Perinatal Mood and Anxiety Disorders: Evidence-Based Approaches to Screening and Management During Pregnancy and

Clara Bertozzi-Villa1, Rubiahna Vaughn2, Sameer Khan3

  • 1Department of Obstetrics and Gynecology, Montefiore Albert Einstein College of Medicine.

Insights

This review synthesizes literature and guidelines for perinatal mood and anxiety disorders, focusing on major depressive disorder and generalized anxiety disorder screening, management, and follow-up.

Area of Science:

  • Perinatal mental health
  • Psychiatry
  • Obstetrics and Gynecology

Background:

  • Perinatal mood and anxiety disorders (PMADs) are prevalent and impact maternal and infant well-being.
  • Major depressive disorder (MDD) and generalized anxiety disorder (GAD) are common PMADs.
  • Effective screening, management, and follow-up are crucial for optimal perinatal mental healthcare.

Purpose of the Study:

  • To review current literature and clinical guidelines for PMADs.
  • To focus on evidence-based practices for MDD and GAD in the perinatal period.
  • To provide a comprehensive overview for clinicians and researchers.

Main Methods:

  • Systematic literature search of relevant databases.
  • Analysis of existing clinical practice guidelines.
  • Synthesis of findings on screening tools, treatment modalities, and follow-up protocols.

Main Results:

  • Identification of validated screening instruments for PMADs.
  • Summary of pharmacological and non-pharmacological management strategies for MDD and GAD.
  • Discussion of optimal follow-up schedules and supportive care interventions.

Conclusions:

  • Early detection and intervention are key for managing perinatal depression and anxiety.
  • Multidisciplinary approaches enhance treatment outcomes for mothers and infants.
  • Adherence to evidence-based guidelines improves the quality of perinatal mental healthcare.

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