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Laura J. Miller, MD

JAMA. 2002;287:762-765.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Clinicians since Hippocrates have noted an association between the postpartum period and mood disturbances.¹ This linkage entered official psychiatric nomenclature in 1994, when the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition defined major depression with postpartum onset as episodes of depression beginning within 4 weeks of giving birth.² This time period corresponds to the rapid hormonal changes posited to contribute to vulnerability to depression. However, because psychosocial factors also play a major role in triggering postpartum depression, most researchers use a working definition of the postpartum period as lasting up to 6 months after delivery.

The devastating familial consequences of postpartum depression have been underscored by recent media attention to women who have killed themselves or their children while depressed.^3-4 Heightened public awareness may make it appear that the prevalence of postpartum depression is increasing. It is not known whether this is . . . [Full Text of this Article]

Postpartum Blues

Postpartum Nonpsychotic Depression

Postpartum Psychotic Depression

Pregnancy Loss

Treatment

Prevention

Conclusions

Author Affiliation: Department of Psychiatry, University of Illinois at Chicago.

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