Depression
Common in Pregnancy
NEW YORK (Reuters
Health) - Postpartum depression, also known as ``the baby blues,''
is a well known phenomenon. But according to a recent study, women
are more likely to be depressed during their pregnancy than after
their child is born.
The study
found that while the severity of depression did not differ before
or after childbirth, symptoms of depression were more likely during
pregnancy. In fact, depression was more likely in the 32nd week
of pregnancy (a full-term pregnancy is 40 weeks) than 8 weeks
after giving birth. Depression fell to its lowest level 8 months
after delivery in the group of more than 9,000 mothers. The researchers
interviewed women at 18 and 32 weeks of pregnancy and at 8 weeks
and 8 months after the birth.
About 12%
of women were depressed in the 18th week of pregnancy, compared
with 8% of women in the 8th month after birth, the study found.
The results,
which are published in the August 4th issue of the British Medical
Journal, highlight the need to recognize and treat depression
during pregnancy, because a mother's mood may affect her unborn
child, conclude Dr. Jonathan Evans, of the University of Bristol
in the UK, and associates.
``Psychopathology
during pregnancy may have an important effect on the uterine environment,
and research is urgently needed into the consequences for the
child of antenatal depression,'' they write. ``Offering treatment
may be important for both the mother and the future well-being
of the child and family.''
While widespread
use of antidepressants during pregnancy is probably not a good
idea, the benefits of the drugs may outweigh the risks for some
women with severe depression. Women with mild or moderate depression
may benefit from other, non-drug related treatments, such as problem-solving
counseling, they said.
SOURCE:
British Medical Journal 2001;323:257-260.
Reference
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