Galbally M, Himmerich H, Senaratne S, Fitzgerald P, Frost J, Woods N, Dickinson JE.
Lancet Psychiatry. 2022 Mar 24:S2215-0366(22)00031-1.
This review provides multidisciplinary recommendations for clinical care in this area. Managing anorexia nervosa in pregnancy is an area of clinical care that requires a multidisciplinary approach and includes those experienced in managing high-risk pregnancies.
Risk factors of perinatal depression in women: a systematic review and meta-analysis.
Yang K, Wu J, Chen X. BMC Psychiatry. 2022;22(1):63.
Thirty-one studies with an overall sample size of 79,043 women were included in the review. Lower educational level, poor economic status of families, history of mental illness, domestic violence, perinatal smoking or drinking, and multiparity serve as risk factors of perinatal depression in women.
Waqas A, Koukab A, Meraj H, Dua T, Chowdhary N, Fatima B, Rahman A.
BMC Psychiatry. 2022 Jan 24;22(1):54. d
For women in the perinatal period, do screening programmes for perinatal depression and anxiety compared with no screening improve maternal mental health and infant outcomes?A series of meta-analyses reveal a reduction in perinatal depression and anxiety among perinatal women undergoing screening programs. For the outcome of depressive disorder, meta-analysis indicates a positive impact in favor of the intervention group (OR = 0.55).
Kiewa J, Meltzer-Brody S, Milgrom J, Guintivano J, Hickie IB, Whiteman DC, Olsen CM, Colodro-Conde L, Medland SE, Martin NG, Wray NR, Byrne EM.
Depress Anxiety. 2022 Mar;39(3):182-191.
Distinctions between major depressive disorder (MDD) and perinatal depression reflect varying views of perinatal depression, from a unique etiological subtype of MDD to an MDD episode that happens to coincide with childbirth. In a case-control study investigating genetic differences between perinatal depression and MDD outside the perinatal period (non-perinatal depression), perinatal depression had a high genetic overlap with MDD, but also points of distinction focusing on differential expression in ovarian tissue. Higher MDD polygenic scores were observed, particularly for women experiencing both antenatal and postpartum depression.
Jarbou NS, Newell KA.
Arch Womens Ment Health. 2022 Mar 14.
The evidence suggests that exercise of various types in pregnancy can reduce depressive and/or anxiety symptoms in the perinatal period in otherwise healthy women. Specifically in women with antenatal depression, the incorporation of yoga in pregnancy can improve depressive/anxiety symptoms in the perinatal period; however, this is based on a small number of studies, and it is not clear whether this is superior to non-exercise controls. Further studies are needed to determine the potential therapeutic effects of exercise of various types during pregnancy on symptoms of antenatal depression.
Li J, Yin J, Waqas A, Huang Z, Zhang H, Chen M, Guo Y, Rahman A, Yang L, Li X.
Front Psychiatry. 2022 Feb 15;13:734836.