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Depression, Postpartum

Uruj Kamal, MD and Destiny D. Pegram, MD Reviewed 06/2020
 


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

  • Decreased interest in formerly compelling or pleasurable activities

  • Depressed/Low mood

  • Increased/decreased sleep

  • Guilt, low self-esteem

  • Decreased energy

  • Decreased concentration

  • Increased/de...

TREATMENT

GENERAL MEASURES

  • Assess for the presence of suicidal ideation.

  • Assess for the presence of homicidal ideation and thoughts of harming the baby (infanticide).

  • Suicidal ideation, homicidal ideatio...

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
Stuart-Parrigon K, Stuart S. Perinatal depression: an update and overview. Curr Psychiatry Rep.  2014;16(9):468. [View Abstract on OvidMedline]
2
Wisner KL, Sit DK, McShea MCet al. Onse...

ADDITIONAL READING

  • Becker M, Weinberger T, Chandy Aet al. Depression During Pregnancy and Postpartum. Curr Psychiatry Rep.  2016;18(3):32. [View Abstract on OvidMedline]

  • Edinburgh Postnatal Depres...

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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