Perinatal and Postpartum Mood Disorders

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ISBN: 9780826101167 | 082610116X
Cover: Hardcover
Copyright: 5/1/2008

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Recent statistics suggest that up to 20% of pregnant and postpartum women experience diagnosable pregnancy-related mood disorders. A growing recognition of these common disorders has propelled the issue to the forefront of national public health priorities.

Contributors	p. xiii
Foreword	p. xix
Acknowledgments	p. xxiii
Introduction	p. xxvii
The Importance of Maternal Mental Health	p. 1
The Effects of Maternal Stress, Anxiety, and Depression During Pregnancy on the Neurodevelopment of the Child	p. 3
Studies Showing a Link Between Antenatal Stress and Anxiety and the Neurodevelopment of the Child	p. 4
Clinical Implications and Opportunity for Interventions	p. 10
Conclusion	p. 12
Maternal Attachment and Bonding Disorders	p. 17
Review of the Literature	p. 19
Illustrative Cases	p. 33
Summary	p. 36
Effects of Maternal Postpartum Depression on the Infant and Older Siblings	p. 41
Effects of Maternal Depression on the Infant	p. 42
Effects of Postpartum Depression on the Older Children	p. 47
Caveat: Interpretation of Statistical Correlations	p. 50
Intervention: Helping Mother and Child	p. 51
Summary	p. 59
Perinatal Mood Disorders: An Introduction	p. 65
Prevalence	p. 66
Risk Factors	p. 67
Diagnosis	p. 70
Screening	p. 73
Consequences	p. 75
Perspectives on Risk Factors, Screening, and Diagnosis	p. 85
Diagnosis and Screening of Perinatal Mood Disorders	p. 87
History	p. 89
Prevalence and Risk Factors	p. 91
Assessments	p. 96
Conclusion	p. 102
Omega-3s, Exercise, and St. John's Wort: Three Complementary and Alternative Treatments for Postpartum Depression	p. 107
Why Patients Use Alternative and Complementary Treatments	p. 107
Inflammation and Depression	p. 109
Omega-3 Fatty Acids	p. 110
Exercise	p. 117
St. John's Wort	p. 120
Conclusion	p. 127
Stress System Dysregulation in Perinatal Mood Disorders	p. 133
Hypothalamic-Pituitary-Adrenal Axis	p. 134
HPA in Perinatal Mood Disorders	p. 142
Case Study Illustrating Postpartum Depression and HPA Dysregulation	p. 145
Summary	p. 148
Infertility: Challenges and Complications in Pregnancy and Postpartum	p. 153
Review of the Literature	p. 153
Issues of Pregnancy and Postpartum	p. 156
Summary	p. 164
Professional Perspectives	p. 167
Perinatal Mood Disorders: An Obstetrician's Perspective	p. 169
Case Reports	p. 170
Routine Obstetrical Care and Screening	p. 171
Care for Women With a History of Mood Disorders	p. 173
Symptomatic Illness in Pregnancy and Postpartum	p. 174
Breastfeeding	p. 175
Obstacles for the Patient	p. 176
Obstacles for the Obstetrician	p. 177
Summary	p. 179
The Pediatrician's Role in Identifying Postpartum Mood Disorders	p. 183
Who Is Our Patient?	p. 184
The Importance of Attachment	p. 185
What Does a Mood Disorder Look Like?	p. 186
Opportunities in Pediatric Practice	p. 188
Obstacles and Challenges for the Pediatrician	p. 192
Taking Action and Overcoming Obstacles	p. 194
Summary	p. 197
The Nurses' Vantage Point	p. 203
The NURSE Program Model of Care	p. 204
Nurses' Caring	p. 205
Postpartum Depression Screening	p. 212
Posttraumatic Stress Disorder Due to Childbirth	p. 213
Mothers Who Suffer From Postpartum Illnesses and the Pitfalls of the Criminal Justice System	p. 219
Prologue	p. 220
Mission Statement	p. 222
Insanity Standards	p. 222
Postpartum Illnesses and the Insanity Standard	p. 226
Clark v. Arizona	p. 227
Infanticide	p. 230
The Failures	p. 230
The Message	p. 232
Summary	p. 232
Treatment Options for Perinatal Mood Disorders	p. 235
To Medicate or Not: The Dilemma of Pregnancy and Psychiatric Illness	p. 237
Literature Review	p. 240
Case Studies	p. 253
Conclusion	p. 260
Comorbid Presentations in Perinatal Mental Health: Dialectical Behavior Therapy as a Treatment Model	p. 267
Commonly Occuring Perinatal Comorbid Disorders	p. 270
Dialectical Behavior Therapy	p. 274
Adapting DBT for Postpartum Depression	p. 280
Case Study: Introduction of DBT Skills in a Support Group for Postpartum Depression	p. 280
Summary	p. 282
Treating Antepartum Depression: Interpersonal Psychotherapy	p. 289
Antepartum Depression	p. 289
Interpersonal Psychotherapy (IPT)	p. 290
Pregnancy	p. 292
Depression During Pregnancy	p. 292
Guidelines for Interpersonal Psychotherapy	p. 293
Problem Areas for Treatment	p. 295
The Efficacy of IPT-P	p. 296
Discussion	p. 301
A Psychodynamic Approach to Treatment for Postpartum Depression	p. 309
Maternal Identity	p. 310
Conclusion	p. 319
Health Literacy and Maternal Empowerment	p. 321
Prenatal Care and Public Health Experiences	p. 322
What Is Health Literacy?	p. 325
Health Literacy and the Perinatal Experience	p. 327
The Baby Basics Program	p. 329
The Role of Social Support in the Prevention, Intervention, and Treatment of Perinatal Mood Disorders	p. 339
The History of Social Support: A Convergence of Science and Self-Help for Perinatal Families	p. 340
The Self-Help Movement	p. 343
The Emergence of the Perinatal Social Support Movement	p. 345
The Principles of Social Support	p. 346
The Types of Social Support	p. 347
Summary	p. 352
Resource List	p. 357
Index	p. 359
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Perinatal and Postpartum Mood Disorders

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