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Antepartum Depression

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61. Breastfeeding and postpartum depression

to the early 1990s. How such factors shape breastfeeding intentions and beliefs is not really considered in the paper, so although the sample is from the United Kingdom, how well it relates to the UK population today is unclear. Data have been analysed from approximately 8,000 women completing the Edinburgh Postnatal Depression Scale at two antepartum and four postpartum time points. 86% of the sample were married and 45% were carrying their first child. Women were asked at an unspecified point during (...) Breastfeeding and postpartum depression Breastfeeding and postpartum depression Search National Elf Service Search National Elf Service » » » » Breastfeeding and postpartum depression Oct 28 2014 Posted by Breastfeeding never seems to be far from the attention of the press, be it the medical journals, the tabloids, the public health printers or those of the placard-wielding persuasion. Issues of freedom of choice versus beliefs about ‘what’s best for baby and for mum’ seem to be perennial

2014 The Mental Elf

62. Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to Assess Suicidal Ideation among Pregnant Women in Lima, Peru (PubMed)

Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to Assess Suicidal Ideation among Pregnant Women in Lima, Peru We sought to examine the concordance of two suicidal ideation items from the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS), to evaluate the prevalence of suicidal ideation among pregnant women, and to assess the co-occurrence of suicidal ideation with antepartum depressive symptoms. A cross (...) -9, 51 % of participants with suicidal ideation had probable depression. In prenatal care clinics, screening for suicidal ideation is needed for women with and without depressive symptoms. Future studies are needed to identify additional predictors of antepartum suicidality, determine the appropriate duration of reporting period for suicidal ideation screening, and assess the percentage of individuals with positive responses to the two suicidal ideation items at high risk of planning

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2014 Archives of women's mental health

63. The effect of prenatal Hatha yoga on affect, cortisol and depressive symptoms. (PubMed)

and control group participants on days of usual activity. Depressive symptoms were assessed in pregnancy and post partum. Cortisol was lower (p < .01) and positive affect higher (p < .001) on yoga compared to usual activity days. Negative affect and contentment (p < .05) improved more in response to the yoga session. Yoga group participants showed fewer postpartum (p < .05) but not antepartum depressive symptoms than control group participants. Findings indicate that prenatal Hatha yoga may improve (...) The effect of prenatal Hatha yoga on affect, cortisol and depressive symptoms. Perinatal depression impacts maternal and child health, and little is known about effective interventions. The effects of prenatal Hatha yoga on cortisol, affect and depressive symptoms were investigated in 51 women. Twice during pregnancy, yoga group participants reported on affect and provided a saliva sample before and after a 90-min prenatal Hatha yoga session. Corresponding measures were obtained from yoga

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2014 Complementary Therapies in Clinical Practice

64. Mode of Delivery and Postpartum Depression: The Role of Patient Preferences. (PubMed)

was measured by the standard gamble metric. Depression was assessed antepartum and at 8-10 weeks and 6-8 months after delivery by using the Patient Health Questionnaire (PHQ-9). The primary outcome was PHQ-9 score at 8-10 weeks after delivery. We used multivariable regression analysis to assess the effect of strength of preference for vaginal delivery and delivery mode undergone on postpartum depression.Of 160 participants, 33.1% were nulliparous, and 30.6% had a previous cesarean delivery. Most (...) cesarean delivery (P = .027) but not among women who underwent vaginal delivery (P = .761). The interaction between delivery mode and vaginal delivery preference score was no longer significant at 6-8 months after delivery.Women who have a strong antepartum preference for vaginal delivery and deliver by cesarean may be at increased risk for depression in the early postpartum period.Published by Elsevier Inc.

2014 American Journal of Obstetrics and Gynecology

65. Prophylactic Use of Postpartum Sertraline to Prevent Postpartum Depression

in the third trimester of the pregnancy to rule-out current depressive illness. If there was no evidence of depression at the antepartum evaluation, patients delivering a liveborn singleton fetus at 34 0/7 weeks or greater would be re-evaluated prior to discharge and, if scoring Depression scale, would then be enrolled in the trial. Patients would be assigned to either sertraline 50 mg daily or identical appearing placebo for 12 weeks. Group allocation would be determined (...) gestation No current clinical evidence of depression Able to read and understand written English language Exclusion Criteria: Multiple gestation Delivery prior to 34 weeks Delivery outside of Cooper University Hospital Major fetal anomaly or fetal demise Current use of antidepressants Evidence of active depression at antepartum evaluation Edinburgh Postpartum Depression scale of >12 prior to discharge from the hospital Maternal age < 18 years Infant in Neonatal Intensive Care Unit (NICU) at time

2014 Clinical Trials

66. Association of Serum Vitamin D with Symptoms of Depression and Anxiety in Early Pregnancy (PubMed)

Association of Serum Vitamin D with Symptoms of Depression and Anxiety in Early Pregnancy Abstract Objective: To evaluate associations between early pregnancy 25-hydroxyvitamin D (25[OH]D) concentrations and antepartum depression and anxiety symptoms and potential modifiers thereof.In a pregnancy cohort (N=498), we examined cross-sectional associations of early pregnancy (mean=15.4 weeks gestation) serum 25[OH]D concentrations and depression and anxiety symptoms. Symptoms were measured using (...) , but not among women who reported any LTPA (interaction p=0.018).Our study provides modest evidence for inverse cross-sectional associations of early pregnancy maternal vitamin D concentrations with antepartum depression symptoms. We also observed that these associations may be modified by physical activity.

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2014 Journal of Women's Health

67. Postpartum Depression (Overview)

of depression may remit spontaneously, many women are still depressed 1 year after childbirth. [ , , , ] Screening of all mothers during the antepartum and postpartum period is indicated. [ , , , , , ] Screening women for depressive symptoms during pregnancy may also help to identify those women at higher risk for postpartum depression. [ ] Screening tools The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression. A score (...) . [ ] A study Venkatesh et al assessed the feasibility of large-scale implementation of universal screening for depression in pregnancy and postpartum using the EPDS. The study demonstrated the feasibility of universal depression screening both antepartum and postpartum using the EPDS as an initial screen followed by mental health referral for further diagnostic evaluation and treatment. Among the 8,985 women in the study, 8840 women (98%) were screened for depression antepartum, and 7780 (86%) were

2014 eMedicine.com

68. Depression (Diagnosis)

Depression (Diagnosis) Depression: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg2NzU5LW92ZXJ2aWV3 processing > Depression Updated: Mar 28, 2019 Author: Jerry L (...) Halverson, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Depression Overview Practice Essentials Major depressive disorder has significant potential morbidity and mortality, contributing to suicide, incidence and adverse outcomes of medical illness, disruption in interpersonal relationships, substance abuse, and lost work time. During 2009–2012, 7.6% of Americans aged 12 and over had depression (moderate or severe depressive symptoms in the past 2 weeks

2014 eMedicine.com

69. Postpartum Depression (Treatment)

of depression may remit spontaneously, many women are still depressed 1 year after childbirth. [ , , , ] Screening of all mothers during the antepartum and postpartum period is indicated. [ , , , , , ] Screening women for depressive symptoms during pregnancy may also help to identify those women at higher risk for postpartum depression. [ ] Screening tools The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression. A score (...) . [ ] A study Venkatesh et al assessed the feasibility of large-scale implementation of universal screening for depression in pregnancy and postpartum using the EPDS. The study demonstrated the feasibility of universal depression screening both antepartum and postpartum using the EPDS as an initial screen followed by mental health referral for further diagnostic evaluation and treatment. Among the 8,985 women in the study, 8840 women (98%) were screened for depression antepartum, and 7780 (86%) were

2014 eMedicine.com

70. Depression (Overview)

Depression (Overview) Depression: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg2NzU5LW92ZXJ2aWV3 processing > Depression Updated: Mar 28, 2019 Author: Jerry L (...) Halverson, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Depression Overview Practice Essentials Major depressive disorder has significant potential morbidity and mortality, contributing to suicide, incidence and adverse outcomes of medical illness, disruption in interpersonal relationships, substance abuse, and lost work time. During 2009–2012, 7.6% of Americans aged 12 and over had depression (moderate or severe depressive symptoms in the past 2 weeks

2014 eMedicine.com

71. Depression (Treatment)

Depression (Treatment) Depression Treatment & Management: Approach Considerations, Pharmacologic Therapy for Depression, Psychotherapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg2NzU5LXRyZWF0bWVudA (...) == processing > Depression Treatment & Management Updated: Mar 28, 2019 Author: Jerry L Halverson, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Depression Treatment Approach Considerations A wide range of effective treatments is available for major depressive disorder. Medication alone (see Medication) and brief psychotherapy (e.g., cognitive-behavioral therapy, interpersonal therapy) alone can relieve depressive symptoms. There is also empirical support

2014 eMedicine.com

72. Postpartum Depression (Follow-up)

of depression may remit spontaneously, many women are still depressed 1 year after childbirth. [ , , , ] Screening of all mothers during the antepartum and postpartum period is indicated. [ , , , , , ] Screening women for depressive symptoms during pregnancy may also help to identify those women at higher risk for postpartum depression. [ ] Screening tools The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression. A score (...) . [ ] A study Venkatesh et al assessed the feasibility of large-scale implementation of universal screening for depression in pregnancy and postpartum using the EPDS. The study demonstrated the feasibility of universal depression screening both antepartum and postpartum using the EPDS as an initial screen followed by mental health referral for further diagnostic evaluation and treatment. Among the 8,985 women in the study, 8840 women (98%) were screened for depression antepartum, and 7780 (86%) were

2014 eMedicine.com

73. Depression (Follow-up)

Depression (Follow-up) Depression Treatment & Management: Approach Considerations, Pharmacologic Therapy for Depression, Psychotherapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg2NzU5LXRyZWF0bWVudA (...) == processing > Depression Treatment & Management Updated: Mar 28, 2019 Author: Jerry L Halverson, MD; Chief Editor: David Bienenfeld, MD Share Email Print Feedback Close Sections Sections Depression Treatment Approach Considerations A wide range of effective treatments is available for major depressive disorder. Medication alone (see Medication) and brief psychotherapy (e.g., cognitive-behavioral therapy, interpersonal therapy) alone can relieve depressive symptoms. There is also empirical support

2014 eMedicine.com

74. Postpartum Depression (Diagnosis)

of depression may remit spontaneously, many women are still depressed 1 year after childbirth. [ , , , ] Screening of all mothers during the antepartum and postpartum period is indicated. [ , , , , , ] Screening women for depressive symptoms during pregnancy may also help to identify those women at higher risk for postpartum depression. [ ] Screening tools The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression. A score (...) . [ ] A study Venkatesh et al assessed the feasibility of large-scale implementation of universal screening for depression in pregnancy and postpartum using the EPDS. The study demonstrated the feasibility of universal depression screening both antepartum and postpartum using the EPDS as an initial screen followed by mental health referral for further diagnostic evaluation and treatment. Among the 8,985 women in the study, 8840 women (98%) were screened for depression antepartum, and 7780 (86%) were

2014 eMedicine.com

75. Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. (PubMed)

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

76. Oestrogens and progestins for preventing and treating postpartum depression. (PubMed)

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

77. Psychosocial and psychological interventions for preventing postpartum depression. (PubMed)

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 professionally-based versus lay-based interventions, (3) the effectiveness of individually-based versus group-based interventions, (4) the effects of intervention onset and duration (...) Psychosocial and psychological interventions for preventing postpartum depression. Epidemiological studies and meta-analyses of predictive studies have consistently demonstrated the importance of psychosocial and psychological variables as postpartum depression risk factors. While interventions based on these variables may be effective treatment strategies, theoretically they may also be used in pregnancy and the early postpartum period to prevent postpartum depression.Primary: to assess

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2013 Cochrane database of systematic reviews (Online)

78. A controlled clinical treatment trial of interpersonal psychotherapy for depressed pregnant women at 3 New York City sites. (PubMed)

A controlled clinical treatment trial of interpersonal psychotherapy for depressed pregnant women at 3 New York City sites. While treatment decisions for antepartum depression must be personalized to each woman and her illness, guidelines from the American Psychiatric Association and the American College of Obstetrics and Gynecology include the recommendation of psychotherapy for mild-to-moderate depression in pregnant women. Although we previously demonstrated the efficacy of interpersonal (...) psychotherapy for antepartum depression in a sample of Hispanic women, this study provides a larger, more diverse sample of African American, Hispanic, and white pregnant women from 3 New York City sites in order to provide greater generalizability.A 12-week bilingual, parallel-design, controlled clinical treatment trial compared interpersonal psychotherapy for antepartum depression to a parenting education program control group. An outpatient sample of 142 women who met DSM-IV criteria for major depressive

2013 Journal of Clinical Psychiatry Controlled trial quality: uncertain

79. A controlled clinical treatment trial of interpersonal psychotherapy for depressed pregnant women at 3 New York City sites. (PubMed)

A controlled clinical treatment trial of interpersonal psychotherapy for depressed pregnant women at 3 New York City sites. While treatment decisions for antepartum depression must be personalized to each woman and her illness, guidelines from the American Psychiatric Association and the American College of Obstetrics and Gynecology include the recommendation of psychotherapy for mild-to-moderate depression in pregnant women. Although we previously demonstrated the efficacy of interpersonal (...) psychotherapy for antepartum depression in a sample of Hispanic women, this study provides a larger, more diverse sample of African American, Hispanic, and white pregnant women from 3 New York City sites in order to provide greater generalizability.A 12-week bilingual, parallel-design, controlled clinical treatment trial compared interpersonal psychotherapy for antepartum depression to a parenting education program control group. An outpatient sample of 142 women who met DSM-IV criteria for major depressive

2013 Journal of Clinical Psychiatry Controlled trial quality: uncertain

80. Frequency and Associated Factors for Anxiety and Depression in Pregnant Women: A Hospital-Based Cross-Sectional Study (PubMed)

Frequency and Associated Factors for Anxiety and Depression in Pregnant Women: A Hospital-Based Cross-Sectional Study Antepartum anxiety and/or depression is a major public health problem globally. The aim of this study was to estimate the frequency of antepartum anxiety and/or depression among pregnant women. This was a cross-sectional study conducted in a tertiary care hospital among pregnant women. A total of 165 pregnant women were interviewed by a clinical psychologist using HADS (...) for assessing anxiety and/or depression and also collected information regarding sociodemographic, obstetric, family relationships, and home environment. Out of the total of 165 pregnant women about 70 percent of them were either anxious and/or depressed. The increasing age of women (P-value = 0.073), not having any live birth (P-value = 0.036), adverse pregnancy outcome in past including death of a child, stillbirth or abortion (P-value = 0.013), participant's role in household decision making (P-value

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2012 The Scientific World Journal

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