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Previous Volume 347:194-199 July 18, 2002 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A woman visits the doctor for her six-week postpartum evaluation. She reports that she cannot sleep even if her baby sleeps. She cries daily and worries constantly. She does not feel hungry and is not eating regularly. Making decisions is overwhelming. She says she is not herself. How should this new mother be evaluated and treated?

The Clinical Problem

Postpartum depression, the most common complication . . . [Full Text of this Article]

Strategies and Evidence

Definitions

Causes

Screening

Evaluation and Differential Diagnosis

Antidepressant Treatment

Breast-Feeding

Prophylactic Treatment

Psychotherapy

Hormonal Therapy

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the University of Louisville School of Medicine, Louisville, Ky. (K.L.W.); the University of California at San Diego, San Diego (B.L.P.); and Thomas Jefferson Medical College, Philadelphia (C.M.P.).

Address reprint requests to Dr. Wisner at the Department of Psychiatry and Behavioral Sciences, University of Louisville, 608 S. Jackson St., Louisville, KY 40202.

Related Letters:

Postpartum Depression
Blum L. D.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:1294, Mar 27, 2003. Correspondence

This article has been cited by other articles:

• Kabir, K., Sheeder, J., Kelly, L. S. (2008). Identifying Postpartum Depression: Are 3 Questions as Good as 10?. Pediatrics 122: e696-e702 [Abstract] [Full Text]  
• Schwebel, D. C., Brezausek, C. M. (2008). Chronic Maternal Depression and Children's Injury Risk. J Pediatr Psychol 0: jsn046v1-jsn046 [Abstract] [Full Text]  
• Heneghan, A. M., Chaudron, L. H., Storfer-Isser, A., Park, E. R., Kelleher, K. J., Stein, R. E. K., Hoagwood, K. E., O'Connor, K. G., Horwitz, S. M. (2007). Factors Associated With Identification and Management of Maternal Depression by Pediatricians. Pediatrics 119: 444-454 [Abstract] [Full Text]  
• Wisner, K. L., Chambers, C., Sit, D. K. Y. (2006). Postpartum Depression: A Major Public Health Problem. JAMA 296: 2616-2618 [Full Text]  
• Seehusen, D. A., Baldwin, L.-M., Runkle, G. P., Clark, G. (2005). Are Family Physicians Appropriately Screening for Postpartum Depression?. J Am Board Fam Med 18: 104-112 [Abstract] [Full Text]  
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• Chung, E. K., McCollum, K. F., Elo, I. T., Lee, H. J., Culhane, J. F. (2004). Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women. Pediatrics 113: e523-e529 [Abstract] [Full Text]  
• Gjerdingen, D. (2003). The Effectiveness of Various Postpartum Depression Treatments and the Impact of Antidepressant Drugs on Nursing Infants. J Am Board Fam Med 16: 372-382 [Abstract] [Full Text]  
• El-Ibiary, S. Y., Lee, K. C. (2003). Novel Uses of Selective Serotonin Reuptake Inhibitors in Women. Journal of Pharmacy Practice 16: 191-199 [Abstract]  
• Blum, L. D. (2003). Postpartum Depression. NEJM 348: 1294-1294 [Full Text]