Overview
Postpartum neurosis is not a recognized diagnostic term in current psychiatric nomenclature. However, the provided abstracts discuss the management of mood disorders, specifically major depressive disorder (MDD) and bipolar disorder (BD), in women during the postpartum period 1.Diagnosis
No specific diagnostic criteria for "postpartum neurosis" are provided in the abstracts.
The abstracts focus on the management of established mood disorders like MDD and BD 1.
Patient-reported measures (PRMs) may aid in the assessment and detection of health problems in maternity care 2.Management
First-line strategies for mood disorders during the postpartum period include maintaining pharmacological treatment 1.
During breastfeeding, medications without evidence of adverse effects in nursing infants are recommended 1.
Implementing PRMs in routine maternity care may positively impact clinical processes, including assessment and detection of health problems, and improve woman-professional communication and care quality 2.Special Populations
Pregnancy and Postpartum: Expert recommendations focus on the management of mood disorders before, during, and after pregnancy, emphasizing screening, treatment options, and monitoring 1. Maintaining pharmacological treatment during pregnancy and postpartum is recommended, even for stabilized patients 1.Key Recommendations
Treat mood symptoms during pregnancy and maintain pharmacological treatment postpartum as first-line strategies 1. (Evidence: Expert opinion)
During breastfeeding, select medications with no evidence of adverse effects in nursing infants 1. (Evidence: Expert opinion)
The use of patient-reported measures in routine maternity care can positively affect clinical processes and women's health and wellbeing 2. (Evidence: Moderate)References
1 Belzeaux R, Gressier F, Boudieu L, Arnould A, Moreau E, Pastol J et al.. French Society for Biological Psychiatry and Neuropsychopharmacology and French-speaking Marcé Society guidelines for the management of mood disorders in women before, during, and after pregnancy. Archives of women's mental health 2024. link
2 Chen A, Väyrynen K, Schmidt A, Leskelä RL, Torkki P, Heinonen S et al.. The impact of implementing patient-reported measures in routine maternity care: a systematic review. Acta obstetricia et gynecologica Scandinavica 2022. link