October 2008

Dear Colleague,

A study published in the September issue of Annals of Behavioral Medicine found that women who exercised before pregnancy experienced less depressive symptoms and felt more positively about their bodies during the first and second trimesters of pregnancy, which could potentially lesson depressive symptoms postpartum.

Although exercise and relief from symptoms of depression are clearly associated, research has not definitively concluded that exercise should be considered standard treatment for postpartum depression. Yet numerous studies and plenty of anecdotal evidence have shown exercise to be a rapid-acting mood-lifter that can be recommended for all healthy perinatal women, especially those who are reluctant to take antidepressant medication while pregnant or nursing.

A MedEdPPD CME/CE presentation, "Non-Drug PPD Interventions," looked at the research on other available nonpharmalogic treatments for postpartum depression, including light therapy and interpersonal psychotherapy. You can view this module, presented by June Horowitz, PhD, APRN, BC, FAAN, for free, or receive the 1 CME or 1.25 CE credits for $15. To view this or other CME/CE presentations, click here.

Medical Updates
Maternal brain response to own baby-cry is affected by cesarean section delivery.
Swain JE, Tasgin E, Mayes LC, Feldman R, Todd Constable R, Leckman JF. J Child Psychol Psychiatry. 2008 Sep 3.
fMRI scans show that the brains of women who deliver by cesarean section show less response to own-baby cries than do the brains of women who deliver vaginally.

Determinants of Pregnancy and Postpartum Depression: Prospective Influences of Depressive Symptoms, Body Image Satisfaction, and Exercise Behavior.
Downs DS, Dinallo JM, Kirner TL. Ann Behav Med. 2008 Sep 5.
Exercise can help improve body image and protect against depression during and after pregnancy.

Identifying postpartum depression: are 3 questions as good as 10?
Kabir K, Sheeder J, Kelly LS. Pediatrics. 2008 Sep;122(3):e696-702.
A 3-question PPD screening scale proved more sensitive at identifying mothers in primary care as depressed than did the widely used Edinburgh Postpartum Depression Scale.

View More»



In The News
A brief history of baby killing
National Post.com, August 25, 2008
The case of a Canadian mother who killed her infant recalls the history of infanticide and postpartum depression in the ancient world.

Likely Cause Of Postpartum Blues And Depression Identified
Science Daily.com, August 7, 2008
Researchers suspect that the placenta's regulation of serotonin could initiate an imbalance of interleukin-1 beta levels after childbirth and lead to postpartum depression.

Birth Trauma: Stress Disorder Afflicts Moms
Wall Street Journal.com, August 5, 2008
A new survey suggests that post-traumatic-stress disorder brought on by complicated labor and delivery may be more common than previously believed.

View More»
Events Calendar
60th Institute on Psychiatric Services
When: October 2-5
Where: Chicago, IL

Breaking Down Walls: New Options in Postpartum Depression Treatment
When: October 10
Where: Princeton, NJ

AAP National Conference and Exhibition
When: October 11-14
Where: Washington, DC

Med Ed Resources
PubMed
PubMed is the National Library of Medicine's search service that provides access to over 11 million journal citations in MEDLINE, PreMEDLINE, and other related databases.

National Center for Complementary and Alternative Medicine
NCCAM is the Federal Government's lead agency for scientific research on complementary and alternative medicine.

Motherisk
Motherisk provides evidence-based information and guidance about the safety or risk to the developing fetus or infant of maternal exposure to drugs, chemicals, diseases, radiation, and environmental agents.



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