Posts Tagged ‘prenatal depression’


Nine months to madness

Thursday, December 24th, 2009

Lesley Pitt could hear babies crying when no one else could. Nightmares followed. So did inappropriate behaviour, jumping up and down on the bed and inconsolable crying. Then came thoughts of suicide.

The diagnosis was postnatal psychosis. It took anti-psychotic drugs to pull Ms Pitt out of the dungeon she was trapped in after her daughter, Sarah, was born.

The first sign of what was to follow was that the birth was difficult and ended in an emergency caesarean.

“I felt different right from that stage,” she says. “I felt like I had a completely different personality, I didn’t feel like myself.”

Ms Pitt didn’t talk to anyone, didn’t say a thing. All she knew was she didn’t feel normal.

Read on…

Subscribe to Audio Weeklies

Wednesday, November 25th, 2009

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Medications During Pregnancy: A Vexing Dilemma

Thursday, November 19th, 2009

After my daughter was born last year, I swore she would be an only child. I had postpartum depression and couldn’t imagine putting myself through that again. Add a year, education, medication and an almost-full recovery and I’ve started to change my mind. But here is the rub: What about the meds during the next pregnancy?

The American Psychiatric Association and American Congress of Obstetricians and Gynecologists recently released a report about depression and pregnancy, along with recommendations on treatment. According to the report, some patients with mild-to-moderate depression can be treated with psychotherapy alone or in combination with medication. But those with more-severe or recurrent bouts of depression should remain on their meds during pregnancy, and the sickest depressed women may want to consider electroconvulsive therapy, often called shock therapy, which is actually considered safe and effective during pregnancy.

Read on…

Alleviate Symptoms of Prenatal Stress with Massage Therapy

Thursday, October 22nd, 2009

While most people realize that massage therapy has many health benefits, many do not realize massage therapy can be a beneficial complementary aspect of a woman’s prenatal care regimen. Therapists at Massage Envy locations in DFW have noticed an increase in the number of pregnant women setting appointments for massage therapy sessions.

As the numbers increase, it has become clear that pregnant women are recognizing massage therapy can reduce stress while promoting general well-being. Pregnancy can be physically grueling and proper massage therapy can relieve many of the natural discomforts that come with carrying a child.

Read on…

Depression Is a Dilemma for Women in Pregnancy

Tuesday, October 20th, 2009

When Sherean Malekzadeh Allen of Marietta, Ga., learned she was pregnant, she was 43, had been married for two years, had gone through two miscarriages and had all but given up hope of having a baby.

But instead of being overjoyed, Ms. Allen was immobilized: panic-ridden, nauseated, listless and thoroughly depressed. She could not rouse herself to go to work in the marketing business she founded and ran, or even get through the newspaper.

Read on…

Fighting the stress of pregnancy

Tuesday, October 13th, 2009

Anxiety during pregnancy is common, but new research shows that stress can harm a baby’s development, leading to long-term problems

Being pregnant is stressful. In a perfect world we would see the little blue line of new life and then book nine months of yoga and pedicures. Most of us, however, keep working, move into a bigger, more run-down home and row with our partners about money. Yet new research shows that looking after ourselves during pregnancy could be the most important thing for our children.

Read on…

The management of depression during pregnancy: a report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists.

Monday, October 12th, 2009

OBJECTIVE: To address the maternal and neonatal risks of both depression and antidepressant exposure and develop algorithms for periconceptional and antenatal management. METHOD: Representatives from the American Psychiatric Association, the American College of Obstetricians and Gynecologists and a consulting developmental pediatrician collaborated to review English language articles on fetal and neonatal outcomes associated with depression and antidepressant treatment during childbearing. Articles were obtained from Medline searches and bibliographies. Search keywords included pregnancy, pregnancy complications, pregnancy outcomes, depressive disorder, depressive disorder/dt, abnormalities/drug-induced/epidemiology, abnormalities/drug-induced/et. Iterative draft manuscripts were reviewed until consensus was achieved. RESULTS:

Read on

Depression in Pregnancy & Postpartum: Video

Sunday, October 11th, 2009

Danish research and SSRI use during pregnancy

Monday, October 5th, 2009

While the title itself raises eyebrows, the researchers themselves state that they were unable to conclude if the results were because of medication or the underlying depression. Also important to keep in mind is that this research is based on women who had prescriptions filled for SSRIs but does not appear to have checked to see if these women actually took the medication. Instead, they rely on data from a national registry.  Read on…

Dr. Shosh Says…

Finally, treatment for the serious and potentially life-threatening illness of prenatal depression (for both mom and therefore baby) is being formally discussed.  Fifteen percent of clinically depressed pregnant women try to take their lives – a bit more risky for the baby than mom taking an antidepressant, wouldn’t you say?  If the pregnant woman can be non-depressed without a medication, that’s optimal.  Some form(s) of treatment, however is essential.  If natural and alternative approaches to wellness are not enough, it is regarded by those in the know to be safer for her (and her developing baby) to take an antidepressant than to remain depressed.  Depression itself –  it is quite clear from the research – crosses the placenta and alters the uterine environment causing negative consequences to the baby.  In the latest research there appears to be low (0.9%) chance of a septal heart defect in babies whose mothers had taken certain antidepressants.  However, what fear-mongers do not report, is that the researchers themselves could not be sure whether it’s the antidepressant or the underlying depression itself that caused the defect.  Women need all relevant information and education about options for treatment during pregnancy so they can make the best decision for themselves and their family.  Watch out for alarmists who are not interested in actual data – they are simply invested in promoting fear in women who are at their most vulnerable.

Pregnant and Depressed

Saturday, October 3rd, 2009

Depression accompanying pregnancy is a topic that receives less discussion than the well-documented postpartum depression.

Depression is not uncommon in pregnant women. Between 14 and 23 percent of pregnant women will experience a depressive episode while pregnant.

In 2003, approximately 13 percent of pregnant women took an antidepressant at some point during their pregnancy. According to background information in an article in the journal General Hospital Psychiatry, this rate has doubled since 1999. Many women go untreated due to concerns regarding the safety of treating pregnant women.

A variety of medical specialists collaborated on the report, “The management of depression during pregnancy: A report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists.”  Read on…

Note by Dr. Shosh:

This article accurately points out how prenatal depression can cause problems both for the mother and the growing baby.  It is also true, as is stated here, that researchers are still not sure whether some of the problems with the newborns of pregnant women taking antidepressants are due to the medications or to the underlying depression.  The data is not clear, since depression itself can cause these same issues, including preterm delivery.