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Depression, Postpartum

Misty Stafford, MD and Nancy Byatt, DO, MS, MBA, FAPM Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Major depressive disorder (MDD) that recurs or has its onset in the postpartum period

  • May also occur in mothers adopting a baby or in fathers

  • Postpartum depression (PPD) is similar to ...

DIAGNOSIS

HISTORY

  • Increased/decreased sleep

  • Decreased interest in formerly compelling or pleasurable activities

  • Guilt, low self-esteem

  • Decreased energy

  • Decreased concentration

  • Increased/decreased appetite

  • Ps...

TREATMENT

GENERAL MEASURES

  • Outpatient individual psychotherapy in combination with pharmacotherapy

  • Interpersonal psychotherapy and cognitive behavioral therapy

  • Strongly consider pharmacotherapy when symp...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Collaborative care approach, including primary care visits and case manager follow-ups

  • Consultation with the infant’s doctor, particularly if the...

REFERENCES

1
1 Stuart-Parrigon K, Stuart S. Perinatal depression: an update and overview. Curr Psychiatry Rep.  2014;16(9):468. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Wisner KL, Sit D...

ADDITIONAL READING

CODES

ICD10

  • F53 Puerperal psychosis

  • O90.6 Postpartum mood disturbance

ICD9

  • 648.44 Mental disorders of mother, postpartum condition or complication

  • 648.42 Mental disorders of mother, delivered, with mention...

CLINICAL PEARLS

  • PPD is a common, debilitating medical condition that impairs a mother’s ability to function and interact with her infant and family.

  • Universal screening for depression is recommended du...

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