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Paper Information

Journal:   IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY   FALL 2010 , Volume 16 , Number 3 (62); Page(s) 355 To 355.
 
Paper: 

TREATMENT OF DEPRESSION DURING PREGNANCY AND POSTPARTUM

 
 
Author(s):  RANJBAR FATEMEH*
 
* TABRIZ UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 

Women in their reproductive period are at risk of depressive episodes. Approximately 9% of pregnant women and 13% of postpartum women experience major depressive disorder. In women with previous episodes of postpartum depression (PPD), the risk of depressive recurrence during postpartum increases to 25%. Treatment options for depression during pregnancy and postpartum include psychotherapy, antidepressant therapy and ECT. For pregnant and nursing women, decision to take medication for depression should be made with care. As a general principle, treatment of depression during pregnancy is determined by the severity of the underlying disorder, history of treatment responses and individual patient preferences. Women with the new onset of depressive symptoms during pregnancy with mild to moderate depressive symptoms may benefit from nonpharmacological treatments. Women with more severe depression may choose to receive pharmacological treatment. Clinician should select medication with the safest reproductive profile. Sertraline, Citalopram and maybe Fluoxetine with the extensive data that support their reproductive safety, can be considered as first line choices. The TCA-desipramine, nortriptyline and bupropion can be considered reasonable treatment options during pregnancy. The amount of literature on the reproductive safety of the newer NSRIs is increasing. Sertraline is ideal first line agent in the treatment of postpartum depression in nursing women. Bupropion is also another good option, particularly for anergic patients. TCAs are used frequently and because they tend prominent sleep disturbances.

 
Keyword(s): POSTPARTUM DEPRESSION, PREGNANCY, TREATMENT
 
 
References: 
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Citations: 
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+ Click to Cite.
APA: Copy

RANJBAR, F. (2010). TREATMENT OF DEPRESSION DURING PREGNANCY AND POSTPARTUM. IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY, 16(3 (62)), 355-355. https://www.sid.ir/en/journal/ViewPaper.aspx?id=194788



Vancouver: Copy

RANJBAR FATEMEH. TREATMENT OF DEPRESSION DURING PREGNANCY AND POSTPARTUM. IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY. 2010 [cited 2021October27];16(3 (62)):355-355. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=194788



IEEE: Copy

RANJBAR, F., 2010. TREATMENT OF DEPRESSION DURING PREGNANCY AND POSTPARTUM. IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY, [online] 16(3 (62)), pp.355-355. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=194788.



 
 
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