Послеродовой стресс: клинические особенности (обзор литературы)

1. Айламазян Э.К., Маркин С.А. Белые страницы практического акушерства. М.: Медиздат, 2003.
2. Вейн АМ., Судаков К.В., Левин Я.И. и др. Психосомнические соотношения в условиях хронического эмоционального стресса и методы повышения адаптивных возможностей человека .Стресс и поведение. М., 2007; с. 126–7.
3. Голубев В.Л. Вегетативные расстройства: клиника, лечение, диагностика. Руководство для врачей. М.: Медицинское информационное агенство, 2010.
4. Изнак А.Ф. Нейрональная пластичность и терапия аффективных расстройств. Научный центр психического здоровья РАМН. М., 2004.
5. Пшенникова М.Г. Феномен стресса, эмоциональный стресс и его роль в патологии. Патологическая физиология и экспериментальная терапия (продолжение), 2001; 1: 26–30. 2: 26–31. 3: 28–32. 4: 28–40.
6. Серов В.Н. Метаболический синдром: гинекологические проблемы. Акушерство и гинекология, 2006; с. 9–10.
7. Короткова Н.А., Федорова Т.А. Стресс после родов – последствия для матери и ребенка. Вестник новых медицинских технологий, 2010; 4 (XVII): 139–41.
8. Austin MP, Lumley J. Antenatal screening for postnatal depression: a systematic review. Acta Psychiatrica Scandinavica 2003; (107): 10–7.
9. Barrett J. Working with men before and after birth. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
10. Begum B. Postpartum vaginal outlet relaxation – a stressful morbidity in young women in the developing country. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
11. Chung T. Paternal depression following childbirth; a report from Hong Kong. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
12. Corral M. Seasonality of Symptoms in Women with Postpartum Depression. 2nd World congress on women's mental health. Washington, DC, USA 2004.
13. Glover V, O’Donnell K, O’Connor TG. Maternal stress in pregnancy – effects on the child. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
14. Gorman LL, O'Hara MW,  Jacquemain F et al. Adaptation of the structured clinical interview for DSM-IV disorders for assessing depression in women during pregnancy and post-partum across countries and cultures. Br J Psychiatry 2004; 46: 17–23.
15. Gutteridge KS. Childbearing and its relevance to survivors of sexual abuse – a 10 year observational study. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
16. Ingram JC, Greenwood RJ, Woolridge MW. Hormonal predictors of postnatal depression at 6 months in breastfeeding women. J Reproduct Inf Psychol 2003; 1 (21): 61–8.
17. Jadresic E. Research on Postpartum Depression: the Chilean experience. 2nd World Congress on women's mental health. Washington, DC, USA 2004.
18. Killien MG. The Role of Social Support in Facilitating Postpartum Women's Return to Employment. J Obs Gyn Neonatal Nurs 2005; 5 (34): 639–46.
19. Kukulu K, Korukcu O. Hormonal mechanism on fear of childbirth. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
20. Lee J. The role of the physiotherapist in the management of vulvodynia. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
21. Leung SSK, Lee AM, Chiang VCL. Efficacy of a brief cognitivebehavioural intervention on pregnant women to prevent postnatal depression. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
22. Luz T. Behavioral and Neuroendocrine Adaptations During Lactation: Contribution of Brain Prolactin 2nd world congress on women's mental health. Washington, DC, USA, 2004.
23. Mirmolaei ST, Jamshidi F, Mehran A. The effect of pelvic floor muscle exercise on stress urinary incontinence in postpartum period. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
24. Neumann ID. Adaptations of Stress Coping Around Birth: Protective Mechanisms for Mother and Offspring. 2nd World congress on women's mental health. Washington, DC, USA, 2004.
25. Newburn M. NCT antenatal preparation for birth and parenthood. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
26. Ramasubramanian SL, Rahman A. The association between maternal serious psychological distress and child obesity at 3 years: a cross-sectional analysis of the UK Millennium Cohort Data. Child: Care, Health and Development 2011; 37 (6).
27. Riecher-Rössler A. Postpartum depression – do we still need this diagnostic term. World Psychiatric Association Integration Conference: Diagnosis in psychiatry: integrating the sciences Vienna (Austria) 2003; p. 12.
28. Rosenquist S. Postnatal depression – not just mums. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
29. Rivières CP, Saurel MJ, Cubizolles N, Lelong N. Considering a Simple Strategy for Detection of Women at Risk of psychological Distress after Childbirth. Birth 2004; 1 (31): 34.
30. Romans S. Ways of Conceptualizing Postpartum Depression. 2nd World congress on women's mental health. Washington, DC, USA 2004.
31. Rosenblum O. Prenatal specific psychopathological conditions and disorders, pregnancy outcome 2nd world congress on women's mental health. Washington, DC, USA 2004.
32. Ross LE, Sellers EM, Gilbert SE, Romach MK. Mood changes during pregnancy and the postpartum period: development of a biopsychosocial mode. Acta Psychiatrica Scandinavica 2004; 6 (109): 457–66.
33. Segre LS. Predictors of Postpartum Sadness: Examining Demographic Variables and Separating Ethnicity from SES. 2nd World congress on women's mental health. Washington, DC, USA 2004.
34. Seng JS, Lisa KL, Kathleen JH, Sparbel CK. Abuse-related post-traumatic stress during the childbearing year. J Adv Nurs 2004; 6 (46): 604–13.
35. Serour GL, Women’s health in the 21st century. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
36. Smith S, Fox C. An exploratory study of care, compassion and stress in maternity and child health. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
37. Sutter-Dallay AL, Giaconne-Marcesche V, Glatigny E. Anxiety Disorders During Pregnancy and Postnatal Depression at 6 Weeks Postpartum. 2nd World congress on women's mental health. Washington, DC, USA 2004.
38. Sullivan S. The role the 17 beta oestradiol has on procedural memory in the onset of postpartum depression and psychosis. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
39. Tammentie T, Marja-Terttu T, Päivi ÅK et al. Family dynamics and postnatal depression. J Psych Mental Health Nursing 2004; 2 (11): 141–9.
40. Wijma K.Why focus on «fear of childbirth»? J Psychosom Obstet Gynecol 2003; 24: 141–3.
41. Wimmer-Puchinger. Postpartum depression and attachment disorder S. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.

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1. Айламазян Э.К., Маркин С.А. Белые страницы практического акушерства. М.: Медиздат, 2003.
2. Вейн АМ., Судаков К.В., Левин Я.И. и др. Психосомнические соотношения в условиях хронического эмоционального стресса и методы повышения адаптивных возможностей человека .Стресс и поведение. М., 2007; с. 126–7.
3. Голубев В.Л. Вегетативные расстройства: клиника, лечение, диагностика. Руководство для врачей. М.: Медицинское информационное агенство, 2010.
4. Изнак А.Ф. Нейрональная пластичность и терапия аффективных расстройств. Научный центр психического здоровья РАМН. М., 2004.
5. Пшенникова М.Г. Феномен стресса, эмоциональный стресс и его роль в патологии. Патологическая физиология и экспериментальная терапия (продолжение), 2001; 1: 26–30. 2: 26–31. 3: 28–32. 4: 28–40.
6. Серов В.Н. Метаболический синдром: гинекологические проблемы. Акушерство и гинекология, 2006; с. 9–10.
7. Короткова Н.А., Федорова Т.А. Стресс после родов – последствия для матери и ребенка. Вестник новых медицинских технологий, 2010; 4 (XVII): 139–41.
8. Austin MP, Lumley J. Antenatal screening for postnatal depression: a systematic review. Acta Psychiatrica Scandinavica 2003; (107): 10–7.
9. Barrett J. Working with men before and after birth. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
10. Begum B. Postpartum vaginal outlet relaxation – a stressful morbidity in young women in the developing country. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
11. Chung T. Paternal depression following childbirth; a report from Hong Kong. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
12. Corral M. Seasonality of Symptoms in Women with Postpartum Depression. 2nd World congress on women's mental health. Washington, DC, USA 2004.
13. Glover V, O’Donnell K, O’Connor TG. Maternal stress in pregnancy – effects on the child. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
14. Gorman LL, O'Hara MW,  Jacquemain F et al. Adaptation of the structured clinical interview for DSM-IV disorders for assessing depression in women during pregnancy and post-partum across countries and cultures. Br J Psychiatry 2004; 46: 17–23.
15. Gutteridge KS. Childbearing and its relevance to survivors of sexual abuse – a 10 year observational study. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
16. Ingram JC, Greenwood RJ, Woolridge MW. Hormonal predictors of postnatal depression at 6 months in breastfeeding women. J Reproduct Inf Psychol 2003; 1 (21): 61–8.
17. Jadresic E. Research on Postpartum Depression: the Chilean experience. 2nd World Congress on women's mental health. Washington, DC, USA 2004.
18. Killien MG. The Role of Social Support in Facilitating Postpartum Women's Return to Employment. J Obs Gyn Neonatal Nurs 2005; 5 (34): 639–46.
19. Kukulu K, Korukcu O. Hormonal mechanism on fear of childbirth. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
20. Lee J. The role of the physiotherapist in the management of vulvodynia. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
21. Leung SSK, Lee AM, Chiang VCL. Efficacy of a brief cognitivebehavioural intervention on pregnant women to prevent postnatal depression. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
22. Luz T. Behavioral and Neuroendocrine Adaptations During Lactation: Contribution of Brain Prolactin 2nd world congress on women's mental health. Washington, DC, USA, 2004.
23. Mirmolaei ST, Jamshidi F, Mehran A. The effect of pelvic floor muscle exercise on stress urinary incontinence in postpartum period. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
24. Neumann ID. Adaptations of Stress Coping Around Birth: Protective Mechanisms for Mother and Offspring. 2nd World congress on women's mental health. Washington, DC, USA, 2004.
25. Newburn M. NCT antenatal preparation for birth and parenthood. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
26. Ramasubramanian SL, Rahman A. The association between maternal serious psychological distress and child obesity at 3 years: a cross-sectional analysis of the UK Millennium Cohort Data. Child: Care, Health and Development 2011; 37 (6).
27. Riecher-Rössler A. Postpartum depression – do we still need this diagnostic term. World Psychiatric Association Integration Conference: Diagnosis in psychiatry: integrating the sciences Vienna (Austria) 2003; p. 12.
28. Rosenquist S. Postnatal depression – not just mums. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
29. Rivières CP, Saurel MJ, Cubizolles N, Lelong N. Considering a Simple Strategy for Detection of Women at Risk of psychological Distress after Childbirth. Birth 2004; 1 (31): 34.
30. Romans S. Ways of Conceptualizing Postpartum Depression. 2nd World congress on women's mental health. Washington, DC, USA 2004.
31. Rosenblum O. Prenatal specific psychopathological conditions and disorders, pregnancy outcome 2nd world congress on women's mental health. Washington, DC, USA 2004.
32. Ross LE, Sellers EM, Gilbert SE, Romach MK. Mood changes during pregnancy and the postpartum period: development of a biopsychosocial mode. Acta Psychiatrica Scandinavica 2004; 6 (109): 457–66.
33. Segre LS. Predictors of Postpartum Sadness: Examining Demographic Variables and Separating Ethnicity from SES. 2nd World congress on women's mental health. Washington, DC, USA 2004.
34. Seng JS, Lisa KL, Kathleen JH, Sparbel CK. Abuse-related post-traumatic stress during the childbearing year. J Adv Nurs 2004; 6 (46): 604–13.
35. Serour GL, Women’s health in the 21st century. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
36. Smith S, Fox C. An exploratory study of care, compassion and stress in maternity and child health. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
37. Sutter-Dallay AL, Giaconne-Marcesche V, Glatigny E. Anxiety Disorders During Pregnancy and Postnatal Depression at 6 Weeks Postpartum. 2nd World congress on women's mental health. Washington, DC, USA 2004.
38. Sullivan S. The role the 17 beta oestradiol has on procedural memory in the onset of postpartum depression and psychosis. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.
39. Tammentie T, Marja-Terttu T, Päivi ÅK et al. Family dynamics and postnatal depression. J Psych Mental Health Nursing 2004; 2 (11): 141–9.
40. Wijma K.Why focus on «fear of childbirth»? J Psychosom Obstet Gynecol 2003; 24: 141–3.
41. Wimmer-Puchinger. Postpartum depression and attachment disorder S. 1st World Congress of Obstetrics, Gynaecology and Andrology: Psychosomatic and Biological Perspectives on Clinical Controversies. 20–23 march 2011.

Н.А.Короткова, Т.К.Пучко, А.А.Куземин

ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова  Минздравсоцразвития РФ

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N.A.Korotkova, T.K.Puchko, A.A.Kuzemin