当抑郁使生育复杂化：围产期和产后产科护理期间的筛查和治疗指南。
When depression complicates childbearing: guidelines for screening and treatment during antenatal and postpartum obstetric care.
机构信息
Department of Psychiatry, University of Michigan, Rachel Upjohn Building, Ann Arbor, MI 48109, USA.
出版信息
Obstet Gynecol Clin North Am. 2009 Dec;36(4):771-88, ix-x. doi: 10.1016/j.ogc.2009.10.006.
Abstract
Prevalence studies show that 1 in 5 women experience an episode of major depressive disorder during their lifetime. The peripartum period is a prime time for symptom exacerbation and relapse of depressive episodes. Health care providers, specifically those in obstetric care, should be aware of: (1) the frequency of depression in pregnant and postpartum women; (2) signs, symptoms, and appropriate screening methods; and (3) the health risks for the mother and growing fetus if depression is undetected or untreated. Because management of depressed peripartum women also includes care of a growing fetus or breastfeeding infant, treatment may be complex and requires input from a multidisciplinary team, including an obstetrician, psychiatrist, and pediatrician, to provide optimal care.
摘要
患病率研究表明，每 5 名女性中就有 1 人在其一生中会经历一次重度抑郁症发作。围产期是症状恶化和抑郁发作复发的主要时期。医疗保健提供者，特别是产科护理人员，应该了解：（1）孕妇和产后妇女中抑郁的频率；（2）体征、症状和适当的筛查方法；以及（3）如果抑郁未被发现或未得到治疗，对母亲和成长中的胎儿的健康风险。由于围产期抑郁女性的管理还包括对成长中胎儿或哺乳期婴儿的护理，因此治疗可能很复杂，需要多学科团队的参与，包括产科医生、精神科医生和儿科医生，以提供最佳护理。
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