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Abstract(s)
Depressão Periparto é um problema de saúde pública que, quando não devidamente tratada, acarreta consequências negativas importantes para a mãe, criança, e restante círculo familiar. A sua prevalência está reportada em cerca de 10 a 15%, no entanto estima-se que seja superior. Apesar de ser comum, esta doença permanece subdiagnosticada e subtratada. Compreender a importância da depressão periparto é o primeiro passo para o seu diagnóstico precoce e a implementação de atuação clínica que favoreça a saúde da mulher e o desenvolvimento psicossomático do recém-nascido.
Foi realizada uma pesquisa bibliográfica na plataforma Pubmed. Também foram consultados outros sites e livros considerados de interesse.
Com esta monografia pretende-se identificar etiologia, fatores de risco e apresentação clínica da doença, compreender as suas consequências para mãe e criança, definir métodos de diagnóstico eficazes e descrever medidas terapêuticas e preventivas. Por fim, pretende-se também identificar perspectivas de investigação com vista a otimizar a abordagem desta condição clínica.
A Depressão Periparto é de etiologia multifatorial e ainda não totalmente compreendida. Constatou-se que existência de história de depressão prévia e a ausência de suporte social adequado para a mãe constituem importantes fatores de risco. Está recomendado o seu rastreio pelo menos uma vez durante o período neonatal e referenciação para consulta de psicologia ou de psiquiatria se o mesmo for positivo. Por vezes, o diagnóstico é estabelecido tardiamente por ausência da procura de ajuda por parte da mulher, e o tratamento fica compromentido pela relutância da mulher grávida ou que amamenta em tomar medicação psicotrópica.
Perante as dificuldades diagnósticas e terapêuticas, urge a necessidade de avaliar com eficácia o risco da doença e de definir estratégias preventivas para que a mesma não se desenvolva.
Peripartum Depression is a public health problem that if not properly treated has important negative consequences for the mother, the child, and the rest of the family. Its prevalence is reported in about 10 to 15%, however it is estimated to be higher. Although this is a common condition, it remains underdiagnosed and undertreated. Understanding the importance of peripartum depression is the first step to its early diagnosis and to the implementation of clinical practice that favors woman’s health and newborn’s psychosomatic development. A bibliographic search was performed on the Pubmed platform. Other sites and books considered of interest were also consulted. This review aims to identify the disease’s etiology, risk factors and clinical presentation, to understand its consequences for both mother and child, to define effective diagnostic methods and to describe therapeutic and preventive measures. Finally, it is also intended to identify research perspectives in order to optimize the approach to this clinical condition. Peripartum Depression has a multifactorial and not yet fully understood etiology. Previous personal history of depression and absence of adequate social support are important risk factors. Screening is recommended during the neonatal period; women who screen positive should be referred to psychology and psychiatry evaluation. Diagnosis is sometimes delayed because women do not seek help and treatment is compromised because pregnant and breastfeeding woman feel reluctant to taking psychotropic medication. Due to diagnostic and therapeutic difficulties, there is an urgent need to evaluate the risk of the disease and to define preventive strategies so that it does not develop.
Peripartum Depression is a public health problem that if not properly treated has important negative consequences for the mother, the child, and the rest of the family. Its prevalence is reported in about 10 to 15%, however it is estimated to be higher. Although this is a common condition, it remains underdiagnosed and undertreated. Understanding the importance of peripartum depression is the first step to its early diagnosis and to the implementation of clinical practice that favors woman’s health and newborn’s psychosomatic development. A bibliographic search was performed on the Pubmed platform. Other sites and books considered of interest were also consulted. This review aims to identify the disease’s etiology, risk factors and clinical presentation, to understand its consequences for both mother and child, to define effective diagnostic methods and to describe therapeutic and preventive measures. Finally, it is also intended to identify research perspectives in order to optimize the approach to this clinical condition. Peripartum Depression has a multifactorial and not yet fully understood etiology. Previous personal history of depression and absence of adequate social support are important risk factors. Screening is recommended during the neonatal period; women who screen positive should be referred to psychology and psychiatry evaluation. Diagnosis is sometimes delayed because women do not seek help and treatment is compromised because pregnant and breastfeeding woman feel reluctant to taking psychotropic medication. Due to diagnostic and therapeutic difficulties, there is an urgent need to evaluate the risk of the disease and to define preventive strategies so that it does not develop.
Description
Keywords
Major Depression Peripartum Depression Postpartum Depression Pregnancy Puerperium