Wohlreich M M
Department of Psychiatry and Behavioral Sciences, University of South Carolina, Charleston 29425.
J S C Med Assoc. 1994 Mar;90(3):120-7.
Recognition and management of postpartum depression and other emotional illnesses in the primary care setting is both possible and desirable. Screening questionnaires and clinical interviews, education of the patient and her family, and appropriate use of medication and support will allow the primary care physician to manage the majority of these cases successfully. Depression is the most common disorder seen in the postpartum period, but several other psychiatric illnesses are also more common in this period. Decisions about pharmacologic management as well as hospitalization must be made in the context of risks and benefits to the patient, her baby, and her family. Although untreated emotional illness in postpartum women can have longterm sequelae for the family, appropriately managed most of these disorders have an excellent prognosis.
在初级保健机构中识别和管理产后抑郁症及其他情绪疾病是可行且必要的。筛查问卷和临床访谈、对患者及其家属的教育，以及合理使用药物和提供支持，将使初级保健医生能够成功管理大多数此类病例。抑郁症是产后最常见的疾病，但其他几种精神疾病在这一时期也更为常见。关于药物治疗和住院治疗的决策必须基于对患者、其婴儿及其家庭的风险和益处来做出。尽管产后妇女未经治疗的情绪疾病可能会给家庭带来长期后果，但大多数此类疾病若得到妥善管理，预后良好。
