Diagnostics and modern trends in therapy of postpartum depression

Czech version

Authors: A. Šebela; J. Hanka; P. Mohr
Authors‘ workplace: Národní ústav duševního zdraví, Klecany, primář prof. MUDr. P. Mohr, Ph. D.
Published in: Ceska Gynekol 2019; 84(1): 68-72
Category:

V puerperiu se přibližně u 17 % žen rozvine poporodní deprese (PPD) [13]. Když aplikujeme tuto informaci na epidemiologická data z České republiky z roku 2017, můžeme odhadovat, že zhruba 19 000 žen zažilo v roce 2017 příznaky PPD(https://www.czso.cz/). Poporodní deprese s sebou nepřináší jen negativní dopady na ženu samotnou, ale také na jejího partnera a dítě [30].

Overview

Objective: To bring actual summary of knowledge about diagnostics and modern trends in therapy of postpartum depression.

Design: Review.

Setting: National Institute of Mental Health, Klecany.

Methods: Narrative review.

Results: First assessment of depressive symptoms among puerperal women can be done by screening instruments. Baby blues and postpartum psychosis must be kept in mind during the differential diagnostics of postpartum depression. Both nonpharmacological and pharmacological interventions can be used for postpartum depression treatment. As for nonpharmacological interventions, cognitive behavioral therapy is the most evidence based one. Antidepressants from the selective serotonin reuptake inhibitor group (SSRI) are the first choice from pharmacological interventions. Parenting support is also an important component of modern care of women with postpartum depression.

Conclusion: Systematic cooperation between psychiatrist and gynecologists-obstetricians is a precondition of the effective postpartum depression treatment. The therapeutic intervention is chosen according to severity of depressive symptoms.

Keywords:

puerperium – postpartum depression – antidepressants – psychotherapy

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