Department of Psychiatry & Behavioral Sciences, University of New Mexico, 2400 Tucker Avenue N.E., 1 University of New Mexico, MSC09-5030, Albuquerque, NM 87131, USA; Department of Obstetrics and Gynecology, University of New Mexico, 2400 Tucker Avenue N.E., 1, MSC09-5030, Albuquerque, NM 87131, USA.
Department of Psychiatry & Behavioral Sciences, University of New Mexico, 2400 Tucker Avenue N.E., 1 University of New Mexico, MSC09-5030, Albuquerque, NM 87131, USA.
Obstet Gynecol Clin North Am. 2023 Sep;50(3):589-607. doi: 10.1016/j.ogc.2023.03.009. Epub 2023 May 8.
Perinatal depression is the occurrence of depressive symptoms during the antenatal or postnatal period with an annual incidence of 10% to 20%. The consequences of untreated perinatal depression are significant and include negative impacts on maternal health, pregnancy outcomes, and maternal-infant outcomes. The purpose of this article is to provide perinatal pharmacologic and psychological treatment information to help first-line providers more confidently manage depression in the perinatal period. Treatment strategies including medication management using risk versus risk conversations, psychotherapy, and colocated perinatal mental health clinics are discussed.
围产期抑郁是指在产前或产后期间出现抑郁症状,其年发病率为 10%至 20%。未经治疗的围产期抑郁的后果是显著的,包括对产妇健康、妊娠结局和母婴结局产生负面影响。本文的目的是提供围产期药物和心理治疗信息,帮助一线医务人员更有信心地在围产期管理抑郁。讨论了包括使用风险与风险对话进行药物管理、心理治疗和围产期心理健康联合诊所等治疗策略。