ABSTRACT
Postnatal depression is often under-detected and under-treated. Untreated postnatal depression has a number of effects upon the mother including difficulties with close relationships, social isolation, and in 30% of mothers it continues into the second year of the child’s life. Early detection of postnatal depression is essential. Despite increasing awareness of the extent and importance of postnatal depression, many cases are undetected or inadequately treated. Antenatal classes and the fostering of social support may help prevent postnatal depression, and should be widely available. A systematic review of psychosocial and psychological interventions for preventing postnatal depression found no evidence that any were effective. Similarly, antidepressants are not recommended for the prophylaxis of postnatal depression, given the lack of clear evidence. Part of the management of a mother with postnatal depression involves thinking about the risk to the child.
