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ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2008, Number 2

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Perinatol Reprod Hum 2008; 22 (2)

Depresión en la etapa perinatal

Lartigue T, Maldonado-Durán JM, González-Pacheco I, Sauceda-García JM

Language: Spanish
References: 80
Page: 111-131
PDF size: 460.74 Kb.


ABSTRACT

In this article there are described the principal phenomena associated with the depression during the pregnancy and in the postpartum stage, his frequency, phenomenology and strategies of treatment and detection. The principal effects of the depression are described brief in the baby. Every professional of the health must bear the possibility of depression in mind in the woman in the perinatal stage, that is to say, during the pregnancy and the postpartum one. Nevertheless, the majority of the women who are depressed in the perinatal stage do not look or receive specific treatment. It is necessary that the clinical one is acquainted by his phenomenology and that it learns to recognize her, which should understand his reasons and strategies of help, as well as the importance of the early intervention for the new mother and for his baby. In this article there are described a number of instruments of detection of the depression, as well as the principal forms of psychological intervention, like to offer support pshychosocial, some forms of individual psychotherapy, complementary or alternative therapies and the possible use of medicines. The depression during the pregnancy can have negative effects in the fetus, for example, is in the habit of associating with an increase of the serumal of cortisol level, alterations in the functioning hypophysial-suprarenal and of the system of endorphins; likewise, it is known that the presence of these undesirable effects is associated by them with a major frequency of premature, minor weight on having been born and minor degree of fetal activity. They have been achieved to identify the principal factors of risk for the depression and the possibility of being foreseeable, if there was an intervention that could be orchestrated by the women in high risk.


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