By
Ricardo J. Fernandez, M.D., DFAPA
Councilor, NJ Psychiatric Association
“Postpartum Depression”
Psychiatric Syndromes
of the
Postpartum Period
This presentation is for
the exclusive use of the
New Jersey Psychiatric
Association website
and for the purposes of consumer
information and education.
It may not be otherwise
reproduced or presented without
the knowledge and consent of
Ricardo J. Fernandez, M.D.
Women are at serious risk
for developing a
psychiatric illness after
childbirth.
60
50
Admissions/Month
40
30
20
Pregnancy
10
0
–2 Years – 1 Year Childbirth +1 Year +2 Years
50% to 70%
70% 2/3 have onset by
60% 6 wks postpartum
46% 22%
2. Within
Time of6 Weeks
Onset of Within
Postpartum 6 Months
Depression in 413 Patients
The
14% more severe, the 18%
earlier the onset.
60 Severe, needed hospital admission
Percentage of Patients
20
67%
61%
49% 52%
37%
28%
20%
…a reasonable
option
in Postpartum
Depression ?
Although all medications
cross into breast milk,
there are a few
antidepressants that
appear to cross less than
others and may be safer
in breast feeding.
Consult your doctor.
There are risk factors that
predispose women to
postpartum disorders.
Risk Factors
• First pregnancy
• Young age
• Psychiatric illness during pregnancy
• Prior history of postpartum illness
• Prior history of mental illness
• Family history of mental illness
• Recent stressful life events
• Problems in the marriage
In addition, there are
many societal and
cultural factors that may
predispose women to
postpartum problems
including...
Isolation…
…Diminished
extended family
Involvement.
Distorted and glamorized perceptions
of pregnancy…
…and of
recovery
in the
postpartum...
…frequently
promoted
in the
media.
As well as unrealistic
expectations of the postpartum mother
In summary, postpartum
psychiatric illness exists.
It can be debilitating and
dangerous to both mother
and child.
Effective treatments are
available. Support groups of
mothers in recovery are also
available in many areas
of the country.
For more information:
• Consult with your doctor
• Contact:
– Depression-After-Delivery (DAD)
• www.DepressionAfterDelivery.com
– Depression and Bipolar Support Alliance (DBSA)
• Phone: 800-826-3632
• Web:www.DBSAlliance.org
– New Jersey Psychiatric Association
• Phone: 800-345-0143