Doctors Fail to Treat Nearly Two-Thirds of Depressed Pregnant Women

Research at the University of Michigan Depression Center recently published in General Hospital Psychiatry has found that the "majority of pregnant women who have full-blown major depression aren't getting any treatment for the condition, and neither are most pregnant women who have signs of milder depression or depression risk."

Findings were that 276 of 1,837 pregnant women met the criteria for being at risk of depression. Follow-up interviews found that 17 percent of the 276 women were actually experiencing serious depression and another 23 percent had a history of major depression. Of those experiencing major depression, only 33 percent were receiving treatment for it, and of the 276 who met the criteria for being at risk for depression, only 20 percent were receiving treatment.

The researchers point out that pregnant women may not recognize their feelings as depression, and and so may not bring the to the attention of their caregivers.

Depression during pregnancy: Symptoms and treatment

Pregnant women who are experiencing depression may think their symptoms are just a normal part of pregnancy. But in fact, the following signs may indicate depression: two or more weeks of depressed mood, decreased interest or pleasure in activities, change in appetite, change in sleep patterns, fatigue or loss of energy, difficulty concentrating, excessive feelings of worthlessness or guilt, thoughts of suicide, extreme restlessness and irritability.

Severe depression during pregnancy can interfere with women's ability to eat properly, get enough rest, or receive prenatal care -- all of which may contribute to premature and low birth-weight infants. Even mild depression during pregnancy can put a woman at risk of more severe post-partum depression, which can interfere with her ability to care for her newborn and herself. Pregnant women who are experiencing possible signs of depression, or who have a history of depression, should talk to their doctors or midwives immediately. Medications, talk therapy, stress reduction, exercise and other steps can help ease depression safely during pregnancy and beyond.

For more information on depression during pregnancy, visit the U-M Depression Center Web site.

ABSTRACT: Rates and predictors of depression treatment among pregnant women in hospital-affiliated obstetrics practices.