Depression during pregnancy

doi:10.1136/bmj.39189.662581.55

BMJ 2007;334:1003-1005 (12 May), doi:10.1136/bmj.39189.662581.55

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Pregnancy Plus

Depression during pregnancy

Veronica O'Keane, senior lecturer, Michael S Marsh, consultant obstetrician, King's College Hospital, and honorary senior lecturer, Institute of Psychiatry

Institute of Psychiatry, King's College London, London SE5 8AF

Correspondence to: V O'Keane v.o'keane@iop.kcl.ac.uk

The first 150 words of the full text of this article appear below.

Introduction

Depression during pregnancy is common. The case presented herehighlights many of the key issues involved in the managementof pregnant women with depression, particularly the importanceof active treatment.

Two months after the birth of her second child a 34year old woman was admitted to a psychiatric inpatient unitfor treatment of depression. She was married and worked as abusiness manager. She had a history of depression dating backto her late teens, which had been untreated until the birthof her first child three years before. At this point her depressionhad deteriorated into a psychotic state, but she subsequentlyresponded to a combination of antidepressants and antipsychoticdrugs. Her second pregnancy was planned, and her medicationwas discontinued when she conceived. Although her mental statecontinued to deteriorate as the pregnancy advanced, she wasreassured at antenatal consultations that she had a healthypregnancy and . . . [Full text of this article]

How common is depression during pregnancy?

Who is at risk?

How does pregnancy affect depression?

How does depression affect the outcome of pregnancy?

How is depression treated in pregnancy?

What advice should be given about family planning?

As pregnancy progresses

Summary

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