BMC Pregnancy and Childbirth,
Год журнала:
2024,
Номер
24(1)
Опубликована: Дек. 19, 2024
Gestational
diabetes
mellitus
(GDM)
and
peripartum
depression
(PPD)
are
increasing
global
health
issues
with
potentially
long-lasting
adverse
outcomes.
While
limited
studies
suggest
a
bidirectional
relationship
between
GDM
PPD,
most
research
has
been
cross-sectional
focused
on
one
direction
of
the
relationship,
primarily
if
predicts
postpartum
depression.
The
interplay
antenatal
is
less
explored,
critical
lack
prospective
studies.
This
longitudinal
study
aimed
to
investigate
PPD
in
total
sample
according
different
pre-pregnancy
body
mass
index
(BMI)
categories.
Specifically,
we
examined
whether
symptoms
predict
subsequent
diagnosis
symptoms.
A
three-wave
online
included
360
women
who
were
followed
from
second
trimester
(20–28
weeks,
T1)
through
third
(32–42
T2),
into
period
(6–20
weeks
after
birth,
T3).
Participants
completed
General
Data
Questionnaire,
item
about
GDM,
Edinburgh
Postnatal
Depression
Scale
(EPDS).
was
stratified
BMI
normal-weight
(N
=
247)
overweight/obese
113)
subgroups.
Women
type
I
II
diabetes,
at
T1,
underweight
excluded.
In
sample,
predicted
whereas
did
not
observed
women,
where
diagnosis,
contrast,
no
associations
found
either
subgroup.
provides
evidence
only
normal
weight
before
pregnancy.
results
highlight
complexity
mental
metabolic
health,
that
dependent
BMI.
Clinicians
should
be
aware
may
have
unique
sensitivity
PPD.
Pregnant
closely
monitored
for
both
targeted
prevention
programs
reduce
risks
burdens
associated
conditions.
BMC Pregnancy and Childbirth,
Год журнала:
2025,
Номер
25(1)
Опубликована: Фев. 17, 2025
Pregnancy
and
postpartum
are
considered
vulnerable
periods
for
new
parents
to
develop
obsessive-compulsive
disorder
(OCD).
The
aim
of
this
study
was
threefold:
(1)
establish
the
prevalence
OCD
symptoms
its
course
in
peripartum
period;
(2)
examine
comorbidity
with
depressive
symptoms;
(3)
investigate
which
sociodemographic,
obstetric,
individual
characteristics
predictors
symptoms.
A
longitudinal
included
397
women
during
pregnancy
(T1)
6-12
weeks
(T2).
Participants
filled
out
obstetrical
demographic
sheet,
Anxiety
Sensitivity
Index
(ASI),
Emotional
Stability
subscale
from
International
Personality
Item
Pool-50
(IPIP-50),
Brief
Resilience
Scale
(BRS)
all
at
T1,
Yale-Brown
Obsessive
Compulsive
(Y-BOCS)
Edinburgh
Postpartum
Depression
(EPDS)
T1
T2.
In
sample,
15.1%
reported
postpartum,
9.8%
who
had
both
time
points.
However,
majority
experienced
mild
severity,
according
Y-BOCS.
Of
experiencing
symptoms,
33%
43%
comorbid
period,
respectively.
level
significantly
decreased
after
childbirth.
None
sociodemographic
or
obstetric
variables
were
a
significant
predictor
postpartum.
After
controlling
current
depression
higher
psychological
concerns
anxiety
sensitivity
(but
not
physical
social
concerns)
neuroticism
levels
At
same
time,
resilience
lower
only
T1.
One
six
has
substantial
Women
high
on
prone
while
is
protective
factor.
Not
applicable.
Mental Health Science,
Год журнала:
2025,
Номер
3(2)
Опубликована: Март 22, 2025
ABSTRACT
Postpartum
anxiety
and
depression
are
two
of
the
leading
causes
maternal
morbidity
emerge
from
being
one
most
underdiagnosed
undertreated
mental
health
problems.
Its
prevalence
has
been
reported
to
affect
about
10%–20%
pregnant
women.
Due
such
large‐scale
prevalence,
need
for
better
diagnostic
techniques
therapeutic
management
addressed
in
this
review.
Maternal
largely
influences
newborn,
affecting
not
only
growth
development
child
but
also
mother‐child
bond
as
mothers
with
postpartum
reportedly
have
a
lack
interest
their
child.
Understanding
pathophysiology
disease
including
hormonal
factors,
neurotransmitter
pathways
that
become
skewed,
genetic
psychosocial
essential
develop
treatment
options.
This
review
outlines
all
different
theories
so
far
researched
field.
Although
significant
strides
made
developing
management,
further
research
testing
is
emphasized.
Unfortunately,
safety
several
antidepressant
classes
can
be
used
treat
anxiety,
cannot
undertaken
due
major
ethical
issues
it
raises
conducting
highlights
promising
avenues
potential
prevent
debilitating
disease.
Using
biomarkers
early
detection,
field
pharmacogenomics
which
helps
tailor
prescriptions
personalized
treatment,
pharmacological
treatments
include
antidepressants
like
serotonin
reuptake
inhibitors,
norepinephrine
inhibitors
various
nonpharmacological
measures
massages,
psychotherapy,
co‐parenting,
postnatal
exercises,
kangaroo
care,
music
remedies,
discussed.
Finally,
role
public
education
highlighting
prevention
stigma
surrounding
addressed.
Journal of Clinical Medicine,
Год журнала:
2025,
Номер
14(7), С. 2418 - 2418
Опубликована: Апрель 1, 2025
Postpartum
depression
(PPD)
is
a
severe
mental
health
condition
that
affects
women
following
childbirth
and
marked
by
persistent
sadness,
anxiety,
fatigue,
difficulty
functioning.
Unlike
the
temporary
"baby
blues",
PPD
more
long-lasting,
potentially
leading
to
negative
consequences
for
mother
child.
Globally,
impacts
approximately
10-20%
of
postpartum
women,
with
prevalence
influenced
genetic,
hormonal,
psychological,
socio-environmental
factors.
Early
detection
crucial,
screening
tools
such
as
Edinburgh
Postnatal
Depression
Scale
(EPDS)
commonly
used
in
clinical
practice.
Treatment
options
include
pharmacological
interventions
selective
serotonin
reuptake
inhibitors
(SSRIs),
psychological
therapies
like
cognitive
behavioral
therapy
(CBT)
interpersonal
(IPT),
lifestyle
modifications.
Despite
growing
awareness
PPD,
stigma
remains
significant
barrier
treatment,
discouraging
many
from
seeking
help.
In
low-income
countries,
where
care
often
underfunded,
accessing
professionals
trained
perinatal
presents
an
even
greater
challenge.
This
gap
underscores
urgent
need
collaborative,
multidisciplinary
approach
involving
obstetricians,
psychiatrists,
pediatricians,
midwives
ensure
comprehensive
support
affected
individuals.
Journal of Affective Disorders,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 1, 2025
Clinically,
postpartum
depression
(PPD)
is
frequently
diagnosed
with
maternal
comorbid
mental
disorders
(postpartum
anxiety,
PPA;
personality
disorders,
PD)
in
mothers.
Its
association
impaired
Parental
Embodied
Mentalizing
(PEM)
remains
unclear.
This
study
aims
to
investigate
embodied
risk
and
protective
factors
of
parental
mentalizing
PPD-mothers.
More
fewer
were
hypothesized
as
a
function
comorbidities.
Sixty-eight
mothers
infants
aged
3-10
months
examined
using
the
Assessment™
(PEMA™)
on
5-minute
videotaped
free-play
interaction.
Six
subgroups
compared
according
DSM-IV
diagnoses:
PPD;
PPD
Borderline
PD
(BPD);
PPD,
PPA,
BPD;
other
PDs;
PDs.
Overall,
variable
subgroup
differences
observed
(d
=
0.9-1.09):
PPD-mothers
demonstrated
highest
BPD
lowest
factors,
particular
Sustained
Presence.
PPA
PDs
showed
interactive
Repair,
Connectivity.
There
no
substantial
group
factors.
However,
displayed
Teasing
Objectification,
i.e.,
treating
infant
an
inanimate
object.
In
case
comorbidities
must
be
taken
into
account,
they
primarily
impact
character
mother's
communication
during
infancy.
Comorbid
associated
more
whereas
and/or
are
increased
over-control.
Further
research
needed
validate
PEMA™
including
non-clinical
control
group.
Journal of Biosocial Science,
Год журнала:
2025,
Номер
unknown, С. 1 - 20
Опубликована: Май 13, 2025
Abstract
Hypertensive
disorders
of
pregnancy
(HDP)
and
postpartum
depression
(PPD)
are
significant
global
health
challenges
affecting
maternal
child
well-being.
HDP,
including
pre-eclampsia,
gestational
hypertension,
chronic
complicate
up
to
10%
pregnancies
worldwide,
with
profound
implications
for
mortality,
particularly
in
low-
middle-income
countries
(LMICs)
like
Ghana.
The
incidence
HDP
is
rising
globally,
contributing
substantially
deaths
severe
perinatal
outcomes
such
as
stillbirth
low
birth
weight.
Concurrently,
mental
issues,
PPD,
affect
a
proportion
women
higher
prevalence
rates
observed
LMICs.
Despite
the
known
physiological
impacts
their
association
remains
underexplored,
especially
LMIC
contexts.
A
systematic
review
meta-analysis
were
conducted
explore
between
PPD
LMICs,
focusing
on
available
literature
studies
from
diverse
settings.
Additionally,
semi-structured
qualitative
interviews
healthcare
professionals
Ghana
gather
insights
into
local
perspectives
experiences
regarding
this
association.
revealed
consistent
increased
risk
across
various
Meta-analysis
findings
indicated
pooled
odds
ratio,
highlighting
robust
statistical
linkage
severity
subsequent
risk.
Qualitative
data
underscored
professionals’
observations
heightened
psychological
distress
among
emphasizing
complex
interplay
complications
Ghanaian
context.
study
underscore
critical
need
integrated
strategies
that
address
both
physical
aspects
HDP.
By
elucidating
these
connections,
contributes
advancing
evidence-based
interventions
support
systems
tailored
settings,
aiming
mitigate
adverse
improve
overall
care
similar
contexts
worldwide.
These
pivotal
informing
policy
decisions,
guiding
practices,
fostering
targeted
enhance
well-being
during
vulnerable
period.
