Guintivano Jerry, Manuck Tracy, Meltzer-Brody Samantha
Departments of Psychiatry.
Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Clin Obstet Gynecol. 2018 Sep;61(3):591-603. doi: 10.1097/GRF.0000000000000368.
Postpartum depression (PPD) is one of the most frequent complications of childbirth affecting ~500,000 women annually (prevalence 10% to 15%). Despite the documented adverse outcomes for mother and child, there remains a great need to develop prospective approaches to identify women at risk. This review examines some of the best-characterized molecular and clinical risk factors for PPD. We illustrate that this is a growing literature but there remains a lack of reliable molecular predictors for PPD. Current best predictors are clinical assessments for psychiatric history and adverse life events, highlighting the need for increased depression screening across the perinatal period.
产后抑郁症(PPD)是分娩最常见的并发症之一,每年影响约50万名妇女(患病率为10%至15%)。尽管已有文献记载其对母婴的不良后果,但仍迫切需要开发前瞻性方法来识别有风险的妇女。本综述探讨了一些已得到充分描述的PPD分子和临床风险因素。我们表明,这方面的文献在不断增加,但仍缺乏可靠的PPD分子预测指标。目前最佳的预测指标是对精神病史和不良生活事件的临床评估,这凸显了在围产期加强抑郁症筛查的必要性。