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Updated: Jun 10, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Guideline No. 454: Identification and Treatment of Perinatal Mood and Anxiety Disorders

Alison Shea1, Naana Afua Jumah2, Milena Forte3

  • 1Hamilton, ON.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|October 18, 2024
PubMed

Insights

Perinatal mood and anxiety disorders impact pregnant and postpartum individuals. Early identification, screening, and evidence-informed treatment are crucial for improved maternal and family health outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Mental Health
  • Evidence-Based Medicine

Background:

  • Perinatal mood and anxiety disorders affect pregnant and postpartum individuals.
  • Untreated conditions can lead to severe consequences for both the individual and their family.
  • Effective identification and management are essential for positive health outcomes.

Purpose of the Study:

  • To equip perinatal health care providers with tools to identify and manage perinatal mood and anxiety disorders.
  • To focus on risk factors, screening, treatment, and referral processes.
  • To promote open dialogue and evidence-informed care in perinatal mental health.

Main Methods:

  • Comprehensive literature search across major databases (Medline, PubMed, Embase, Cochrane) up to June 2024.
  • Inclusion of articles from bibliographies and reputable grey literature sources.
  • Quality of evidence and strength of recommendations assessed using the GRADE approach.

Main Results:

  • Development of recommendations for identification, risk screening, and treatment of perinatal mood and anxiety disorders.
  • Emphasis on evidence-informed care strategies for improved patient management.
  • Highlighting the importance of timely and appropriate referral pathways.

Conclusions:

  • Implementing evidence-informed identification, screening, and treatment protocols can significantly improve care for perinatal mental illness.
  • Healthcare providers are key in managing these disorders during pregnancy and postpartum.
  • Open dialogue and standardized approaches are vital for better patient and family outcomes.
Abstract

Keywords:
antidepressantanxietybipolar disorderbreastfeedingdepressionfemalepostpartumpregnancypsychologyscreening

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