Peripartum mood disturbances medical therapy: Difference between revisions

Jump to navigation Jump to search
Line 3: Line 3:
{{CMG}}; {{AE}}{{Sunita}}
{{CMG}}; {{AE}}{{Sunita}}
==Overview==
==Overview==
There is no treatment for [disease name]; the mainstay of therapy is supportive care.
To manage peripartum mood disturbances efficiently, a multidisciplinary and comprehensive approach is used.
 
OR
 
Supportive therapy for [disease name] includes [therapy 1], [therapy 2], and [therapy 3].
 
OR
 
The majority of cases of [disease name] are self-limited and require only supportive care.
 
OR
 
[Disease name] is a medical emergency and requires prompt treatment.
 
OR
 
The mainstay of treatment for [disease name] is [therapy].
 
OR
 
The optimal therapy for [malignancy name] depends on the stage at diagnosis.
 
OR
 
[Therapy] is recommended among all patients who develop [disease name].
 
OR
 
Pharmacologic medical therapy is recommended among patients with [disease subclass 1], [disease subclass 2], and [disease subclass 3].
 
OR
 
Pharmacologic medical therapies for [disease name] include (either) [therapy 1], [therapy 2], and/or [therapy 3].
 
OR
 
Empiric therapy for [disease name] depends on [disease factor 1] and [disease factor 2].
 
OR
 
Patients with [disease subclass 1] are treated with [therapy 1], whereas patients with [disease subclass 2] are treated with [therapy 2].


==Medical Therapy==
==Medical Therapy==

Revision as of 18:04, 2 August 2021

Peripartum mood disturbances Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Peripartum mood disturbances from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Peripartum mood disturbances medical therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Peripartum mood disturbances medical therapy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Peripartum mood disturbances medical therapy

CDC on Peripartum mood disturbances medical therapy

Peripartum mood disturbances medical therapy in the news

Blogs on Peripartum mood disturbances medical therapy

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Peripartum mood disturbances medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunita Kumawat, M.B.B.S[2]

Overview

To manage peripartum mood disturbances efficiently, a multidisciplinary and comprehensive approach is used.

Medical Therapy

To manage postpartum depression efficiently, a multidisciplinary and comprehensive approach is used.[1]
All Postpartum Depression

  • Investigate and manage social stressors, psychiatric and medical comorbidities
  • Psychosocial support strategies.
  • Self-care
  • Sleep protection
  • Exercise

Postpartum depression: moderate severity or not in remission from self-care and psychosocial strategies

  • Psychological treatments, including CBT and IPT
  • Add SSRI if insuffiecient response (for lactation safety)

Postpartum Depression: Severe

  • SSRI alone or with psychological intervention (for lactation safety)
  • Consider antidepressant switch and augmentation startegies if no response to SSRI alone.
  • Consider ECT with severe suicidality, psychosis or treatment resistance.

Additional therapeutic options: bright light therapy, yoga, relaxation training, massage and acupunture.
Alternative treatment options are omega-3 PUFAs, such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), which have fewer side effects.

Postpartum psychosis is a medical emergency and requires prompt inpatient treatment. Once the organic causes of psychosis are ruled out the treatment is given according to the symptom profile.
Antipsychotics, mood stabilizers and benzodiazepines are used in acute therapy. Insomnia should be treated promptly. ECT is used when the condition is treatment resistant or a quicker response is required because of symptoms severity or safety concerns. Antimaniac and antipsychotic agents benefit a patient who has a known history of the illness or a family member has a history.[2]
Before being discharged from the hospital, a strategy must be in place that includes close monitoring, appropriate sleep, and stress reduction.[3]

The majority of cases of Postpartum blues are self-limited and temporary. The mainstay of therapy is supportive care. As a result, it resolves on its own, requiring reassurance, education, validation, and psychological support.[4]

References

  1. "Postpartum Depression: Pathophysiology, Treatment, and Emerging Therapeutics | Annual Review of Medicine".
  2. "Pharmacotherapy of postpartum psychosis: Expert Opinion on Pharmacotherapy: Vol 4, No 10".
  3. "A Review of Postpartum Psychosis | Journal of Women's Health".
  4. Seyfried LS, Marcus SM (August 2003). "Postpartum mood disorders". Int Rev Psychiatry. 15 (3): 231–42. doi:10.1080/0954026031000136857. PMID 15276962.

Template:WH Template:WS