Postpartum depression is a relatively frequent psychiatric pathology that involves some challenges in the management and treatment of the case due to the increased risk of suicide and infanticide. Having a relatively early postpartum onset within 4-12 weeks, this pathology may have psychological, social and family repercussions in the long term, both on mother and father, but especially on the child. Postpartum depression is a relatively frequent psychiatric pathology involving some challenges in managing and treating the case due to the increased risk of suicide and infanticide. Having a relatively early postpartum onset within 4-12 weeks, this pathology may have psychological, social and family repercussions in the long term, both on the mother and father, but especially on the child.
Postpartum depression manifests with symptoms typical of all depressive episodes, such as depressed mood, irritability, low tolerance to frustration, anxiety, hypersomnia, but also more specific symptoms such as feelings and guilty thoughts about correct child development, lack of empathy, lack of maternal behavior. Emotional, socio-cultural and physiological factors play an important role in the onset of this symptomatology.
Postpartum depression raises ethical concerns about the proper conduct of the doctor. In this article we will address both deontological aspects such as doctor-patient confidentiality, suicide and infanticide, as well as the legal aspects that may occur in such situations. Thus, postpartum depression is a therapeutic challenge because of the multiple social, family and legal interferences it presents.
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1. Molenaar NM Brower ME Kamperman AM et al. (2019) Recurrence of depression in the perinatalperiod: Clinical features and associated vulnerability markers in an observational cohort. PloS ONE 14(2): e0212964;
2. Howard LM Molyneaux E Dennis Cl et al. (2014) Non-psychotic mental disorders in the perinatal period. Lancet. 384(9956):1775–88. https://doi.org/10.1016/S0140-6736(14)612769 PMID: 25455248 2;
3. Lopez O Blanco C Keyes K et al. (2008) Psychiatric disorders in pregnant and postpartum women in the United States. Arch Gen Psychiatry. 65(7):805–15. https://doi.org/10.1001/archpsyc.65.7.805 PMID: 18606953;
4. O’Connor E Senger CA Henninger M et al. (2019) Interventions to Prevent Perinatal Depression: A Systematic Evidence Review for the U.S. Preventive Services Task Force. AHRQ Publication No. 18-05243-EF-1;
5. Brockington I Chandra P Dubowitz H Jones D Moussa S Nakku J et al. WPA guidance on the protection and promotion of mental health in children of persons with severe mental disorders. World Psychiatry. 2011; 10(2):93–102. PMID: 21633678;
6. Paulson JF Bazemore SD. (2010) Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA. 19;303(19):1961-9. doi: 10.1001/jama.2010.605;
7. Udangiu LN Moldovan M Petru E et al. (2010) Managementul clinic si terapeutic in depresia postpartum. Management în sănătate XIV/4; pp. 23-24;
8. Colegiul Medicior din Romania. (1997) Codul de Deontologie Medicala