Post Partum Depression: Diagnosing

1. Postpartum emotional disorders were recognized by Hippocrates in 700 B.C.


2. They are divided into postpartum ‘blues’ or transient minor affective disorder, postpartum depression, and postpartum psychosis


3. 50-80% of new mothers are affected by postpartum blues, 10-20% develop depression, and only 0.1-0.2% develop psychosis

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4. The incidence is stable across cultures


5. Infants of affected mothers are at risk for neglect, failure to thrive, developmental delay, and possibly physical harm, including death


6. PPD is possibly due to 10-fold drop in postpartum estrogen levels


7. It may be worse in mothers with histories of OCD or PMS


8. Women with low self-esteem are at high risk, as are the poor and those with poor social support


9. There is a clear increase in risk for first-time mothers, especially when the mother is very young or old


10. Mothers of premies are at high risk as well


11. Mothers with bipolar disorder or with a strong family history for depression of bipolar disorder are at high risk for postpartum psychosis


12. Antenatal screening may predict up to 50% of cases


13. The pediatrician has more contact with new mothers than any other health professional and therefore stands the best chance of making the diagnosis


14. A simple 10 question screen performed at well baby visits could pick up most cases of postpartum depression