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Postpartum mood disorders: clinical perspectives

S F Pariser¹, H A Nasrallah, D K Gardner

¹Women's Mood Disorder Clinic, Ohio State University College of Medicine, Columbus, USA.

Journal of Women'S Health

|August 1, 1997

Summary

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Women with a history of mood disorders face high risk for postpartum mood disorder exacerbation. Early psychiatric consultation and professional collaboration are crucial for prevention and timely treatment.

Area of Science:

Reproductive Psychiatry
Women's Mental Health
Perinatal Psychiatry

Background:

Mood disorders are prevalent among women.
A personal history of mood disorders (bipolar disorder, major depression), premenstrual syndrome, or postpartum blues increases the risk of postpartum mood disorder exacerbation.

Purpose of the Study:

To highlight the risks associated with postpartum mood disorders.
To emphasize the importance of proactive psychiatric consultation for at-risk women.

Main Methods:

Review of existing literature on mood disorders in women.
Analysis of risk factors for postpartum mood disorder exacerbation.
Emphasis on the role of pre-pregnancy psychiatric assessment and consultation.

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Main Results:

Untreated postpartum mood disorders can have severe psychologic and social consequences, including suicide and infanticide.
Women with specific pre-pregnancy histories are at significant risk for postpartum mood symptom worsening.

Conclusions:

Women at risk require pre-pregnancy psychiatric consultation.
Informed, professional collaboration is essential for prevention, early recognition, and treatment of postpartum mood disorders.