Perinatal Depression Treatment Guidelines for Obstetric Providers

Nina E Higgins; Marquette J Rose; Tamara J Gardner; Jennifer N Crawford

doi:10.1016/j.ogc.2023.03.009

Perinatal Depression Treatment Guidelines for Obstetric Providers

Obstet Gynecol Clin North Am. 2023 Sep;50(3):589-607. doi: 10.1016/j.ogc.2023.03.009. Epub 2023 May 8.

Authors

Nina E Higgins¹, Marquette J Rose², Tamara J Gardner³, Jennifer N Crawford⁴

Affiliations

¹ Department of Psychiatry & Behavioral Sciences, University of New Mexico, 2400 Tucker Avenue N.E., 1 University of New Mexico, MSC09-5030, Albuquerque, NM 87131, USA; Department of Obstetrics and Gynecology, University of New Mexico, 2400 Tucker Avenue N.E., 1, MSC09-5030, Albuquerque, NM 87131, USA. Electronic address: negonzales@salud.unm.edu.
² Department of Psychiatry & Behavioral Sciences, University of New Mexico, 2400 Tucker Avenue N.E., 1 University of New Mexico, MSC09-5030, Albuquerque, NM 87131, USA.
³ Perinatal Associates of New Mexico, 201 Cedar SE, Suite 405 Albuquerque, NM 87106, USA.
⁴ Department of Psychiatry & Behavioral Sciences, University of New Mexico, 2400 Tucker Avenue N.E., 1 University of New Mexico, MSC09-5030, Albuquerque, NM 87131, USA; Department of Obstetrics and Gynecology, University of New Mexico, 2400 Tucker Avenue N.E., 1, MSC09-5030, Albuquerque, NM 87131, USA.

PMID: 37500219
DOI: 10.1016/j.ogc.2023.03.009

Abstract

Perinatal depression is the occurrence of depressive symptoms during the antenatal or postnatal period with an annual incidence of 10% to 20%. The consequences of untreated perinatal depression are significant and include negative impacts on maternal health, pregnancy outcomes, and maternal-infant outcomes. The purpose of this article is to provide perinatal pharmacologic and psychological treatment information to help first-line providers more confidently manage depression in the perinatal period. Treatment strategies including medication management using risk versus risk conversations, psychotherapy, and colocated perinatal mental health clinics are discussed.

Keywords: Medication; Perinatal depression; Postpartum depression; Psychotherapy; Reproductive psychiatry.

Publication types

Review

MeSH terms

Child
Depression / therapy
Depression, Postpartum* / epidemiology
Female
Humans
Infant
Infant, Newborn
Maternal Health
Perinatal Care
Pregnancy
Pregnancy Complications* / epidemiology