Interventions to Prevent Perinatal Depression
The US Preventive Services Task Force (USPSTF) has issued a statement of recommendations on interventions to prevent perinatal depression. The group assesses evidence on the risks and benefits of treatments and provides a recommendation based on a balance of the two.
The USPSTF recommend that clinicians ‘provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions’. Interventions such as cognitive behavioral therapy and interpersonal therapy were seen to be effective in preventing perinatal depression in those that were at increased risk.
The statement highlights the need for addition research into how to identify women that are at risk along with other interventions such as physical activity, peer counseling and in-hospital perinatal education.
The full statement can be found here.
Unplanned cesarean sections increase a mothers risk of postnatal depression
A study titled ‘Mother’s mental health after childbirth: Does the delivery method matter?’ has been published looking at the impact of unplanned cesarean birth on a mother’s mental health in particular the impact on postnatal depression. Information on 5896 women was assessed to determine the causal effect of an unplanned cesarean on the mother’s mental health.
The study found that unplanned cesarean births carry significant psychological risks including increased vulnerability to depression. The paper highlights that ‘From a policy perspective, this study highlights the importance of accounting for the psychological costs of unplanned caesarean deliveries when evaluating the costs and benefits of this procedure.’ along with recognizing the need to have appropriate services in place to support mothers and their mental health needs.
The full paper is available here.