PMS AND PMDD

GABAergic neuroactive steroid response to sertraline in premenstrual dysphoric disorder – PubMed

Participants included 38 controls and 32 women with PMDD. There were no significant differences in neuroactive steroid levels between controls and participants with PMDD in the luteal phase (p > 0.05). Within the PMDD group, sertraline treatment significantly increased serum pregnanolone levels and the pregnanolone to progesterone ratio, and decreased 3?,5?-androsterone.

The multifactorial aetiology and management of premenstrual dysphoric disorder with leuprorelin acetate – PubMed

Management options include psychotropic agents, ovulation suppression and dietary modification. Selective serotonin reuptake inhibitors (SSRIs) are considered primary therapy for psychological symptoms. Ovulation suppression is another option with the combined oral contraceptive pill (COCP) or GnRH (gonadotropin-releasing hormone) agonists.

Suicide and the Menstrual Cycle

Editorial from David Rubinow.

MEDICATIONS AND PREGNANCY

Comparative Risk of Major Congenital Malformations With Antiseizure Medication Combinations vs Valproate Monotherapy in Pregnancy – PubMed

Infants exposed to lamotrigine-levetiracetam duotherapy during the first trimester had a 60% lower risk of major congenital malformation (MCM) than infants exposed to valproate monotherapy; however, lamotrigine-topiramate carried a risk of MCM similar to valproate monotherapy.

Prescription Medication Use During Pregnancy in the United States 2011-2020: Trends and Safety Evidence

Among over 3 million pregnancies, the medications most commonly dispensed at any time during pregnancy were analgesics, antibiotics, and antiemetics. The use of antidiabetic and psychotropic medications has continued to increase in the U.S. during the last decade.

POSTPARTUM PSYCHIATRIC DISORDERS

The lived experiences of individuals with postpartum psychosis: A qualitative analysis – PubMed

Initiated in 2018, the Massachusetts General Hospital Postpartum Psychosis Project (MGHP3) consists of a large, international sample of those who have experienced PP. This analysis included 130 participants who reported on 133 episodes of PP.

Sleep and Postpartum Psychosis: A Narrative Review of the Existing Literature – PubMed

Some of the existing literature suggests an association between sleep problems, specifically insomnia, sleep loss and sleep disruption during pregnancy and postpartum. However, it is still unclear whether the previously mentioned sleep problems are a symptom of, or a trigger for PP.

A virtual mother-infant postpartum psychotherapy group for mothers with a history of adverse childhood experiences: open-label feasibility study

The intervention was a live video-based 12-week interactive psychotherapy group focused on maternal symptoms and maternal-infant relationships. There were significant pre- to post-group reductions in maternal depressive and post-traumatic symptoms, supporting proceeding to larger-scale implementation and evaluation of the intervention.

Perinatal depression: The use of the Edinburgh Postnatal Depression Scale to derive clinical subtypes

This study does not support the use of the Edinburgh Postnatal Depression Scale to distinguish perinatal depressive subtypes for the purposes of predicting course and complications associated with perinatal depression.

The efficacy of zuranolone in postpartum depression and major depressive disorder: a review & number needed to treat (NNT) analysis

This article reviews zuranolone (SAGE217), focusing on available clinical studies in individuals with major depressive disorder, in addition to PPD.

Association of Postpartum Mental Illness Diagnoses with Severe Maternal Morbidity

In this cohort, 3.1% experienced severe maternal morbidity (SMM) during pregnancy and/or delivery hospitalization, and 20.1% had a mental illness diagnosis within 1 year postpartum. In adjusted analyses, individuals with SMM had a 10.6% increased risk of having any mental illness diagnosis compared to individuals without SMM, primarily due to an increased risk of a depression or post-traumatic stress disorder.

Effect of esketamine on postpartum depression after labor analgesia and potential mechanisms: a randomized, double-blinded controlled trial

In women receiving epidural anesthesia at the time of labor and delivery, esketamine combined with ropivacaine hydrochloride, compared to ropivacaine alone, was associated with a lower incidence of postpartum depressive symptoms at weeks 1 and 6, after delivering without increasing related side effects.

IMPACT OF MATERNAL DEPRESSION ON CHILD OUTCOMES

The trajectory of maternal perinatal depressive symptoms predicts executive function in early childhood

Increasing maternal depressive symptoms over the perinatal period is associated with poorer executive functioning outcomes in children at age 4 – independent of prenatal smoking, drinking, or antidepressant use. Chronicity and severity of postpartum depressive symptoms may play crucial roles in determining childhood executive functioning.

OTHER ARTICLES OF INTEREST

The Relationship Between Early Term Birth and the Risk of Later Childhood Mental Disorders Within a Pregnancy Cohort

Earlier birth predicted an increased risk for anxiety disorders. The risk for ADHD increased with lower gestational age independent of birthweight. In contrast, gestational age was not associated with Oppositional Defiant Disorder, Conduct Disorder, internalizing or externalizing symptoms.

Exposure to prenatal infection and the development of internalizing and externalizing problems in children: a longitudinal population-based study

Prenatal exposure to infections was associated with higher child total, internalizing, and externalizing problems, showing temporally persistent effects, even after adjusting for important genetic and environmental confounders.

End

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