Tuesday, October 26, 2010

New recommendations for depression

Screening for depression at the beginning may help ensure a healthy mother and infant health. Credit: Getty Images

Each year, more than 400,000 babies are born to mothers who are depressed, which makes the Perinatal depression - depression occurs during pregnancy or the first year after birth - obstetric complication most under United States, according to a report released today by the American Academy of Pediatrics (AAP).

Depression postpartum mothers negatively affect the parenting skills and can modify also judgment when it comes to issues of health and safety of children. It also puts a child at risk of thrive, delays attachment disorder and development in many areas, including the acquisition of language, according to the report.

Maternal Depression in childhood can lead to the increased production of cortisol hormone in preschool-aged child linked to anxiety and social mistrust retrait.Problèmes behavior, depression and other mood disorders during childhood and adolescence may also occur most frequently in children of mothers with major depression, the study reports.And more depressed mother will not processed, less sensitive her child will be intervention to prevent the problems of development.

The authors to write "Dealing with the timely proactively and time maternal depression is essential to ensure early and development of children and desire to succeed, brain".

An estimated 5 to 25 percent of pregnant women and postpartum have depression, that studies show that 40-60 percent of low-income mothers and pregnant and parenting adolescents are mined, the study of the risk of Perinatal depression rapports.Et is increased when a family history of depression, substance abuse or personal history of depression.

There are different forms of maternal depression, ranging from "blue maternity" depression postpartum psychosis after childbirth, authors note.

Maternity blues is said affect 50-80% of new mothers and occurs in the first days after birth, whose symptoms include crying, worrying, swings in mood, anxiety and sadness.These symptoms usually stop within two weeks after childbirth and do not alter the fonction.Ce type of depression can be treated effectively with comfort and emotional support, researchers report.

In contrast, postpartum depression occurs in 13 to 20 per cent of women after birth and produces symptoms that meet the diagnostic criteria for depression - what is not the case with maternity blues.

Postpartum psychosis is a serious condition that affects approximately 1 to 3 mothers of 1,000 and occurs most often during the first four weeks postpartum mothers .this are seriously altered and may experience paranoia, changes in mood, hallucinations, delusions and suicidal and deadly - thoughts that require immediate medical attention and usually hospitalization.

To tackle the problem of maternal depression, the AAP acknowledged that child (PCP) primary health care provider has an opportunity to identify the condition and working with families to improve health mentale.La PCP is probably the first professional care for the baby and the mother after the birth and therefore very fast and regular access continuous access by suivi.PCP child visits and care can screen maternal depression and help its access to the resources-family support, therapy or emergency services.

In addition, the AAP recommends that Obstetricians advise their patients to visit the pediatric practice during the prenatal period, so a parental relationship can be established at the beginning and the pediatrician can be better prepared to treat the symptoms of depression that may occur after childbirth.

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