Perinatal and Postpartum Mood Disorders: Perspectives and Treatment Guide for the Health Care Practitioner

Contents......Page 8
Contributors......Page 14
Foreword......Page 20
Acknowledgments......Page 24
Introduction......Page 28
PART I: THE IMPORTANCE OF MATERNAL MENTAL HEALTH......Page 32
1 The Effects of Maternal Stress, Anxiety, and Depression During Pregnancy on the Neurodevelopment of the Child......Page 34
Studies Showing a Link Between Antenatal Stress and Anxiety and the Neurodevelopment of the Child......Page 35
Clinical Implications and Opportunity for Interventions......Page 41
Conclusion......Page 43
2 Maternal Attachment and Bonding Disorders......Page 48
Review of the Literature......Page 50
Illustrative Cases......Page 64
Summary......Page 67
3 Effects of Maternal Postpartum Depression on the Infant and Older Siblings......Page 72
Effects of Maternal Depression on the Infant......Page 73
Effects of Postpartum Depression on the Older Children......Page 78
Caveat: Interpretation of Statistical Correlations......Page 81
Intervention: Helping Mother and Child......Page 82
Summary......Page 90
4 Perinatal Mood Disorders: An Introduction......Page 96
Prevalence......Page 97
Risk Factors......Page 98
Diagnosis......Page 101
Screening......Page 104
Consequences......Page 106
PART II: PERSPECTIVES ON RISK FACTORS, SCREENING, AND DIAGNOSIS......Page 116
5 Diagnosis and Screening of Perinatal Mood Disorders......Page 118
History......Page 120
Prevalence and Risk Factors......Page 122
Assessments......Page 127
Conclusion......Page 133
Why Patients Use Alternative and Complementary Treatments......Page 138
Inflammation and Depression......Page 140
Omega-3 Fatty Acids......Page 141
Exercise......Page 148
St. John’s Wort......Page 151
Conclusion......Page 158
7 Stress System Dysregulation in Perinatal Mood Disorders......Page 164
Hypothalamic-Pituitary-Adrenal Axis......Page 165
HPA in Perinatal Mood Disorders......Page 173
Case Study Illustrating Postpartum Depression and HPA Dysregulation......Page 176
Summary......Page 179
Review of the Literature......Page 184
Issues of Pregnancy and Postpartum......Page 187
Summary......Page 195
PART III: PROFESSIONAL PERSPECTIVES......Page 198
9 Perinatal Mood Disorders: An Obstetrician’s Perspective......Page 200
Case Reports......Page 201
Routine Obstetrical Care and Screening......Page 202
Care for Women With a History of Mood Disorders......Page 204
Symptomatic Illness in Pregnancy and Postpartum......Page 205
Breastfeeding......Page 206
Obstacles for the Patient......Page 207
Obstacles for the Obstetrician......Page 208
Summary......Page 210
10 The Pediatrician’s Role in Identifying Postpartum Mood Disorders......Page 214
Who Is Our Patient?......Page 215
The Importance of Attachment......Page 216
What Does a Mood Disorder Look Like?......Page 217
Opportunities in Pediatric Practice......Page 219
Obstacles and Challenges for the Pediatrician......Page 223
Taking Action and Overcoming Obstacles......Page 225
Summary......Page 228
11 The Nurses’ Vantage Point......Page 234
The NURSE Program Model of Care......Page 235
Nurses’ Caring......Page 236
Postpartum Depression Screening......Page 243
Posttraumatic Stress Disorder Due to Childbirth......Page 244
12 Mothers Who Suffer From Postpartum Illnesses and the Pitfalls of the Criminal Justice System......Page 250
Prologue......Page 251
Insanity Standards......Page 253
Postpartum Illnesses and the Insanity Standard......Page 257
Clark v. Arizona......Page 258
The Failures......Page 261
Summary......Page 263
PART IV: TREATMENT OPTIONS FOR PERINATAL MOOD DISORDERS......Page 266
13 To Medicate or Not: The Dilemma of Pregnancy and Psychiatric Illness......Page 268
Literature Review......Page 271
Case Studies......Page 284
Conclusion......Page 291
14 Comorbid Presentations in Perinatal Mental Health: Dialectical Behavior Therapy as a Treatment Model......Page 298
Commonly Occuring Perinatal Comorbid Disorders......Page 301
Dialectical Behavior Therapy......Page 305
Case Study: Introduction of DBT Skills in a Support Group for Postpartum Depression......Page 311
Summary......Page 313
Antepartum Depression......Page 320
Interpersonal Psychotherapy (IPT)......Page 321
Depression During Pregnancy......Page 323
Guidelines for Interpersonal Psychotherapy......Page 324
Problem Areas for Treatment......Page 326
The Efficacy of IPT-P......Page 327
Discussion......Page 332
16 A Psychodynamic Approach to Treatment for Postpartum Depression......Page 340
Maternal Identity......Page 341
Conclusion......Page 350
17 Health Literacy and Maternal Empowerment......Page 352
Prenatal Care and Public Health Experiences......Page 353
What Is Health Literacy?......Page 356
Health Literacy and the Perinatal Experience......Page 358
The Baby Basics Program......Page 360
18 The Role of Social Support in the Prevention, Intervention, and Treatment of Perinatal Mood Disorders......Page 370
The History of Social Support: A Convergence of Science and Self-Help for Perinatal Families......Page 371
The Self-Help Movement......Page 374
The Emergence of the Perinatal Social Support Movement......Page 376
The Principles of Social Support......Page 377
The Types of Social Support......Page 378
Summary......Page 383
Resource List......Page 388
A......Page 390
C......Page 391
D......Page 392
G......Page 393
I......Page 394
M......Page 395
N......Page 396
P......Page 397
S......Page 400
Z......Page 401