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Antepartum Depression

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321. Abbreviated MgSO4 Therapy in Post-Partum Preeclampsia

for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Women with suspected mild preeclampsia diagnosed antepartum, intrapartum, or post-partum were eligible for inclusion after delivery at term (≥ 34 weeks’ gestational age). Exclusion Criteria: Inability to give informed consent, preterm delivery, severe preeclampsia Contacts and Locations Go to Information from the National (...) : pregnancy preeclampsia treatment Additional relevant MeSH terms: Layout table for MeSH terms Pre-Eclampsia Hypertension, Pregnancy-Induced Pregnancy Complications Magnesium Sulfate Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anesthetics Central Nervous System Depressants Anti-Arrhythmia Agents Anticonvulsants Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Calcium-Regulating Hormones and Agents

2006 Clinical Trials

322. The importance of providing smoking relapse counseling during the postpartum hospitalization. (Abstract)

in the Northeast United States and two prenatal care sites.A nonprobability convenience sample of 62 pregnant women.A brief counseling session using empowerment techniques, motivational interviewing, identification of stressors and individual coping strategies, and educational materials.Relapse to smoking measured by cotinine analysis and descriptive data collected during the antepartum, intrapartum, and postpartum periods.Fifty-two percent of women relapsed to smoking by the 2nd week postdelivery, identifying (...) rest and relaxation and depression as main factors for relapsing. Chi-square analysis showed no significant difference between the two groups regarding the intervention provided. There was a 39% discrepancy rate between self-reporting of tobacco use and cotinine analysis during pregnancy and a 27% discrepancy rate after delivery.Because of the high occurrence of relapse in the first 2 weeks after delivery, it is imperative that nurses provide interventions to women before their postpartum hospital

2005 Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG Controlled trial quality: uncertain

323. Chronotherapeutics (light and wake therapy) in affective disorders. (Abstract)

patients, morning light hastens and potentiates the antidepressant response. Light therapy shows benefit even for patients with chronic depression of 2 years or more, outperforming their weak response to drugs. This method provides a viable alternative for patients who refuse, resist or cannot tolerate medication, or for whom drugs may be contraindicated, as in antepartum depression. (3) Given the urgent need for new strategies to treat patients with residual depressive symptoms, clinical trials (...) , total (all night) or partial (second half of the night). Relapse can be prevented by daily light therapy, concomitant administration of SSRIs, lithium (for bipolar patients), or a short phase advance of sleep over 3 days following a single night of wake therapy. Combinations of these interventions show great promise. (2) Light therapy is effective for major depression--not only for the seasonal subtype. As an adjuvant to conventional antidepressants in unipolar patients, or lithium in bipolar

2005 Psychological Medicine

324. Pregnancy, delivery, and neonatal complications in a population cohort of women with schizophrenia and major affective disorders. (Full text)

Pregnancy, delivery, and neonatal complications in a population cohort of women with schizophrenia and major affective disorders. This study ascertained the incidence of complications during pregnancy, labor, and delivery and the neonatal characteristics of infants born to women with schizophrenia, bipolar disorder, or major depression in a population-based cohort.Based on records linkage across a psychiatric case register and prospectively recorded obstetric data, the study comprised women (...) placental abnormalities, antepartum hemorrhages, and fetal distress. Women with schizophrenia were significantly more likely to have placental abruption, to give birth to infants in the lowest weight/growth population decile, and to have children with cardiovascular congenital anomalies. Neonatal complications were significantly more likely to occur in winter; low birth weight peaked in spring. Complications other than low birth weight and congenital anomalies were higher in pregnancies after

2005 American Journal of Psychiatry PubMed abstract

325. A comprehensive analysis of adverse obstetric and pediatric complications in women with asthma. (Abstract)

in pregnancy, and assisted delivery) were not higher in pregnancies of women with asthma compared with those without asthma, with the exception of increases in antepartum (OR, 1.20; 95% CI, 1.08-1.34) or postpartum (OR, 1.38; 95% CI, 1.21-1.57) hemorrhage, anemia (OR, 1.06; 95% CI, 1.01-1.12), depression (OR, 1.52; 95% CI, 1.36-1.69), and caesarean section (OR, 1.11; 95% CI, 1.07-1.16). Risks of miscarriage, depression, and caesarean section increased moderately in women with more severe asthma

2007 American Journal of Respiratory and Critical Care Medicine

326. Delay In Walking

of developmental delay. Most of the answers should be in the "red book", the personal health record of the child. Were there any problems in pregnancy? Antepartum haemorrhage or hypertension in pregnancy may be relevant. Was the child a full-term normal delivery? Prematurity and problems suggesting possible intrapartum asphyxia should be noted. Relatively few cases of cerebral palsy are due to intrapartum asphyxia. [ ] As babies of earlier gestation are surviving they may be contributing to the cases (...) inherited conditions in the family? A family history of muscular dystrophy or some other neurological disorder may be significant. Carer circumstances Has the mother been trying to get the baby to walk? An overprotective or immature mother may be treating the baby like a doll - just feeding, changing and keeping in the pram or cot. Has the baby had a chance to try to develop motor skills? Has the mother encouraged these? Is there untreated maternal postnatal depression to be considered? Examination

2008 Mentor

327. General Learning Disability (Full text)

, Hurler's syndrome). Cerebral degeneration: eg, gangliosidoses, leukodystrophies. Structural disorders: eg, tuberous sclerosis, familial hydrocephalus, neurofibromatosis. Intrauterine: Nutritional deficiency: eg, iodine deficiency. Congenital infection: eg, cytomegalovirus, rubella, toxoplasmosis. Drugs: eg, phenytoin, alcohol. Cerebral malformations: eg, holoprosencephaly, lissencephaly. Perinatal: Antenatal: eg, pre-eclampsia, antepartum haemorrhage, premature labour. Intrapartum: eg, prolonged labour (...) in patients with learning disabilities: Schizophrenia. Anxiety and depressive disorders. Personality disorder. Early-onset dementia. Autism. Hyperactivity and attention deficit hyperactivity disorder. Eating disorders, including rumination, food faddiness, anorexia nervosa and bulimia nervosa.. Behavioural Difficulty accessing care and support: the stigma associated with learning disabilities may lead to an unwillingness for those affected to use specialised services or self-identify as having learning

2008 Mentor PubMed abstract

328. Magnesium Sulfate to Prevent Brain Injury in Premature Infants

may decrease the risk of brain injuries. This study will evaluate the effects of giving magnesium to premature infants. Condition or disease Intervention/treatment Phase Brain Injuries Cerebral Palsy Drug: magnesium sulfate Phase 3 Detailed Description: Premature infants weighing less than 1500 grams (3.3 lbs) represent approximately 1.3% of liveborn infants, yet comprise at least 25% of all children who are subsequently diagnosed with CP. Antepartum exposure to magnesium (Mg) may prevent (...) Central Nervous System Diseases Nervous System Diseases Craniocerebral Trauma Trauma, Nervous System Brain Damage, Chronic Magnesium Sulfate Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anesthetics Central Nervous System Depressants Anti-Arrhythmia Agents Anticonvulsants Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Calcium-Regulating Hormones and Agents Tocolytic Agents Reproductive Control

2003 Clinical Trials

329. Doppler flow velocity waveform analysis in high risk pregnancies: a randomized controlled trial. (Abstract)

in obstetric management were observed with study group patients having fewer contraction stress tests, less likelihood of antepartum fetal distress, and more likelihood of fetal distress after induction of labour leading to emergency caesarean section. Depressed Apgar scores were more frequent in the study group.Introduction of Doppler waveform studies did not result in reduced neonatal morbidity but did have a small effect on obstetric management. For each institution the role of Doppler studies in late

1991 British journal of obstetrics and gynaecology Controlled trial quality: uncertain

330. A randomized trial of intrapartum electronic fetal heart rate monitoring versus intermittent auscultation. (Abstract)

in terms of maternal age, gravidity, parity, gestational age, and number of antepartum high-risk factors. More patients monitored electronically received oxytocin for either augmentation (52.4 versus 38.1%; P = .0001) or induction (15.6 versus 7%; P = .0001). The length of labor was longer in the EFM group (first stage 6.1 +/- 4.3 versus 5.5 +/- 3.7 hours; P = .006; second stage 29.4 +/- 18.6 versus 26.9 +/- 16.9 minutes; P = .01). There was a higher incidence of nonreassuring fetal heart rate patterns (...) neonatal complications. Two neonatal deaths occurred in the EFM group and nine perinatal deaths in the auscultation group (two intrapartum and seven neonatal deaths). The perinatal mortality rates were 2.6 per 1000 and 13 per 1000 total births, respectively (P = .04). The two deaths in the EFM group and three of the neonatal deaths in the auscultation group may not have been prevented by intrapartum monitoring; however, four neonatal deaths from the auscultation group occurred in depressed (5-minute

1993 Obstetrics and Gynecology Controlled trial quality: uncertain

331. Antenatal psychosocial risk factors associated with adverse postpartum family outcomes. (Full text)

was most strongly associated with poor marital adjustment, recent life stressors, antepartum depression (class A evidence), but was also associated with lack of social support, abuse of the mother and a history of psychiatric disorder in the mother (class B evidence). Marital dysfunction was associated with poor marital adjustment before the birth and traditional sex-role expectations (class A evidence), and physical illness was correlated with recent life stressors (class B evidence).Psychosocial risk (...) Antenatal psychosocial risk factors associated with adverse postpartum family outcomes. To determine the strength of the association between antenatal psychosocial risk factors and adverse postpartum outcomes in the family, such as assault of women by their partner, child abuse, postpartum depression, marital dysfunction and physical illness.MEDLINE, Cinahl, Famli, Psych Abstracts and the Oxford Database of Perinatal Trials were searched from relevant articles published from Jan. 1, 1980

1996 Canadian Medical Association Journal PubMed abstract

332. Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. (Abstract)

and potential concerns about fetal and infant health outcomes, non-pharmacological treatment options are needed.To assess the effects, on mothers and their families, of non-pharmacological/psychosocial/psychological interventions compared with usual antepartum care in the treatment of antenatal depression.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (August 2007), the Cochrane Collaboration Depression Anxiety and Neurosis Group's Trials Registers (CCDANCTR-Studies and CCDANCTR (...) Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. Although pregnancy was once thought of as a time of emotional well-being for many women, conferring 'protection' against psychiatric disorders, a recent meta-analysis of 21 studies suggests the mean prevalence rate for depression across the antenatal period is 10.7%, ranging from 7.4% in the first trimester to a high of 12.8% in the second trimester. Due to maternal treatment preferences

2008 Cochrane

333. Psychosocial and psychological interventions for treating antenatal depression. (Abstract)

fetal and infant health outcomes, non-pharmacological treatment options are needed.The primary objective of this review is to assess the effects, on mothers and their families, of psychosocial and psychological interventions compared with usual antepartum care in the treatment of antenatal depression.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (September 2006), the Cochrane Collaboration Depression Anxiety and Neurosis Group's Trials Registers (CCDANCTR-Studies (...) Psychosocial and psychological interventions for treating antenatal depression. Although pregnancy was once thought of as a time of emotional wellbeing for many women, conferring 'protection' against psychiatric disorders, a recent meta-analysis of 21 studies suggests the mean prevalence rate for depression across the antenatal period is 10.7%, ranging from 7.4% in the first trimester to a high of 12.8% in the second trimester. Due to maternal treatment preferences and potential concerns about

2007 Cochrane

334. Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline

Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline British Columbia Perinatal Health Program F5 – 4500 Oak Street Vancouver, BC Canada V6H 3N1 Tel: 604.875.3737 Web: www.bcphp.ca While every attempt has been made to ensure that the information contained herein is clinically accurate and current, the BCPHP acknowledges that many issues remain controversial, and therefore may be subject to practice interpretation. © BCPHP, 2008 Inside SOGC - BCPHP Fetal Healt H Surveillan Ce (...) to the application and documentation of fetal surveillance in the antepartum and intrapartum period that will decrease the incidence of birth asphyxia while maintaining the lowest possible rate of obstetrical intervention. Pregnancies with and without risk factors for adverse perinatal outcomes are considered. This guideline presents an alternative classification system for antenatal fetal non-stress testing and intrapartum electronic fetal surveillance to what has been used previously. This guideline

2008 British Columbia Perinatal Health Program

335. Psychosocial and psychological interventions for prevention of postnatal depression: systematic review. (Full text)

Psychosocial and psychological interventions for prevention of postnatal depression: systematic review. To assess the effects of psychosocial and psychological interventions compared with usual antepartum, intrapartum, or postpartum care on the risk of postnatal depression.Medline, Embase, CINAHL, Cochrane central register of controlled trials, Cochrane pregnancy and childbirth group trials register, Cochrane depression, anxiety, and neurosis trials register, secondary references and review (...) articles, and experts in the field.All published and unpublished randomised controlled trials of preventive psychosocial or psychological interventions in which the primary or secondary aim was a reduction in the risk of postnatal depression. All trials recruited pregnant women or new mothers less than six weeks postpartum. Eligible studies were abstracted, assessed for methodological quality, and pooled with relative risk for categorical data and weighted mean difference for continuous data.Fifteen

2005 BMJ PubMed abstract

336. Universal perinatal depression screening in an Academic Medical Center. (Abstract)

Universal perinatal depression screening in an Academic Medical Center. To develop a department-based program to identify and treat women at risk for perinatal depression.Private and employed physician groups were engaged to conduct antepartum maternal depression screening using the Edinburgh Postnatal Depression Scale. A comprehensive program was established to ensure that patients identified as being at risk would receive appropriate care. The program 1) developed a network of existing (...) community mental health providers to accommodate screen-positive referrals, 2) created a 24/7 hotline staffed by mental health workers to respond to urgent/emergent patient needs, 3) provided nursing and physician education via a comprehensive curriculum on perinatal depression, and 4) facilitated outpatient depression screening that included a centralized scoring and referral system.A total of 4,322 women completed 4,558 screens during the initial 24 months (June 2003-May 2005). Although initial uptake

2006 Obstetrics and Gynecology

337. Serotonin 1A receptor reductions in postpartum depression: a positron emission tomography study. (Full text)

controls and nine postpartum depressed (PD) subjects with perinatal (antepartum or postpartum) depression onset. Of the nine PD subjects, five had unipolar depression, and four had bipolar disorder.None.5HT1A receptor BP.Age, time since delivery, and reproductive hormones did not differ between groups. Postsynaptic 5HT1A receptor binding in postpartum depression was reduced 20%-28% relative to controls, with most significant reductions in anterior cingulate and mesiotemporal cortices.Postsynaptic 5HT1A (...) Serotonin 1A receptor reductions in postpartum depression: a positron emission tomography study. To measure brain serotonin-1A (5HT1A) receptor binding potential (BP) in healthy and depressed postpartum women.5HT1A receptor BP was measured with positron emission tomography by using [(11)C]WAY100635 a single time. Multivariate analysis of variance was used to determine depression effects on 5HT1A receptor BP in relevant brain regions.An academic research environment.Seven postpartum healthy

2007 Fertility and Sterility PubMed abstract

338. The utility of maternal depression screening in the third trimester. (Abstract)

both during pregnancy (24-28 weeks of gestation) and again at 6 weeks after delivery. Based on Edinburgh Postnatal Depression Scale scores of > or =12, the prevalence of antepartum depressive risk and the rates of concordant/discordant risk status with the corresponding postpartum results were calculated. Discordant-risk cases were further analyzed to determine whether obstetric, psychosocial, or demographic variables were associated with changing risk status over time.We screened 1584 women (...) in the third trimester and again after delivery: 7.7% and 6.8% of the women scored in the at-risk range in the antepartum and postpartum time frames, respectively; 88.9% of patients had the same risk status, and 11.1% were discordant before and after delivery. Statistically significant associations were found between premature birth, newborn infant admission to the intensive care nursery, and acquisition of postpartum depressive risk.Screening for depression in the third trimester resulted in a comparable

2008 American Journal of Obstetrics and Gynecology

339. Psychosocial and psychological interventions for preventing postpartum depression. (Full text)

and the early postpartum period to prevent postpartum depression.Primary: to assess the effect of diverse psychosocial and psychological interventions compared with usual antepartum, intrapartum, or postpartum care to reduce the risk of developing postpartum depression. Secondary: to examine (1) the effectiveness of specific types of psychosocial and psychological interventions, (2) the effectiveness of individual versus group-based interventions, (3) the effects of intervention onset and duration, and (4 (...) Psychosocial and psychological interventions for preventing postpartum depression. The cause of postpartum depression remains unclear, with extensive research suggesting a multi-factorial aetiology. However, epidemiological studies and meta-analyses of predictive studies have consistently demonstrated the importance of psychosocial and psychological variables. While interventions based on these variables may be effective treatment strategies, theoretically they may also be used in pregnancy

2004 Cochrane database of systematic reviews (Online) PubMed abstract

340. Oestrogens and progestins for preventing and treating postpartum depression. (Full text)

activity at physiological concentrations.The primary objective of this review was to assess the effects of oestrogens and progestins, including natural progesterone and synthetic progestogens, compared with placebo or usual antepartum, intrapartum, or postpartum care in the prevention and treatment of postpartum depression.We searched The Cochrane Pregnancy and Childbirth Group trials register (June 2004), the Cochrane Depression Anxiety and Neurosis Group trials register (July 2004), the Cochrane (...) Oestrogens and progestins for preventing and treating postpartum depression. Postpartum depression is a common complication of childbirth, affecting approximately 13% of women. A hormonal aetiology has long been hypothesised due to the sudden and substantial fluctuations in concentrations of steroid hormones associated with pregnancy and the immediate postpartum period. There is also convincing evidence that oestrogens, progestins, and related compounds have important central nervous system

2008 Cochrane database of systematic reviews (Online) PubMed abstract

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