The Journal of clinical psychiatry*, *63 Suppl 7*, 31-44.

Keywords

Adult, Breast Feeding/adverse Effects, Clinical Trials As Topic, Depression, Postpartum/diagnosis/drug Therapy/epidemiology, Drug Monitoring, Female, Fetal Diseases/chemically Induced/epidemiology, Humans, Infant, Newborn, Maternal Exposure/adverse Effects, Maternal-Child Nursing, Maternal-Fetal Exchange, Milk, Human, Practice Guidelines As Topic, Pregnancy, Prevalence, Psychotic Disorders/diagnosis/drug Therapy/epidemiology, Puerperal Disorders/diagnosis/drug Therapy/epidemiology, Reproducibility of Results, Risk Factors, Terminology As Topic

Related articles

Depression during pregnancy and the puerperium
Llewellyn AM et al. 1997 The Journal of clinical psychiatry

Epidemiologic studies demonstrate a twofold higher rate of depression in women than in men. The childbearing years are a time of increased risk for onset of depression in women. Pregnancy, miscarriage...

Depression During PregnancyPostpartum Depression TreatmentPerinatal Mood Disorders

Transdermal oestrogen for treatment of severe postnatal depression
Gregoire AJ et al. 1996 Lancet (London, England)

BACKGROUND: Postnatal depression can have long-term adverse consequences for the mother, for the marital relationship, and for the infant's psychological development. Such depressions can be severe an...

Postpartum Depression TreatmentEstrogen as AntidepressantRandomized Double-Blind Placebo-Controlled Trial

Female reproductive cycle and obsessive-compulsive disorder
Labad J et al. 2005 The Journal of clinical psychiatry

BACKGROUND: The aim of our study was to assess whether there is a relationship between reproductive cycle events and the initiation or changes in symptoms of obsessive-compulsive disorder (OCD). METH...