Study Shows Acupuncture Works to Relieve Depression In Pregnancy

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New York Times Motherlode blogger Lisa Belkin reports on a study newly published in the Journal of Obstetrics and Gynecology finding that acupuncture has the potential to treat depression in pregnancy, also known as antenatal depression or antepartum depression.

“Researchers at Stanford University tested alternative treatments and antidepressants for pregnant women, and found that acupuncture designed specifically to treat depression is a potential substitute. Sixty-three percent of women who received that treatment responded well, compared with only 44 percent who received massage therapy or acupuncture that was not specifically targeted for depression. The study did not compare any of these treatments with either antidepressants or psychotherapy.”

A news release from Stanford University, where the study was conducted, points out:

“Depression, if left untreated, can pose risks to both mother and baby. The mom-to-be could stop taking care of herself or her fetus, and might even engage in self-destructive behavior. Studies have also linked depression during pregnancy to poor birth outcomes and postpartum depression. ‘Treatment of depression during pregnancy is critically important so that a woman can maintain her sense of well-being and take good care of herself, her fetus and, someday, her child,’ said [study co-author Deirdre] Lyell.”

Very true. I’m excited to see this alternative treatment has potential.

I wonder how a mom-to-be would find an acupuncturist who is well-trained in working with pregnant women and in doing acupuncture targeted for depression?

Lisa Belkin also makes the point that, given that low-income women are at a higher risk of experiencing postpartum depression, “What are the odds that a pregnant woman who does not see a doctor is going to get diagnosed and treated for depression, and with acupuncture no less?”

Maybe someday.

Here’s a direct link to the study abstract. And here is the MGH Center for Women’s Mental Health weighing in on the study.

Update: And for an opposing view of this study’s results, read “Is Acupunture Valuable in Treating Depression?” from Better Health:

“Therefore we have a small and improperly blinded and randomized study showing a modest clinical effect. This does not significantly alter the low prior probability of a treatment effect from needle placement.

This study should also be considered in the context of other trials looking at acupuncture and depression. This very recent Cochrane review concluded:

We found insufficient evidence to recommend the use of acupuncture for people with depression. The results are limited by the high risk of bias in the majority of trials meeting inclusion criteria.”

Photo credit: © Max Tactic – Fotolia

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Time Magazine's Balanced Piece on Depression During Pregnancy

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This week Time published what I think is a very balanced piece on depression during pregnancy, also called antepartum depression or antenatal depression, and how it should be treated.

We gaveTime a pretty hard time last year about their coverage of postpartum depression screening, so I wanted to give kudos as well wherethey aredeserved.

In the new story, they cover the fact that women with previous episodes of depression or anxiety who go off their medication during pregnancy have a higher likelihood of experiencing postpartum depression.

They cover the effects of untreated pregnancy depression on children, including such things as pre-term birth, and violence and aggression (see the newly published study from Child Development on this).

They also cover the fact that there is not enough research on the impact of antidepressants on babies in the womb, making it a very difficult decision for women to make because there are risks that are known and potentially risks that are unknown.

They interviewed a real expert on perinatal mood and anxiety disorders – Dr. Shari Lusskin.

And they talk about various methods of treatment, including therapy, yoga and massage. I would have like to see them mention the guidelines put out last year by ACOG and the APA for the treatment of depression during pregnancy. They did mention, though, ACOG’s recent announcement urging obstetricians to screen their patients.

Well-researched. Well-done, Time.

Perhaps, just perhaps, they listened to us last year. Way to go, Warrior Moms!

For more on the topic of depression during pregnancy, click here and scroll through the news and stories.

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USA Today: The Role Pediatricians Can Play When It Comes to Postpartum Depression

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Liz Szabo did a nice piece in USA Today on Wednesday about the role pediatricans can play in paying attention to the health of mothers. She uses the example of new mom Tracy Hart, whose pediatrician recognized she had postpartum depression and convinced her to get help.

“Although pediatricians are trained to treat children, there are times when they also need to take care of parents, says Everett’s pediatrician, Kerith Rudnicki of Atlanta. ‘As a pediatrician, I can’t treat the child in isolation,’ says Rudnicki, who notes that new mothers make far more visits to the pediatrician than to their own doctors, especially in the first weeks after delivery. And fathers may not see a doctor at all. ‘The pediatrician is the one who needs to be on the lookout for personal problems.’”

Way to go, Dr. Rudnicki! This is how it should be.

For more on pediatricians and postpartum depression, try:

What Pediatricians Need To Know About Postpartum Depression

American Academy of Pediatrics Says All Pediatricians Should Screen for Postpartum Depression

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On Postpartum Depression, Pediatricians & A Not-So-Trivial Pursuit

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Warrior Moms are talking. Shhhh. Let's listen …

Pretty Swell Mama on how her pediatrician discovered her PPD. Great story about the importance of follow up. Way to go nurses!

The Trivial Pursuit of Happiness on knowing the signs of postpartum depression and not wasting another year (like she feels she did the first time) avoiding asking for help.(I love this piece.)

"I keep reminding myself that I lived through all of this, and that I do not have to do it again. I know too much now to ignore the signs, to think that it is okay to feel so numb and angry and scared all at the same time. There is a good chance that I won’t have to face it down again – I was fine after Ella’s birth, which was one of the reasons I was so unprepared to fight it after Alice’s – but if I do have to face PPD again, I refuse to waste my time wondering and waiting. I refuse to waste another year of our lives."

And for a super, special bonus, this blog post from Steam Me Up, Kid has nothing whatsoever to do with postpartum depression but is LAUGH OUT LOUD funny.Could you hear theloud guffawing coming from Atlanta? Sometimes a little humor helps when you have depression or anxiety. (Just wait until you get to the part with the dog pics.)

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