Postpartum depression — risk factors, clinical and treatment aspects
| Autor: | Kinkul'kina Ma, T. I. Avdeeva, I. V. Ignatko, Yu. G. Tikhonova, M. A. Makarova |
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| Rok vydání: | 2021 |
| Předmět: |
Postpartum depression
medicine.medical_specialty Hamilton Anxiety Rating Scale behavioral disciplines and activities postpartum period medicine risk factors Childbirth RC346-429 reproductive and urinary physiology Depression (differential diagnoses) Pregnancy postpartum affective disorders business.industry Obstetrics medicine.disease psychotherapy Psychiatry and Mental health Clinical Psychology Mood postpartum depression Anxiety Neurology. Diseases of the nervous system Neurology (clinical) medicine.symptom business Postpartum period |
| Zdroj: | Nevrologiâ, Nejropsihiatriâ, Psihosomatika, Vol 13, Iss 4, Pp 75-80 (2021) |
| ISSN: | 2310-1342 2074-2711 |
| Popis: | Objective: to analyze the psychopathological structure, risk factors and tretment of depressive disorders in women in the postpartum period.Patients and methods. A prospective cohort study included 150 women in the postpartum period (0-3 days after birth), aged 18 to 41 years, with follow-up every two weeks for six months. The evaluation included clinical interviews, Montgomery-Asberg Depression Rating Scale, and the 17-item Hamilton Anxiety Rating Scale.Results and discussion. 11.3% of women developed depression within six weeks after childbirth. Among them, 94.2% presented with mild depression, and 5.8% - moderate. Risk factors associated with postpartum depression included: periods of low mood and anxiety before and during the current pregnancy, traumatic situations during pregnancy, unwanted pregnancy, pathology of pregnancy and childbirth, cesarean section, perinatal status, lack of breastfeeding. All women with postpartum depression were treated with rational-emotive and cognitive-behavioral therapy. A short course of pharmacotherapy was prescribed to 17.6% of them to correct insomnia and anxiety symptoms. Psychotherapy was highly efficient in the treatment of postpartum affective disorders.Conclusion. The postpartum depression prevalence was 11.3%. The severity of postpartum depression was predominantly mild, and the symptoms regressed during treatment within five months in all women. |
| Databáze: | OpenAIRE |
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