Dayan J
Service de psychiatrie de l'enfant et de l'adolescent, unité de psychiatrie périnatale, CHU de Caen, avenue Clémenceau, 14033 Caen cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2007 Oct;36(6):549-61. doi: 10.1016/j.jgyn.2007.06.003. Epub 2007 Jul 5.
The aim of this article is to review clinical and epidemiological data on pre- and postnatal anxious and depressive disorders. To this end, we systematically analysed definitions, prevalence, risk factors and obstetrical consequences of perinatal disorders, as reported in seminal as well as more recent publications. We report and discuss the most consensual results about anxious and depressive disorders of pregnancy and the postpartum, with special emphasis on maternity blues, postpartum depression and postpartum psychosis. Reviewed data confirm that the perinatal period is a time of high risk for the onset or exacerbation of several anxious or depressive disorders, which are likely to impede the normal progress of pregnancy or the child's development. The potential severity of bipolar disorders and puerperal psychosis is highlighted by the fact that they heavily contribute to maternal mortality. The specificity of perinatal disorders, their impact on public health, the extensive research and mounting knowledge in that field, provide ample justification for the recognition of perinatal psychiatry as a distinct branch of psychiatry.
本文旨在综述产前和产后焦虑症及抑郁症的临床和流行病学数据。为此，我们系统分析了围产期疾病的定义、患病率、危险因素及产科后果，这些内容在经典文献以及近期出版物中均有报道。我们报告并讨论了关于妊娠和产后焦虑症及抑郁症最具共识性的结果，特别强调了产后情绪低落、产后抑郁症和产后精神病。综述数据证实，围产期是多种焦虑症或抑郁症发作或加重的高危时期，这些疾病可能会阻碍妊娠的正常进程或儿童的发育。双相情感障碍和产褥期精神病的潜在严重性体现在它们对孕产妇死亡率有很大影响。围产期疾病的特殊性、它们对公共卫生的影响、该领域广泛的研究和不断增加的知识，为将围产期精神病学确认为精神病学的一个独特分支提供了充分的理由。
