Download PDF
Hebamme 2019; 32(03): 32-41
DOI: 10.1055/a-0893-8540
CNE Schwerpunkt
Postpartale psychische Störungen
© Georg Thieme Verlag KG Stuttgart · New York

Postpartale psychische Störungen und ihre Bedeutung für die Wochenbettbetreuung

Tobias Weigl
Further Information

Publication History

Publication Date:
27 June 2019 (online)

Also available at
    Permissions and Reprints

Hebammen sind in der Zeit des Wochenbetts einfühlsame Ansprechpartnerinnen für Frauen mit postpartalen psychischen Störungen. Sie bieten den Müttern die Möglichkeit, vertraulich über schambehaftete Themen, Ängste und unangenehme Erinnerungen an die Geburt zu sprechen. So können sie früh einschätzen, ob eine postpartale psychische Störung vorliegt. Eine wichtige Grundlage, um betroffene Frauen in den ersten Wochen und Monaten nach der Geburt zu motivieren, bei Bedarf die Hilfe anderer Professionen zu suchen und anzunehmen.

 

  • Literatur

  • 1 Zaers S, Waschke M, Ehlert U. Depressive symptoms and symptoms of post-traumatic stress disorder in women after childbirth. Journal of psychosomatic obstetrics and gynaecology 2008; 29: 61-71 . doi:10.1080/01674820701804324
    CrossrefPubMedGoogle Scholar
  • 2 Terry DJ, McHugh TA, Noller P. Role dissatisfaction and the decline in marital quality across the transition to parenthood. Australian journal of psychology 1991; 43: 129-132 . doi:10.1080/00049539108260136
    CrossrefPubMedGoogle Scholar
  • 3 Howard LM, Molyneaux E, Dennis CL. et al. Non-psychotic mental disorders in the perinatal period. Lancet 2014; 384: 1775-1788 . doi:10.1016/S0140-6736(14)61276-9
    CrossrefPubMedGoogle Scholar
  • 4 Szpunar MJ, Parry BL. A systematic review of cortisol, thyroid-stimulating hormone, and prolactin in peripartum women with major depression. Archives of women’s mental health 2018; 21: 149-161 . doi:10.1007/s00737-017-0787-9
    PubMedGoogle Scholar
  • 5 Yim IS, Tanner Stapleton LR, Guardino CM. et al. Biological and psychosocial predictors of postpartum depression: systematic review and call for integration. Annu Rev Clin Psychol 2015; 11: 99-137 . doi:10.1146/annurev-clinpsy-101414-020426
    CrossrefPubMedGoogle Scholar
  • 6 Bloch M, Daly RC, Rubinow DR. Endocrine factors in the etiology of postpartum depression. Compr Psychiatry 2003; 44: 234-246 . doi:10.1016/S0010-440X(03)00034-8
    CrossrefPubMedGoogle Scholar
  • 7 Buttner MM, O’Hara MW, Watson D. The structure of women’s mood in the early postpartum. Assessment 2012; 19: 247-256 . doi:10.1177/1073191111429388
    CrossrefPubMedGoogle Scholar
  • 8 Dorsch VM, Rohde A. [Mood disorders in pregnancy and post partum period]. MMW Fortschr Med 2010; 152: 27-30
    PubMedGoogle Scholar
  • 9 Tulchinsky D, Hobel CJ, Yeager E. et al. Plasma estrone, estradiol, estriol, progesterone, and 17-hydroxyprogesterone in human pregnancy. I. Normal pregnancy. American journal of obstetrics and gynecology 1972; 112: 1095-1100
    CrossrefPubMedGoogle Scholar
  • 10 Cristescu T, Behrman S, Jones SV. et al. Be vigilant for perinatal mental health problems. The Practitioner 2015; 259: 19-23 , 12-13
    PubMedGoogle Scholar
  • 11 Gavin NI, Gaynes BN, Lohr KN. et al. Perinatal depression: a systematic review of prevalence and incidence. Obstetrics and gynecology 2005; 106: 1071-1083 . doi:10.1097/01.AOG.0000183597.31630.db
    CrossrefPubMedGoogle Scholar
  • 12 O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol 2013; 9: 379-407 . doi:10.1146/annurev-clinpsy-050212-185612
    CrossrefPubMedGoogle Scholar
  • 13 Werner E, Miller M, Osborne LM. et al. Preventing postpartum depression: review and recommendations. Archives of women’s mental health 2015; 18: 41-60 . doi:10.1007/s00737-014-0475-y
    PubMedGoogle Scholar
  • 14 Helle N, Barkmann C, Bartz-Seel J. et al. Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study. Journal of affective disorders 2015; 180: 154-161 . doi:10.1016/j.jad.2015.04.001
    CrossrefPubMedGoogle Scholar
  • 15 Helle N, Barkmann C, Ehrhardt S. et al. Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: Cross-sectional results from a controlled multicentre cohort study. Journal of affective disorders 2016; 194: 128-134 . doi:10.1016/j.jad.2016.01.016
    CrossrefPubMedGoogle Scholar
  • 16 Kammerer M, Marks MN, Pinard C. et al. Symptoms associated with the DSM IV diagnosis of depression in pregnancy and post partum. Archives of women’s mental health 2009; 12: 135-141 . doi:10.1007/s00737-009-0062-9
    PubMedGoogle Scholar
  • 17 Smith-Nielsen J, Matthey S, Lange T. et al. Validation of the Edinburgh Postnatal Depression Scale against both DSM-5 and ICD-10 diagnostic criteria for depression. BMC Psychiatry 2018; 18: 393 . doi:10.1186/s12888-018-1965-7
    CrossrefPubMedGoogle Scholar
  • 18 Lawrence PJ, Craske MG, Kempton C. et al. Intrusive thoughts and images of intentional harm to infants in the context of maternal postnatal depression, anxiety, and OCD. Br J Gen Pract 2017; 67: 376-377 . doi:10.3399/bjgp17X692105
    CrossrefPubMedGoogle Scholar
  • 19 Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British journal of psychiatry: the journal of mental science 1987; 150: 782-786
    CrossrefPubMedGoogle Scholar
  • 20 Bergant AM, Nguyen T, Heim K. et al. [German language version and validation of the Edinburgh postnatal depression scale]. Deutsche medizinische Wochenschrift 1998; 123: 35-40 . doi:10.1055/s-2007-1023895
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Matthey S, Barnett B, Kavanagh DJ. et al. Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. Journal of affective disorders 2001; 64: 175-184
    CrossrefPubMedGoogle Scholar
  • 22 VanderKruik R, Barreix M, Chou D. et al. The global prevalence of postpartum psychosis: a systematic review. BMC Psychiatry 2017; 17: 272 . doi:10.1186/s12888-017-1427-7
    CrossrefPubMedGoogle Scholar
  • 23 Jones I, Chandra PS, Dazzan P. et al. Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period. Lancet 2014; 384: 1789-1799 . doi:10.1016/S0140-6736(14)61278-2
    CrossrefPubMedGoogle Scholar
  • 24 Sit D, Rothschild AJ, Wisner KL. A review of postpartum psychosis. J Womens Health (Larchmt) 2006; 15: 352-368 . doi:10.1089/jwh.2006.15.352
    CrossrefPubMedGoogle Scholar
  • 25 Brockington I. Suicide and filicide in postpartum psychosis. Archives of women’s mental health 2017; 20: 63-69 . doi:10.1007/s00737-016-0675-8
    PubMedGoogle Scholar
  • 26 Oates M. Suicide: the leading cause of maternal death. The British journal of psychiatry: the journal of mental science 2003; 183: 279-281
    CrossrefPubMedGoogle Scholar
  • 27 Cook N, Ayers S, Horsch A. Maternal posttraumatic stress disorder during the perinatal period and child outcomes: A systematic review. Journal of affective disorders 2018; 225: 18-31 . doi:10.1016/j.jad.2017.07.045
    CrossrefPubMedGoogle Scholar
  • 28 Yildiz PD, Ayers S, Phillips L. The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis. Journal of affective disorders 2017; 208: 634-645 . doi:10.1016/j.jad.2016.10.009
    CrossrefPubMedGoogle Scholar
  • 29 Helle N, Barkmann C, Ehrhardt S. et al. Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study. Journal of affective disorders 2018; 235: 467-473 . doi:10.1016/j.jad.2018.04.013
    CrossrefPubMedGoogle Scholar
  • 30 Ayers S, Wright DB, Thornton A. Development of a Measure of Postpartum PTSD: The City Birth Trauma Scale. Front Psychiatry 2018; 9: 409 . doi:10.3389/fpsyt.2018.00409
    CrossrefPubMedGoogle Scholar
  • 31 Geller PA, Stasko EC. Effect of Previous Posttraumatic Stress in the Perinatal Period. J Obstet Gynecol Neonatal Nurs 2017; 46: 912-922 . doi:10.1016/j.jogn.2017.04.136
    CrossrefPubMedGoogle Scholar
  • 32 Behrendt HF, Scharke W, Herpertz-Dahlmann B. et al. Like mother, like child? Maternal determinants of children’s early social-emotional development. Infant Ment Health J 2019 . doi:10.1002/imhj.21765. doi:10.1002/imhj.21765
    PubMedGoogle Scholar
  • 33 Halligan SL, Murray L, Martins C. et al. Maternal depression and psychiatric outcomes in adolescent offspring: a 13-year longitudinal study. Journal of affective disorders 2007; 97: 145-154 . doi:10.1016/j.jad.2006.06.010
    CrossrefPubMedGoogle Scholar
  • 34 Winter L, Colditz PB, Sanders MR. et al. Depression, posttraumatic stress and relationship distress in parents of very preterm infants. Archives of women’s mental health 2018; 21: 445-451 . doi:10.1007/s00737-018-0821-6
    PubMedGoogle Scholar
  • 35 Grigoriadis S, Wilton AS, Kurdyak PA. et al. Perinatal suicide in Ontario, Canada: a 15-year population-based study. CMAJ: Canadian Medical Association journal = journal de l’Association medicale canadienne 2017; 189: E1085-E1092 . doi:10.1503/cmaj.170088
    PubMedGoogle Scholar
  • 36 Shi P, Ren H, Li H. et al. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry research 2018; 261: 298-306 . doi:10.1016/j.psychres.2017.12.085
    CrossrefPubMedGoogle Scholar
  • 37 Appleby L, Mortensen PB, Faragher EB. Suicide and other causes of mortality after post-partum psychiatric admission. The British journal of psychiatry: the journal of mental science 1998; 173: 209-211
    CrossrefPubMedGoogle Scholar
  • 38 Wolfersdorf M, Schneider B, Schmidtke A. [Suicidal behavior: a psychiatric emergency situation, suicide prevention: a psychiatric obligation]. Nervenarzt 2015; 86: 1120-1129 . doi:10.1007/s00115-014-4150-3
    CrossrefPubMedGoogle Scholar
  • 39 Fitelson E, Kim S, Baker AS. et al. Treatment of postpartum depression: clinical, psychological and pharmacological options. Int J Womens Health 2010; 3: 1-14 . doi:10.2147/IJWH.S6938
    PubMedGoogle Scholar
  • 40 Lara-Cinisomo S, McKenney K, Di Florio A. et al. Associations Between Postpartum Depression, Breastfeeding, and Oxytocin Levels in Latina Mothers. Breastfeed Med 2017; 12: 436-442 . doi:10.1089/bfm.2016.0213
    CrossrefPubMedGoogle Scholar
  • 41 Schmid B, Blomeyer D, Buchmann AF. et al. Quality of early mother-child interaction associated with depressive psychopathology in the offspring: a prospective study from infancy to adulthood. J Psychiatr Res 2011; 45: 1387-1394 . doi:10.1016/j.jpsychires.2011.05.010
    CrossrefPubMedGoogle Scholar
  • 42 Trautmann-Villalba P, Hornstein C. [Postpartum psychiatric diseases: a topic for health and pediatric nursing. The goal is a successful mother-child relationship]. Pflege Z 2013; 66: 460-463
    PubMedGoogle Scholar
  • 43 Johansen SL, Robakis TK, Williams KE. et al. Management of perinatal depression with non-drug interventions. BMJ 2019; 364: l322 . doi:10.1136/bmj.l322
    Google Scholar
  • 44 Prevatt BS, Desmarais SL. Facilitators and Barriers to Disclosure of Postpartum Mood Disorder Symptoms to a Healthcare Provider. Maternal and child health journal 2018; 22: 120-129 . doi:10.1007/s10995-017-2361-5
    PubMedGoogle Scholar
  • 45 Holt C, Milgrom J, Gemmill AW. Improving help-seeking for postnatal depression and anxiety: a cluster randomised controlled trial of motivational interviewing. Archives of women’s mental health 2017; 20: 791-801 . doi:10.1007/s00737-017-0767-0
    PubMedGoogle Scholar
  • 46 Siu AL, Force USPST, Bibbins-Domingo K. et al Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement. JAMA 2016; 315: 380-387 . doi:10.1001/jama.2015.18392
    CrossrefPubMedGoogle Scholar