Underrated Diagnosis: Prenatal Depression

Mental health disorders characterized by emotional lability, difficulty in concentrating, hopelessness, low energy level, irritability, food intake disorder, and changes in sleep patterns are called depression. To be diagnosed with depression according to the DSM-5, the following five or more symptoms must be present for at least 2 weeks, and at least one of the symptoms must be depressed mood or loss of interest or pleasure. Others include weight loss without dieting, decreased physical activity, fatigue or loss of energy, feelings of worthlessness, decreased ability to think or concentrate, and recurrent thoughts of death. The detection of antenatal depression may have many clinical implications because; it was associated with poor obstetric, neonatal outcomes, postpartum depression, preterm birth and low birth weight, small for gestational age, suicidal attempts, higher incidence of cesarean section, prolonged labor, more painful labor, operative delivery and it was also associated with a low APGAR score. While Covid 19 treatment is certain for pregnant women, we think it is useful to remember the treatment of anxiety and depression, which is more important and has increased prevalence during Covid 19 pandemics. The treatment options are Psychotherapy, Acupuncture, Bright light therapy, Exercise/yoga, Massage therapy, Family/couples therapy, Folic acid, Omega-3 fatty acids, S-adenosyl methionine, and medical Antidepressant treatment. In this review, current treatment methods used in the treatment of pregnant depression are summarized in detail.

Keywords:

pregnancy, depression Covid 19, pandemic; SSRI,

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