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Perinatal depression and psychosis: an update

  • Myles Doyle, Angela Carballedo and Veronica O'Keane
  • Please note an addendum has been issued for this article.

Summary

About 85% of women experience some type of postpartum mood disturbance. Generally, the symptoms are mild and short-lived, but a minority of women develop depressive illness or sudden psychosis. About half of episodes of apparently postnatal depression start during pregnancy and some seemingly postpartum psychoses start before delivery. Untreated antenatal depression can lead to poor obstetric outcomes, subsequent depression in the mother, and developmental disadvantage and depression later in life in the offspring. In this article we discuss the aetiology of perinatal depression and consider recommended pharmaceutical and psychosocial management of postpartum blues, perinatal depression and postpartum psychosis.

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Copyright

Corresponding author

Dr Angela Carballedo, Institute of Neuroscience, College Green, Trinity College Dublin, Dublin D2, Ireland. Email: carbala@tcd.ie

Footnotes

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Learning Objectives

Delineate the aetiological and epidemiological factors associated with the development of perinatal depression Appreciate the differential diagnosis and assessment of risk in perinatal depression and postnatal psychosis Highlight main pharmacological and psychosocial recommendations for the management of perinatal depression and psychosis

Declaration of Interest

None

Footnotes

References

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Perinatal depression and psychosis: an update

  • Myles Doyle, Angela Carballedo and Veronica O'Keane
  • Please note an addendum has been issued for this article.

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Perinatal depression and psychosis: an update

  • Myles Doyle, Angela Carballedo and Veronica O'Keane
  • Please note an addendum has been issued for this article.
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