I was afraid that they were not going to work for me. Random effects meta-analyses were conducted to pool data where sufficient comparable studies were identified. When I took the medication, after a while my mood lifted.
Psychological treatments for PPD are often the treatment of choice for women, as they are effective for the treatment of depressive symptoms and do not involve the risks of exposure to medications.
Six sessions of CBT plus placebo pill was as effective as treatment with fluoxetine plus one session of CBT, but there was no added benefit in the group receiving 6 counseling sessions in combination with fluoxetine. We were unable to combine the data from studies comparing antidepressants with other treatments or treatment as usual due to the very small number of studies identified for these comparisons.
In a similar study conducted in Sweden, Wickberg and Hwang randomized 31 women with PPD to receive six nondirective counseling sessions by child health clinic nurses or routine primary care.
Footnotes The authors report no conflicts of interest in this work. Research supports both psychotherapy and other psychosocial interventions as effective in mitigating symptoms of PPD. Long-term use of estrogen therapy can cause endometrial hyperplasia and slightly elevates the risk of endometrial cancer; although this risk can be mitigated by co-administration of progesterone, 86 the increase in depressive symptoms with progestogen seen in the Lawrie study complicates the implementation of this strategy.
Conclusions were also limited by the lack of data on long-term follow-up, the safety of breastfeeding or child outcomes. These two types of therapy can be provided either in groups or individually.
The British Medical Journal; You may also be interested in: This then may stop you from interacting with others and becoming more isolated. Results showed that fluoxetine was better than placebo, and 6 sessions of counseling were better than 1, but there was no added benefit to combining fluoxetine and multiple counseling sessions.
Who will be interested in this review? In a new window Figure 3 Forest plot of scores comparing psychological interventions vs control conditions at longer-term follow-up median time 6 mofixed effects analysis.
It is not clear what the effects of antenatal or postnatal acupuncture are on postnatal depression. Meta-analyses were performed to pool data on response and remission from studies comparing antidepressants with placebo.
Rates and risk of postpartum depression: In summary, massage in its various forms described above has few risks, and may have benefits for women and their infants, but its effectiveness as a treatment for PPD remains in question.
Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. It can be quickly scored, and a woman who meets a threshold score can be assessed in more detail.
Very few studies have compared different classes of medications used in postpartum depression. Detecting the condition is often complicated by several factors, he adds.
The condition has a substantial impact on the whole family, and while effective treatments are available, fewer than half of cases are detected in routine care.
Psychological services should be commissioned in situations where they do not already exist, and where they do exist, their availability should reflect the prevalence of postnatal depression.
All medications pass into breast milk, though the extent of passage varies considerably between drugs, and sertraline, paroxetine and nortriptyline currently appear to have the best safety profiles in breastfeeding. Secondary searches were performed using the bibliographies of review articles 12 — 14 and other articles obtained through these search methods.
We requested missing information from investigators wherever possible.How effective is postpartum depression screening? More than one in 10 new mothers is thought to experience significant postpartum depression.
The condition has a substantial impact on the whole family, and while effective treatments are available, fewer than half of cases are detected in routine care. Antidepressant medication is commonly used as a first-line treatment for postnatal depression, assessed the effectiveness of psychological interventions for postnatal depression, comparing them with any other treatment or a wait-list control; enrolled participants recruited from either primary care or via community screening; and delivered.
Effective interventions are available, but the condition remains underdiagnosed Major depressive episodes after childbirth are referred to as postnatal depression or, in the United States, as postpartum depression. During the first six months after delivery the prevalence of major depression is estimated at %.w1 The precise time frame for defining postnatal depression has varied across.
Below is a range of effective treatment for postnatal depression. The type of treatment and time required will depend on a range of factors including your personal situation, the severity of your symptoms, and how you respond to treatment.
Try and be aware that treatment can take time, energy and patience. To assess the effectiveness of antidepressant drugs in comparison with any other treatment (psychological, psychosocial or pharmacological), placebo or treatment as usual for postnatal depression.
Search strategy. Recently delivered women who meet the ICD diagnosis for depression will be randomised to usual care plus exercise or usual care only. The exercise intervention will be delivered over 6 months. The primary outcome measure is difference in mean Edinburgh Postnatal Depression Scale score between the groups at six month follow-up.Download