Okano Tadaharu
Centre for Health, Mie University.
Nihon Rinsho. 2007 Sep;65(9):1689-93.
Depression is the most common complication in perinatal period, affecting approximately 10% of women. Studies were also examined for data related to the predictors/risk factors, effects on the fetus and newborn, and treatment of depression during these periods. Psychopharmacological treatment in pregnant or breastfeeding women with depression will result primarily from a careful evaluation of their psychopathological condition. Maternal depression is associated with adverse effects on fetal and infant development. Prevention and psychological intervention is also useful for detecting mother with postnatal depression, using the EPDS. Controlled psychological trials for postnatal depression have shown the benefit of involving health professionals. Multidisciplinary specialist teams in mother and baby units have been an important role in perinatal psychiatric care.
抑郁症是围产期最常见的并发症，约10%的女性受其影响。研究还对与预测因素/风险因素、对胎儿和新生儿的影响以及这些时期抑郁症的治疗相关的数据进行了检查。患有抑郁症的孕妇或哺乳期妇女的心理药物治疗将主要基于对其精神病理状况的仔细评估。母亲抑郁与对胎儿和婴儿发育的不良影响有关。使用爱丁堡产后抑郁量表（EPDS）进行预防和心理干预，对于检测产后抑郁症母亲也很有用。产后抑郁症的对照心理试验表明，让健康专业人员参与有好处。母婴病房的多学科专家团队在围产期精神护理中发挥了重要作用。
