Women are reluctant to seek help for perinatal distress, finds UK studyBMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j4020 (Published 28 August 2017) Cite this as: BMJ 2017;358:j4020
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These are important facts reported in the news item of S. Mayor  regarding perinatal psychological distress. The factors affecting pregnant women are capacity to realize and articulate problems, expectations and previous experiences of health professionals, considering postnatal depression as a stigma. Indeed, an awareness among families, partners and health professionals is necessary. Some points should be added.
Postpartum depression is a severe affective disorder and can affect both sexes. Onset is typically between one week up to four months following childbirth. Causes are a combination of biological factors (hormonal changes) and emotional stress including sleep deprivation. In about 15% of women a depression in about 0.2% of women a postpartum psychosis occurs following childbirth. It`s important to differentiate between “baby blues”, severe depression and psychosis. DSM-5 diagnoses postpartum depression under "depressive disorder with peripartum onset", defined as anytime either during pregnancy or within the four weeks following delivery. Psychopathological symptoms, duration, risks (suicidality) are very different and sometimes complicated. There are different predictors  and a helpful Mother-Infant Bonding Questionnaire (MIBQ) . Knowing the factors associated with postpartum depression and improving maternal care and social support is important, respectively. But psychosocial interventions are not efficient enough in severe depression or psychosis, the danger of suicide and filicide. The filicide rate is high in depressive psychoses (4.5 %) . Suicide is one of the leading causes of perinatal maternal mortality .
1) Mayor S. Women are reluctant to seek help for perinatal distress, finds UK studyBMJ 2017;358:j4020
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Competing interests: No competing interests