{"id":585,"date":"2021-02-15T16:33:24","date_gmt":"2021-02-15T16:33:24","guid":{"rendered":"http:\/\/134.122.102.56\/SAND\/uk\/?post_type=professionals&#038;p=585"},"modified":"2023-03-08T14:31:14","modified_gmt":"2023-03-08T14:31:14","slug":"perinatal-depression","status":"publish","type":"professionals","link":"https:\/\/path-perinatal.eu\/uk\/professionals\/perinatal-depression\/","title":{"rendered":"Perinatal depression"},"content":{"rendered":"\n<section id=\"gma92c47a\" class=\"wp-block-gutentor-m3 section-gma92c47a gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gfb5bc1\" class=\"wp-block-gutentor-e6 section-gfb5bc1 gutentor-element gutentor-element-image text-align-center-desktop text-align-center-tablet text-align-center-mobile crop crop-top\"><div class=\"gutentor-element-image-box\"><div class=\"gutentor-bg-image\"><\/div><\/div><\/div>\n\n\n\n<section id=\"gmc2bf443\" class=\"wp-block-gutentor-m3 section-gmc2bf443 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gbb9c2a\" class=\"wp-block-gutentor-e1 section-gbb9c2a gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Pregnancy and postnatal period are well established as an increased time of risk for the development of serious mood disorders. Postpartum non-psychotic depression is the most common complication of childbearing affecting approximately 10-15% of women and as such represents a considerable public health problem affecting women and their families.<sup>1<\/sup><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm2b86ffe\" class=\"wp-block-gutentor-m3 section-gm2b86ffe gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-ged7d03\" class=\"wp-block-gutentor-e1 section-ged7d03 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The effects of antenatal and postnatal depression on the mother, her close family members and her children make it an important condition to diagnose, treat and prevent. Untreated depression can have adverse long-term effects. For the mother, the episode can be the precursor of chronic recurrent depression. For her children, a mother\u2019s ongoing depression can contribute to emotional, behavioural, cognitive and interpersonal problems in later life.2<\/p><\/div><\/div>\n<\/div><\/section>\n<\/div><\/section>\n\n\n\n<section id=\"gm6ed59a8\" class=\"wp-block-gutentor-m3 section-gm6ed59a8 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g90aa3c\" class=\"wp-block-gutentor-e1 section-g90aa3c gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong><strong>Antenatal depression<\/strong><\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g1c99f8\" class=\"wp-block-gutentor-e1 section-g1c99f8 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Depression can occur during pregnancy and it is less commonly known in comparison to postnatal depression. Some people may experience depression during pregnancy which continues into the postnatal period.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g72309d\" class=\"wp-block-gutentor-e1 section-g72309d gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Some of the risk factors for antenatal depression include past psychiatric history of depression or other mental health problems, stressful life events, lack of social support and domestic violence.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-ga3130a\" class=\"wp-block-gutentor-e1 section-ga3130a gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">For signs and symptoms of antenatal depression, see section on \u2018common signs and symptoms of perinatal depression\u2019.<\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm590aebf\" class=\"wp-block-gutentor-m3 section-gm590aebf gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gf52418\" class=\"wp-block-gutentor-e1 section-gf52418 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong><strong>Baby blues<\/strong><\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-gd9076f\" class=\"wp-block-gutentor-e1 section-gd9076f gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">During the first week after childbirth, many mothers can experience baby blues, characterised by lowering of mood, tearfulness and feeling emotional. Baby blues is the most common puerperal mood disturbance with prevalence rates ranging between 30-75%.<sup>3<\/sup><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-gb3c7ca\" class=\"wp-block-gutentor-e1 section-gb3c7ca gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Baby blues are a normal occurrence following birth and occur due to a sudden drop in hormone (oestrogen) and chemical levels after birth. The mother should be reassured and advised that the symptoms will pass within a few days. They could be advised to speak to their midwife or health visitor for extra support during this time.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-g099c95\" class=\"wp-block-gutentor-e1 section-g099c95 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">In the event it doesn\u2019t pass and lasts for 14 days or more, further physical investigations may be required to check for any underlying treatable health issues such as anaemia or thyroid disease.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g62ef27\" class=\"wp-block-gutentor-e1 section-g62ef27 gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">If the above symptoms do not improve, consideration should be given to the mother\u2019s mental health. Baby blues can be a risk factor for postnatal depression.<\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm4dc3a3d\" class=\"wp-block-gutentor-m3 section-gm4dc3a3d gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-ga8093e\" class=\"wp-block-gutentor-e1 section-ga8093e gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Postnatal depression<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div id=\"section-ge159c1\" class=\"wp-block-gutentor-e1 section-ge159c1 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Between 10-20% of women can have depression and <a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/perinatal-anxiety\/\" data-type=\"professionals\" data-id=\"575\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">anxiety<\/span><\/a> during pregnancy and the first year after birth.<\/p><\/div><\/div>\n\n\n\n<div id=\"section-ge69738\" class=\"wp-block-gutentor-e1 section-ge69738 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">The common signs and symptoms of perinatal depression include:<\/p><\/div><\/div>\n\n\n\n<div id=\"section-g3bd5c0\" class=\"wp-block-gutentor-e7 section-g3bd5c0 gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Depressed mood or severe mood swings<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Excessive crying<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-2\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Difficulty bonding with baby<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-3\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Withdrawing from family and friends<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-4\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Loss of appetite or eating much more than usual<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-5\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Inability to sleep (insomnia) or sleeping too much<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-6\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Overwhelming fatigue or loss of energy<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-7\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Reduced interest and pleasure in activities they used to enjoy<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-8\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Intense irritability and anger<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-9\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Fear that they\u2019re not a good mother<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-10\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Hopelessness<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-11\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Feelings of worthlessness, shame, guilt or inadequacy<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-12\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Diminished ability to think clearly, concentrate or make decisions<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-13\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Restlessness<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-14\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Severe anxiety and panic attacks<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-15\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Thoughts of harming themselves or their baby<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-16\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Recurrent thoughts of death or suicide<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm6c91c6f\" class=\"wp-block-gutentor-m3 section-gm6c91c6f gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g122d0d\" class=\"wp-block-gutentor-e1 section-g122d0d gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><strong>Mild depression<\/strong>&#8211; Two or three of the above symptoms are usually present. The woman is usually distressed by these but will probably be able to continue with most activities.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-gba17bb\" class=\"wp-block-gutentor-e1 section-gba17bb gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><strong>Moderate depression<\/strong>&#8211; Four or more of the above symptoms is usually present and the woman is likely to have great difficulty in continuing with ordinary activities.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-gbe65a6\" class=\"wp-block-gutentor-e1 section-gbe65a6 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><strong>Severe depression<\/strong>&#8211; An episode of depression in which several of the above symptoms are marked and distressing, typically loss of self-esteem and ideas of worthlessness or guilt. Suicidal thoughts and acts, a number of somatic symptoms and psychotic symptoms can also be present.<sup>4<\/sup><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gmb3ec00b\" class=\"wp-block-gutentor-m3 section-gmb3ec00b gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gdf255d\" class=\"wp-block-gutentor-e1 section-gdf255d gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>NICE guidance (CG192) recommends the below treatment modalities based on severity of illness<sup>5<\/sup>&#8211;<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g9e34af\" class=\"wp-block-gutentor-e1 section-g9e34af gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">1. For women with persistent subthreshold depressive symptoms, or mild to moderate depression, in pregnancy or the post-natal period \u2013 consider referring for talking therapy<\/p><\/div><\/div>\n\n\n\n<div id=\"section-g2c5ec7\" class=\"wp-block-gutentor-e1 section-g2c5ec7 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Health care professionals should also give mothers advice on self-help, healthy diet, exercise, sleep hygiene, peer support groups, <a href=\"https:\/\/www.tommys.org\/pregnancy-information\/im-pregnant\/mental-wellbeing\/treatment-mental-health-conditions\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">online self-help<\/span><\/a>, <a href=\"http:\/\/www.tommys.org\/pregnancy-information\/health-professionals\/free-pregnancy-resources\/wellbeing-plan\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">Wellbeing Plan<\/span><\/a>, Emotional Wellbeing Visits and support from health visitors, recommend courses such as MIND Mums Matters, and signpost them to local support groups.<\/p><\/div><\/div>\n\n\n\n<div id=\"section-gbb22ef\" class=\"wp-block-gutentor-e1 section-gbb22ef gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">2. For women with a moderate or severe depression in pregnancy or postnatally \u2013 considerations should be given to-<br><\/p><\/div><\/div>\n\n\n\n<div id=\"section-g0c936b\" class=\"wp-block-gutentor-e7 section-g0c936b gutentor-element gutentor-element-list\"><ul class=\"grid-row gutentor-grid-item-wrap list-indicator-icon\"><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-0\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">CBT \u2013 high intensity psychological therapy<\/p><\/span><\/span><\/span><\/li><li class=\"gutentor-list-item grid-lg-12 grid-md-12 grid-12\"><span class=\"gutentor-single-item gutentor-single-item-1\"><span class=\"gutentor-list-item-wrap g-s-list-wrap\"><span class=\"gutentor-single-list-item-icon\"><i class=\"list-item-icon fas fa-arrow-right\"><\/i><\/span><span class=\"gutentor-list-item\"><p class=\"gutentor-single-item-title\">Medication<\/p><\/span><\/span><\/span><\/li><\/ul><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm3f1b24c\" class=\"wp-block-gutentor-m3 section-gm3f1b24c gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-gd723da\" class=\"wp-block-gutentor-e1 section-gd723da gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">If the woman is on antidepressant medication, they should not be stopped abruptly as it carries a high risk of relapse. The benefits and risks of medications should be discussed with the woman to enable her to take an informed decision on her treatment plan.<\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-background has-white-background-color has-white-color is-style-default\" \/>\n\n\n\n<div id=\"section-g4a9d84\" class=\"wp-block-gutentor-e1 section-g4a9d84 gutentor-element gutentor-element-advanced-text white_link\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">If you require further advice, contact your local specialist perinatal mental health team or community mental health team. For further advice on medications in the perinatal period, please refer to <a href=\"https:\/\/path-perinatal.eu\/uk\/professionals\/top-tips-for-gps-in-prescribing\/\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">\u2018Top Tips for GP&#8217;s in prescribing in perinatal period&#8217;.<\/span><\/a><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm6551872\" class=\"wp-block-gutentor-m3 section-gm6551872 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g3766ba\" class=\"wp-block-gutentor-e1 section-g3766ba gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong>Resources<\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g62742f\" class=\"wp-block-gutentor-e1 section-g62742f gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Patient Information leaflet<br><a href=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/post-natal-depression\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">rcpsych.ac.uk<\/span><\/a><\/p><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g8d92fb\" class=\"wp-block-gutentor-e1 section-g8d92fb gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">Tommys postnatal depression<a href=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/post-natal-depression\"><span class=\"has-inline-color has-vivid-cyan-blue-color\"><br><\/span><\/a><a rel=\"noreferrer noopener\" href=\"https:\/\/www.tommys.org\/pregnancy-information\/im-pregnant\/mental-health-wellbeing\/postnatal-depression-pnd\" data-type=\"URL\" data-id=\"https:\/\/www.tommys.org\/pregnancy-information\/im-pregnant\/mental-health-wellbeing\/postnatal-depression-pnd\" target=\"_blank\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">tommys.org<\/span><\/a><\/p><\/div><\/div>\n<\/div><\/section>\n\n\n\n<section id=\"gm74e8177\" class=\"wp-block-gutentor-m3 section-gm74e8177 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<section id=\"gm7ba7179\" class=\"wp-block-gutentor-m4 section-gm7ba7179 gutentor-module gutentor-advanced-columns gutentor-equal-column-height\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row\">\n<div id=\"col-gm39c8c1\" class=\"wp-block-gutentor-m4-col col-gm39c8c1 gutentor-single-column  grid-lg-2 grid-md-12 grid-12 centre\"><div id=\"section-gm39c8c1\" class=\"section-gm39c8c1 gutentor-col-wrap\">\n<div id=\"section-g8b7048\" class=\"wp-block-gutentor-e1 section-g8b7048 gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\"><strong><span class=\"has-inline-color has-white-color\">Training for healthcare professionals: <\/span><\/strong><br><br><span class=\"has-inline-color has-white-color\">Watch our video where Dr Bosky Nair, Consultant Perinatal Psychiatrist, talks about perinatal depression<\/span><\/p><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div id=\"col-gm5df541\" class=\"wp-block-gutentor-m4-col col-gm5df541 gutentor-single-column  grid-lg-10 grid-md-12 grid-12 centre\"><div id=\"section-gm5df541\" class=\"section-gm5df541 gutentor-col-wrap\">\n<section id=\"gme7c484d\" class=\"wp-block-gutentor-m3 section-gme7c484d gutentor-module gutentor-container-cover centre\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\">\n<section id=\"gm33a0cf9\" class=\"wp-block-gutentor-m4 section-gm33a0cf9 gutentor-module gutentor-advanced-columns\"><div class=\"grid-container gutentor-rm-ct-space-d gutentor-rm-ct-space-t gutentor-rm-ct-space\"><div class=\"grid-row gutentor-rm-row-space-d gutentor-rm-row-space-t gutentor-rm-row-space\">\n<div id=\"col-gmd4e795\" class=\"wp-block-gutentor-m4-col col-gmd4e795 gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmd4e795\" class=\"section-gmd4e795 gutentor-col-wrap\"><\/div><\/div>\n\n\n\n<div id=\"col-gmadffa3\" class=\"wp-block-gutentor-m4-col col-gmadffa3 gutentor-single-column  grid-lg-10 grid-md-10 grid-10 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gmadffa3\" class=\"section-gmadffa3 gutentor-col-wrap\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Postnatal and antenatal depression\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/gKCvW5JNO9M?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div id=\"col-gm698010\" class=\"wp-block-gutentor-m4-col col-gm698010 gutentor-single-column  grid-lg-1 grid-md-1 grid-1 gutentor-rm-col-space-d gutentor-rm-col-space-t gutentor-rm-col-space\"><div id=\"section-gm698010\" class=\"section-gm698010 gutentor-col-wrap\"><\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n<\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/section>\n\n\n\n<section id=\"gm47f0e22\" class=\"wp-block-gutentor-m3 section-gm47f0e22 gutentor-module gutentor-container-cover has-color-bg has-custom-bg\"><div class=\"grid-container\">\n<div id=\"section-g0e220a\" class=\"wp-block-gutentor-e1 section-g0e220a gutentor-element gutentor-element-advanced-text\"><div class=\"gutentor-text-wrap\"><h3 class=\"gutentor-text\"><strong><strong>References<\/strong><\/strong><\/h3><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator is-style-default\" \/>\n\n\n\n<div id=\"section-g584a5f\" class=\"wp-block-gutentor-e1 section-g584a5f gutentor-element gutentor-element-advanced-text centre\"><div class=\"gutentor-text-wrap\"><p class=\"gutentor-text\">1. Woody CA, Ferrari A, Siskind D, Whiteford H, Harris M. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord. 219: 86-92. (2017)<br><br>2. Jacobsen, T. Effects of postpartum disorders on parenting and on offspring. L.J.Miller (Ed.), Postpartum Mood Disorders (pp. 119-139). Washington, DC.: American Psychiatric Press. (1999).<br><br>3. O&#8217;Hara, M. W., Neunaber, D. J., &amp; Zekoski, E. M. (1984). Prospective study of postpartum depression: prevalence, course, and predictive factors. Journal of Abnormal Psychology, 93, 158-171.<br><br>4. World Health Organization (WHO). The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, 1993.<br><br>5. UK National Institute for Health and Care Excellence (NICE). Antenatal and postnatal mental health: clinical management and service guidance (clinical guideline CG192). 2018. <a href=\"https:\/\/www.nice.org.uk\/guidance\/CG192\"><span class=\"has-inline-color has-vivid-cyan-blue-color\">www.nice.org.uk\/guidance\/CG192<\/span><\/a><\/p><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"parent":0,"template":"","class_list":["post-585","professionals","type-professionals","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals\/585","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/professionals"}],"about":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/types\/professionals"}],"wp:attachment":[{"href":"https:\/\/path-perinatal.eu\/uk\/wp-json\/wp\/v2\/media?parent=585"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}