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Depression, Postpartum

Uruj Kamal Haider, MD and Destiny D. Pegram, MD Reviewed 06/2022
 


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, guilt, low self-esteem

  • Increased/decreased sleep, decreased energy, decreased concentration, i...

TREATMENT

GENERAL MEASURES

  • Assess for the presence of suicidal ideation.

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

  • Assess for symptoms of psychosis inc...

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]
2
...

CODES

ICD10

  • F53 Puerperal psychosis

  • O90.6 Postpartum mood disturbance

SNOMED

  • 58703003 postpartum depression (disorder)

  • 279225001 Maternity blues

CLINICAL PEARLS

  • Universal screening for depression is recommended during the 1st and 3rd trimester and at regular intervals during the postpartum period.

  • Early diagnosis and treatment are vital, as unt...

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