电邮这篇文章 Endocrine risk factors of anxiety and depressive conditions in women in the postpartum period
- 作者: Tatarova NA1, Shamanina MV2, Sokhadze HS1, Savina LV1
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隶属关系:
- ГБОУ ВПО Северо-Западный государственный медицинский университет им. И.И.Мечникова Минздрава России
- ФГБУ Санкт-Петербургский научно-исследовательский психоневрологический институт им. В.М.Бехтерева
- 期: 卷 15, 编号 6 (2013)
- 页面: 74-78
- 栏目: Articles
- URL: https://ogarev-online.ru/2079-5831/article/view/28287
- ID: 28287
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76 women suffering from postpartum depression were included in the survey. In 36 cases the concomitant endocrine pathology (hypothyroidism and Hashimoto's thyroiditis, hyperthyroidism and hyperprolactinemia) was found. Used for the diagnosis were the scales specifically designed to detect depressive symptoms in the postpartum period (BPDS, EPDS, PDSS). These scales are estimated as the most sensitive and specific.It was estimated that endocrine diseases, hypothyroidism and more AIT, are risk factors for anxiety and depression in postpartum women, hyperprolactinemia seldom being the cause of postpartum depression. Monitoring of hormonal parameters in the period of pregnancy and the identification of other known risk factors (transferred affective disorders in the past, in the previous depression postpartum period, negative socioeconomic factors) would allow to determine women tending to developing postpartum depression which in its turn would let to run timely prophylaxis. During pregravidal training Hypothyroidism and AIT should be corrected by thyroid hormones, in hyperprolactinemic states in the event of severe anxiety – depression in postpartum period lactation suppression by dopamine receptor agonists and cabergoline is recommended.
作者简介
N Tatarova
ГБОУ ВПО Северо-Западный государственный медицинский университет им. И.И.Мечникова Минздрава России
Email: nina-tatarova@yandex.ru
д-р мед. наук, проф., зав. кафедрой акушерства, гинекологии, перинатологии и репродуктологии
M Shamanina
ФГБУ Санкт-Петербургский научно-исследовательский психоневрологический институт им. В.М.Бехтеревамл. науч. сотр. отд-ния биологической терапии психически больных
H Sokhadze
ГБОУ ВПО Северо-Западный государственный медицинский университет им. И.И.Мечникова Минздрава Россииаспирант каф. акушерства, гинекологии, перинатологии и репродуктологии
L Savina
ГБОУ ВПО Северо-Западный государственный медицинский университет им. И.И.Мечникова Минздрава Россииаспирант каф. акушерства, гинекологии, перинатологии и репродуктологии
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