Depression after Childbirth: How to Recognise, Treat, and Prevent Postnatal Depression / Edition 4

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Depression after Childbirth is the classic text on postnatal depression, one that countless women have found invaluable in helping them understand and cope with this devastating disorder. Now in print for over 20 years, and in its 4th edition, the text has been extensively updated and includes many new chapters drawing on the latest scientific findings.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Michelle Field-Chez, MD (Rush University Medical Center)
Description: This book on postpartum depression and psychosis after childbirth covers treatment, diagnosis, and prophylaxis based on the author's premise is that this disease has a hormonal, not a psychological, etiology and thus treatment must center around this assumption. All chapters have been fully revised and brought up to date.
Purpose: The purpose is to help women who are suffering with either postpartum depression or postpartum psychosis know how to recognize their symptoms, and know options for their treatment and prophylaxis.
Audience: The author does not specify for whom this book is intended in addition to women who are suffering with this disease. However, I feel that this book could be very helpful to family members caring for the patient, healthcare workers, and mental healthcare workers.
Features: The author skillfully describes signs and symptoms of postpartum depression and postpartum psychosis. Three women's accounts of their disease and treatment are provided. A chapter is devoted to the hormonal changes a woman goes through during pregnancy and another chapter is devoted to progesterone as a molecule and its receptors. This paves the way for the author to describe her method of treating and preventing postpartum depression and psychosis by the use of the hormone progesterone. The author also devotes space to other treatments and prophylaxis such as psychopharmacology, counseling, diet, and stress management. There is also a chapter on the stress of working and mothering. At the end of the book there are referrals, references for the author's extensive scientific publications, and a list suggesting additional readings on postpartum depression, postpartum psychosis, and premenstrual syndrome.
Assessment: I would highly recommend this book. It is descriptive and provides helpful information for treatment. Although the scientific community does not currently accept hormonal treatments as definitively helpful, this author's extensive experience with patients and her great success with this treatment warrants reviewing.
Virginia Galloway
This book provides information regarding recognition of postnatal depression signs and symptoms, and includes a discussion of hormonal and psychosocial factors. It concludes with a persuasive argument for progesterone therapy to prevent postnatal illnesses, along with helpful hints for new mothers and their families. "With considerable maternal interest and involvement in the birth process, as well as heightened social awareness of postnatal illnesses, it is necessary and important for women, their families, and even the public to discuss preventative treatment of postnatal illnesses. The book is persuasive in urging women to investigate hormonal therapy, citing statistical support, personal anecdotes, and the author's clinical experience spanning 40 years. "According to the author, the book is targeted at the public with the goal of increasing awareness to further preventative treatment. In my opinion, the book should be accessible to the public. I think the main audience are those affected, namely women, their families, and the healthcare community, specifically community physicians and midwives. The author is from England and the book reflects a subtle English, as opposed to American, inclination. "In regard to the hormonal information, a few more illustrations would be useful. The references are pertinent and current, although a complete reference for some cited research other than the author's own would be appreciated. The table of contents is adequate, although it is questionable if the hormone section should be the first chapter after the introduction, because it is the most difficult to comprehend. The book contains a glossary, index, suggestions for further reading, usefuladdresses for women and their families, and a listing of original papers by the author. Readers will especially appreciate the section on useful addresses. "I think this book is informative and needed. The overall structure of the book could be more dynamic and assertive, but it is very supportive and informative for new mothers and their families as well as healthcare providers. For the U.S. population, more information concerning American postnatal associations would be useful. New mothers, their families, libraries, women's clinics, and healthcare centers should purchase this book as a guide and reference.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780192632777
  • Publisher: Oxford University Press, USA
  • Publication date: 5/31/2001
  • Edition description: REV
  • Edition number: 4
  • Pages: 256
  • Product dimensions: 7.40 (w) x 4.90 (h) x 0.60 (d)

Table of Contents

1. Introduction
2. The role of the hormones
3. Understanding the action of progesterone
4. The blues
5. Black depresson
6. Endless exhaustion
7. Irrational irritability
8. Not tonight, darling
9. Psychosis
10. Infanticide and homicide
11. Tales of three mothers
12. Maternal behaviour in animals
13. Who is at risk?
14. Premenstrual syndrome
15. Treat the cause not the symptoms
16. Progesterone preventative treatment
17. Stress - can we ease it?
18. The medical team
19. The three hourly starch diet
20. Careers and motherhood
21. And fathers too
22. A way ahead
Useful addresses
Further reading

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