Endocrine risk factors of anxiety and depressive conditions in women in the postpartum period

Abstract

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.

Keywords

• postpartum depression
• postpartum depression diagnosis
• thyroid gland
• hyperprolactinaemia