POSTPARTUM DEPRESSION

PREVENTION • TREATMENT • RECOGNITION

Utah Department of Health

3760 S. Highland Drive.

Salt Lake City, UT 84106

T: 801-538-6009

Pregnancy Risk Line

(801) 328-2229

Utah Valley Family Support and Treatment

Center

Professional Counseling • Respite Nursery

1255 N 1200 W

Orem, Utah 84057

T: (801) 229-1181

Mother to Baby

www.mothertobaby.org

The Healing Group—Hey Mom!

(801) 305-3171

www.thehealinggroup.com/hey-mom

Postpartum Progress

www.postpartumprogress.org

Postpartum Support International

www.postpartum.net/locations/utah/

National Suicide Prevention Line

1-800-273-TALK (8255)

Screenings like the (MSPSS and GSE) can be

used during prenatal and postnatal visits to help

- Lessen the effects of PPD

- Recognize lack of social support

- Prevent or delay onset of PPD

Other treatments can help to lessen symptoms of

PPD

Placenta Encapsulation-

Pills made from the mother’s placenta after birth.

Ingesting the placenta may provide

- increased milk production

- hormone regulation

- prevention of postpartum depression. 4

Social Support and Self-Efficacy-

There has been evidence correlating postpartum

depression and lack of social support or self-

efficacy.

4. Young, S. M., Gryder, L. K., Zava, D.,

Kimball, D.W., & Benyshek, DC. (2016).

Presence and concentration of 17 hor-

mones in human placenta processed for

encapsulation and consumption. Elsevier,

43, 86-89

Community Resources

Prevention

Interventions to prevent PPD

due to low social support and

low self-efficacy include

Psychotherapy

Group therapy

Respite care nurseries

Community resources

Treatment RECOGNITION Postpartum

Depression Treatment options for PPD include psychotherapy,

antidepressants, inpatient treatments, and non-

medicinal and holistic treatments.

Antidepressants and Breastfeeding

Some antidepressants have been known to transfer

to a infant through a mothers breastmilk.

Antidepressant use in mothers who are breastfeed-

ing should be used under the direction of a physi-

cian.

Postpartum blues are classified as mood

swings, mild elation, irritability, tearfulness,

fatigue, and confusion.

The American Psychiatric Association has

defined Postpartum Depression (PPD)

as, “a major depressive disorder (MDD)

with a specifier of postpartum onset within

1 month after childbirth” 1

Postpartum depression (PPD) has been

reported as one of the most

common complications of

childbirth, occurring in

approximately 10-15%

of mothers during the

postpartum period.2

“Postpartum blues or

‘Baby Blues’ have been reported to occur in

15-85% of women within the first 10 days

after giving birth” 3

1 & 3 Pearlstein, T., Howear, M., Salisbury, A., & Zlotnick, C. (2009). Postpartum

depression. American Journal of Obstetrics & Gynecology, 357-364.

2 Vogel, L. (2011). Tailored treatment for postpartum depression. Canadian Medical

Association Journal, 183(16), E1163-E1164.

Group therapy

Bibliotherapy

Music therapy

Exercise

Nutritional

supplements

Acupuncture

Light therapy

Patient Health Questionnaire

- 10 Questions

- Screens for PPD

- Score of 10 or

greater indicates

possible depression

Edinburgh Postnatal

Depression Scale

Postpartum Depression

Screening Scale

7 Questions

(initial screening)

28 Follow-up

Questions

≥ 60 minor to

major depression

≥ 80 high

possibility of

major PPD

Center for Epidemiologic Studies

Depression Scale

20 Questions

Score ≥16

Indicate possible

PPD

High sensitivity

and specificity

Non-medicinal Treatments

Antidepressant Treatments

Common classes of antidepressants

used to treat PPD include

Serotonin Reuptake Inhibitors

Tricyclic Antidepressants

* Sertraline and Nortriptyline are two of

the most common medications used in

the treatment of PPD.

? What Is

PHQ-9

-10 Questions

- Score describes

severity of depression

PHQ-2

- 2 Questions

- Pre-screening