Cited by 76Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcarePregnancy-related medical research

Recognizing and treating peripartum depression

Open access
Hübner-Liebermann, Bettina, Hausner, Helmut, Wittmann, Markus·2012·Deutsches Ärzteblatt international

Abstract

BACKGROUND: In this article, we review current data on the prevalence of, risk factors for, and treatment of peripartum depression. METHOD: Pertinent publications were retrieved by searches in Medline and the Cochrane Library using the key words "peri/pre/post", "partum/partal/natal", "maternal/motherhood/pregnancy", and "depression/affective disorder". RESULTS: Depression is the most common peripartal disease: The prevalence of depressive disorders is 18.4% during pregnancy and 19.2% in the puerperium. Prepartum depression is associated with preterm birth, low birth weight, and an abnormal fetal heart rate. In the long run, children of depressed mothers have been found to have impaired cognitive and emotional abilities. Risk factors for peripartal depression include prior depression, poor social support, poor quality of intimate relationship, and negative live events. Peripartum depression can be treated effectively with psychotherapy or drug therapy. Current data support the use of antidepressants during pregnancy and breastfeeding. In many places, pregnancy counseling centers offer low-threshold psychosocial assistance. Nonetheless, no more than 20% of the affected women are identified, even though rapid screening would be possible with instruments such as the Edinburgh Postnatal Depression Scale (EPDS) and the two Whooley questions. CONCLUSION: Peripartum depression is both common and treatable. Screening for depression should become a routine part of both prepartum care by gynecologists and postpartum care by midwives. This will only be possible, however, with expanded availability of ambulatory and inpatient psychotherapy and psychiatric care for the affected women and their children.

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Crossref · 10.3238/arztebl.2012.0419

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Authors
Hübner-Liebermann, B., Hausner, H., & Wittmann, M.
Affiliations
University Hospital Regensburg (DE)
Venue
Deutsches Ärzteblatt international
Published
2012-06-15
Volume
109
Issue
24
Pages
419-24
ISSN
1866-0452 (ISSN-L)
OpenAlex
W2139229472
Cited by
76
References
54
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 2 · 2021: 4 · 2020: 8 · 2019: 9 · 2018: 6 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 4 · 2013: 15 · 2012: 2
FWCI
1.43
Type
journal article
Language
de
Open access
Locations
  • Deutsches Ärzteblatt international (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords
perinatal depression, postpartum depression, prepartum depression, maternal depression, prevalence, risk factors, breastfeeding, depression screening, Edinburgh Postnatal Depression Scale, psychotherapy, social support
MeSH terms
Antidepressive Agents, Female, Germany, Humans, Pregnancy, Psychotherapy, Risk Factors, Prevalence, Depression, Postpartum

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