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Antepartum Depression

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81. Impact of maternal depressive symptoms and infant temperament on early infant growth and motor development: Results from a population based study in Bangladesh. (PubMed)

predicted infant's underweight and impaired motor development, and antepartum depressive symptoms predicted infant's stunting. Infant's unadaptable temperament was inversely associated with infant's weight-for-age and motor development, and fussy and unpredictable temperament with height-for-age and motor development.Repeated measures design might threaten the internal validity of the results 8.3% of the participant does not participate in the measurements at different times. As the study was conducted (...) Impact of maternal depressive symptoms and infant temperament on early infant growth and motor development: Results from a population based study in Bangladesh. Evidence linking maternal depressive symptoms with infant's growth and development in low-income countries is inadequate and conflicting. This study investigated the independent effect of maternal perinatal depressive symptoms on infant's growth and motor development in rural Bangladesh.A cohort of 720 pregnant women was followed from

2012 Journal of Affective Disorders

82. Light therapy may help reduce depression during pregnancy, says small randomised controlled trial

A. A randomized, double-blind, placebo-controlled study of light therapy for antepartum depression. J Clin Psychiatry. 2011 Jul;72(7):986-93. Epub 2011 Apr 5. [ ] Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+ Share this post: Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+ Share via email Tagged with: , , , André Tomlin is an Information Scientist with 20 years experience working in evidence-based healthcare. He's worked in the NHS, for Oxford University (...) Light therapy may help reduce depression during pregnancy, says small randomised controlled trial Light therapy may help reduce depression during pregnancy, says small randomised controlled trial Search National Elf Service Search National Elf Service » » » » Light therapy may help reduce depression during pregnancy, says small randomised controlled trial Oct 12 2011 Posted by Depression commonly occurs during pregnancy and it’s often a challenging condition to treat as the health of the mother

2011 The Mental Elf

83. The prevalence of perinatal depression and its associated factors in two different settings in Brazil. (PubMed)

The prevalence of perinatal depression and its associated factors in two different settings in Brazil. The prevalence of antepartum and postpartum depression (PPD) and its association with certain risk factors was evaluated.The Edinburgh Postnatal Depression Scale (EPDS) was applied and sociodemographic data was obtained at the beginning of the third trimester of pregnancy and at 4-6 weeks postpartum.The prevalence of depression was 24.3% during pregnancy (n=600 women) and 10.8 (...) % in the postpartum period (n=555). The factors independently associated with antepartum depression were the absence of a partner (PRadj 1.93; 95%CI: 1.44-2.58), a lower socioeconomic class (1.75; 1.18-2.60), being non-white (1.48; 1.09-2.01) and multiparity (1.32; 1.01-1.74). For postpartum depression, the factors were the occurrence of psychological violence (PRadj 3.31; 95%CI: 2.02-5.43), use of alcohol during pregnancy (2.14; 1.33-3.45), being non-white (1.85; 1.11-3.08) and physical violence (2.14; 1.13-4.08

2011 Journal of Affective Disorders

84. The delivery mode and seasonal variation are associated with the development of postpartum depression. (PubMed)

The delivery mode and seasonal variation are associated with the development of postpartum depression. Previous studies have indicated that mode of delivery and/or season of delivery might be risk factors for postpartum depression (PD). However, only a few studies have provided support for this supposition. This study aim was to confirm the association between mode of delivery and/or season of delivery and PD.We analyzed 2003-2006 Taiwan National Health Insurance Research Database (NHIRD (...) ). A group of 2107 mothers who were diagnosed with PD within 6months of delivery in 2005 were selected as the case group and another 8428 mothers without PD during the same timeframe were selected as the control group. Logistic regression was performed after controlling for age, antepartum comorbidities and postpartum complications to confirm the degree of association with the risk of PD.The results of the logistic regression analysis showed that the risk of acquiring PD was lower in mothers

2011 Journal of Affective Disorders

85. Pharmacologic treatment for postpartum depression: a systematic review (PubMed)

Pharmacologic treatment for postpartum depression: a systematic review During the past decade, the medical community has expressed a growing concern over the high prevalence of postpartum depression and the tragic repercussions of untreated illness. However, many questions persist about the pathogenesis of postpartum depression, the natural course of the illness, and the safety and effectiveness of available treatments. To summarize the data on pharmacologic treatments for postpartum depression (...) , we performed a systematic review of four major databases to identify original research published from 1960-September 2009 that featured pharmacologic treatments for depression detected in women during the 12 months after delivery. Pharmacologic treatments included prescription drugs (antidepressants and hormones), herbal remedies, and dietary supplements. Case reports, studies examining the prevention of postpartum depression, and those including diagnosed episodes of depression preceding

2010 EvidenceUpdates

86. Ectopic pregnancy and miscarriage: diagnosis and initial management

-line management strategy for women with a confirmed diagnosis of miscarriage. Explore management options other than expectant management if: the woman is at increased risk of haemorrhage (for example, she is in the late first trimester) or or she has previous adverse and/or traumatic experience associated with pregnancy (for example, stillbirth, miscarriage or antepartum haemorrhage) or or she is at increased risk from the effects of haemorrhage (for example, if she has coagulopathies or is unable (...) in: the rate of ectopic pregnancies ending naturally Ectopic pregnancy and miscarriage: diagnosis and initial management (NG126) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 19 of 33the risk of tubal rupture the need for additional treatment, but that they might need to be admitted urgently if their condition deteriorates health status, depression or anxiety scores. [2019] [2019] 1.6.7 Advise women that the time taken

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

87. Premature newborn care

preterm premature rupture of membranes (PPROM) pre-eclampsia/pregnancy-induced hypertension abruption/antepartum haemorrhage abnormal amniotic fluid volume severe bacterial vaginosis multiple gestation previous preterm birth fetal abnormality cervical incompetence/uterine abnormality gestational diabetes maternal surgery during pregnancy chronic maternal illness short inter-pregnancy time interval drug use (tobacco, cocaine, heroin) maternal pregnancy body mass index <19 or >35 stress/depression non

2019 BMJ Best Practice

88. Pregnancy and Renal Disease

considerations Antihypertensive drugs (see section 4.4) Labetalol Safe Safe License for pregnancy. Avoid if asthmatic. No association with congenital abnormalities. Reduced birth weight in unadjusted observational data. Neonatal bradycardia (2%) and hypoglycaemia (5%). Safe 4-9 Nifedipine Safe Safe None No association with congenital abnormalities. Safe 7,8 Amlodipine Safe Limited data. None Limited data. No adverse effects reported. Safe 10,11 Methyldopa Safe Safe Avoid in depression or if risk (...) of depression. No association with congenital abnormalities. Avoid in all due to risk of postnatal depression. 7,8 Doxazosin Safe Limited data None No evidence of harm in animal studies 150µmol/L in pregnancy). None Levels in milk are low, infants receive 12 months and follicle-stimulating hormone level >40mIU/ml) with use of an LHRH analogue compared to that of age and dose-matched controls (5% versus 30%, respectively). (9) Most data come from populations treated with chemotherapy for breast cancer

2019 Renal Association

90. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. (PubMed)

A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. The Edinburgh Postnatal Depression Scale (EPDS) is the most widely used screening tool for postpartum depression (PPD). We systematically reviewed the published evidence on its validity in detecting PPD and antepartum depression (APD) up to July 2008.Systematic review of validation studies of the EPDS included 1987-2008. Cut-off points of 9/10 for possible PPD, 12/13

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2009 Acta Psychiatrica Scandinavica

91. Overview of pregnancy complications

be complete, partial, or marginal, and may resolve as pregnancy progresses. Symptomatic placenta praevia typically presents as second or third trimester painless vaginal bleeding. Sakornbut E, Leeman L, Fontaine P. Late pregnancy bleeding. Am Fam Physician. 2007;75:1199-1206. http://www.aafp.org/afp/2007/0415/p1199.html http://www.ncbi.nlm.nih.gov/pubmed/17477103?tool=bestpractice.com Magann EF, Cummings JE, Niederhauser A, et al. Antepartum bleeding of unknown origin in the second half of pregnancy (...) Resuscitation Program based on International Liaison Committee on Resuscitation Review. J Perinatol. 2008;28:S35-S40. http://www.ncbi.nlm.nih.gov/pubmed/18446175?tool=bestpractice.com Consultation with a neonatologist as soon as possible is recommended to reduce potential morbidity. The development of a depressive illness following childbirth may form part of a unipolar or, less frequently, a bipolar illness. It is not recognised by current classification systems as a condition in its own right

2018 BMJ Best Practice

92. Overview of pregnancy complications

be complete, partial, or marginal, and may resolve as pregnancy progresses. Symptomatic placenta praevia typically presents as second or third trimester painless vaginal bleeding. Sakornbut E, Leeman L, Fontaine P. Late pregnancy bleeding. Am Fam Physician. 2007;75:1199-1206. http://www.aafp.org/afp/2007/0415/p1199.html http://www.ncbi.nlm.nih.gov/pubmed/17477103?tool=bestpractice.com Magann EF, Cummings JE, Niederhauser A, et al. Antepartum bleeding of unknown origin in the second half of pregnancy (...) Resuscitation Program based on International Liaison Committee on Resuscitation Review. J Perinatol. 2008;28:S35-S40. http://www.ncbi.nlm.nih.gov/pubmed/18446175?tool=bestpractice.com Consultation with a neonatologist as soon as possible is recommended to reduce potential morbidity. The development of a depressive illness following childbirth may form part of a unipolar or, less frequently, a bipolar illness. It is not recognised by current classification systems as a condition in its own right

2018 BMJ Best Practice

93. Premature newborn care

preterm premature rupture of membranes (PPROM) pre-eclampsia/pregnancy-induced hypertension abruption/antepartum haemorrhage abnormal amniotic fluid volume severe bacterial vaginosis multiple gestation previous preterm birth fetal abnormality cervical incompetence/uterine abnormality gestational diabetes maternal surgery during pregnancy chronic maternal illness short inter-pregnancy time interval drug use (tobacco, cocaine, heroin) maternal pregnancy body mass index <19 or >35 stress/depression non

2018 BMJ Best Practice

94. Optimisation of RIZIV – INAMI lump sums for incontinence

). For women, pregnancy, delivery and parturition factors e.g. instrumental delivery and birth weight, are risk factors for UI in the post- partum period. Further, body mass has been established as an important risk factor for UI while other modifiable factors include smoking, diet, depression, constipation, urine tract infections, and strenuous exercise (e.g. jumping). Although associated with UI, they are not considered established independent risk factors. In older women, physical function and moderate

2019 Belgian Health Care Knowledge Centre

95. ShortGuide: Fetal movements

of maternal stress, depression and anxiety on fetal neurobehavioral development. Clinical Obstetrics and Gynecology 2009;52(3):425-40. 19. DiPietro J, Irizarry R, Costigan K, Gurewitsch E. The psychophysiology of the maternal–fetal relationship. Psychophysiology 2004;41:510-20. 20. Fretts, R, Barghelia V, Barss V. Decreased fetal movement: Diagnosis, evaluation, and management. UpToDate. 2018 [cited 2018 April 19]. 21. Sheikh M, Hantoushzadeh S, Shariat M. Maternal perception of decreased fetal movements (...) '-Reasons for consulting care due to decreased fetal movements. Women and Birth 2017;30(5):376-81. 25. Scala C, Bhide A, Familiari A, Pagani G, Khalil A, Papageorghiou A, et al. Number of episodes of reduced fetal movement at term: association with adverse perinatal outcome. American Journal of Obstetrics and Gynecology 2015;213(5):678.e1-.e6. 26. Moore T, Piacquadio K. A prospective evaluation of fetal movement screening to reduce the incidence of antepartum fetal death. International Journal

2019 Queensland Health

96. Primary postpartum haemorrhage

(which includes antepartum haemorrhage) was responsible for 12 (11%) of Australian maternal deaths in 2008–2012 (a maternal mortality ratio of 0.8 per 100,000). 8 1.1 Definition Although there is no single definition, PPH is termed as excessive bleeding in the first 24 hours post birth. In an emergent situation, diagnosis most commonly occurs through estimation of blood loss volume and changes in the haemodynamic state. Table 1. Postpartum haemorrhage definitions Aspect Definition Blood loss volume (...) technology IVF/ICSI 2.92 2.18 to 3.92 22 — Diabetes Gestational diabetes 1.56 1.05 to 2.31 22 Tone Multiple pregnancy 3.74 2.64 to 5.29 22 Tone Polyhydramnios 1.9 1.2 to 3.1 24 Tone Antepartum haemorrhage Placenta praevia/abruption 3.8 3.0 to 4.8 24 Tissue Tone Thrombin Drug induced atonia Magnesium sulphate Serotonergics Nifedipine Not available Tone Intrapartum risk factor Detail of study OR 95% CI Aetiology Induction of labour 1.17 1.04 to 1.3 6 Tone Prolonged second stage Failure to progress 1.9 1.2

2019 Queensland Health

97. AIM Clinical Appropriateness Guidelines for Pharmacogenetic Testing and Genetic Testing for Thrombotic Disorders

for treatment is pregnant women with a previous history of VTE associated with a transient risk factor (e.g., surgery, trauma). These women would typically not be treated with antepartum anticoagulant prophylaxis unless they were found to have a genotype associated with a high risk of VTE recurrence (FVL homozygosity, F2 G20210A homozygosity, or compound heterozygosity for FVL and F2 G20210A). Genetic testing for these patients is indicated. There may also be benefit to screening pregnant women (...) /NBK84174/ Duhl AJ, Paidas MJ, Ural SH, et al. Antithrombotic therapy and pregnancy: consensus report and recommendations for prevention and treatment of venous thromboembolism and adverse pregnancy outcomes. Am J Obstet Gynecol. 2007;197:457. PubMed PMID: 17980177. Evaluation of Genomic Applications in Practice and Prevention (EGAPP) Working Group. Recommendations from the EGAPP Working Group: testing for cytochrome P450 polymorphisms in adults with nonpsychotic depression treated with selective

2019 AIM Specialty Health

98. Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic

that 21.6% of pregnant women enrolled in Medicaid receive a prescription for opioids. x 1 Desai, R.J., Hernandez-Diaz, S., Bateman, B.T., and Huybrechts, K.F. Increase in prescription opioid use during pregnancy among Medicaid-enrolled women. Obstet Gynecol . 2014 ; 123 : 997–1002 • From 2000–2009, antepartum maternal opiate use increased from 1.19 (95% confidence interval (CI), 1.01–1.35) to 5.63 (95% CI, 4.40–6.71) per 1000 hospital births per year. x 2 Patrick, S.W., Schumacher, R.E., Benneyworth (...) on epidemiology, prenatal screening, pain management, and treatment modalities of OUD in pregnancy, workshop participants were assigned to 1 of 3 breakout groups to discuss the following key issues in greater depth and to make preliminary recommendations: (1) screening and testing for substance use disorder, including OUD, in pregnancy; (2) pain management during the antepartum, intrapartum, and postpartum periods; and (3) management modalities for pregnant women with OUD. The following key findings emerged

2019 Society for Maternal-Fetal Medicine

99. Stillbirth care

if evidence of FGR · Antepartum fetal surveillance from 32 weeks including CTG · Discuss awareness of fetal movement · Consider timing of birth Post birth Investigations following birth · History focused · Refer to Flowchart: Investigations Autopsy considerations · Involve experienced staff · Discuss reasons/location for autopsy · Offer to all parents · Obtain consent · If autopsy declined: limited autopsy may be an option Postnatal care · Consider the setting for care · Facilitate the creation (...) · Offer smoking cessation program and support 49 · Offer referral and support for substance use (alcohol and drugs) Complications of pregnancy · Manage complications of pregnancy including fetal growth restriction, pre- eclampsia, antepartum haemorrhage and reduced fetal movements 19 · Advise low dose aspirin to women at high risk of abnormal placentation including pre-eclampsia 19,50,51 · Provide obstetric ultrasound assessment of fetal growth and umbilical artery Doppler studies to women with high

2019 Queensland Health

100. Mental health care in the perinatal period: Australian clinical practice guideline

is to support health professionals in providing evidence- based care. While the focus of the Guideline is on women, the effects of maternal mental health on infants and families and the emerging evidence on paternal perinatal mental health are acknowledged. The Guideline is relevant to the care of all women in the perinatal period. In addition to screening and psychosocial assessment, the Guideline provides guidance on care for women with depressive and anxiety disorders, severe mental illnesses (...) (schizophrenia, bipolar disorder and postpartum psychosis) and borderline personality disorder at this time. The Guideline includes discussion of: • supporting emotional health and wellbeing of women • screening for symptoms of depression and anxiety and assessment for psychosocial factors that affect mental health • assessing mother-infant interaction and the safety of the woman and infant • referral and care pathways for women who require further assessment or care • care planning for women with diagnosed

2018 Clinical Practice Guidelines Portal

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