Marcus Sheila M, Heringhausen Julie E
Department of Psychiatry, University of Michigan, Rachel Upjohn Building, Ann Arbor, MI 48109, USA.
Prim Care. 2009 Mar;36(1):151-65, ix. doi: 10.1016/j.pop.2008.10.011.
Prevalence studies show that one in five women experience an episode of major depressive disorder during their lifetime. It is important for health care providers to be aware of (1) the frequency of depression in this population; (2) signs, symptoms, and appropriate screening methods; and (3) health risks for the mother and growing fetus if depression is undetected or untreated. Because management of depressed pregnant women also includes care of a growing fetus, treatment may be complicated and primary care providers should consider a multidisciplinary approach, including an obstetrician, psychiatrist, and pediatrician, to provide optimal care.
患病率研究表明,五分之一的女性在其一生中会经历一次重度抑郁症发作。医疗保健提供者必须了解以下几点:(1)该人群中抑郁症的发病频率;(2)症状、体征及适当的筛查方法;(3)如果抑郁症未被发现或未得到治疗,对母亲和发育中的胎儿的健康风险。由于对抑郁孕妇的管理还包括对发育中胎儿的护理,治疗可能会很复杂,初级保健提供者应考虑采用多学科方法,包括产科医生、精神科医生和儿科医生,以提供最佳护理。