Влияет ли послеродовая депрессия матери на здоровье и развитие ребенка?

Захарова И.Н., Бережная И.В., Сугян Н.Г., Оробинская Я.В., Каримова А.Е. Влияет ли послеродовая депрессия матери на здоровье и развитие ребенка? Педиатрия. Consilium Medicum. 2022;4:295–300.
DOI: 10.26442/26586630.2022.4.202029

© ООО «КОНСИЛИУМ МЕДИКУМ», 2022 г.

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Zakharova IN, Berezhnaya IV, Sugian NG, Orobinskaia IV, Karimova AE. Does maternal postpartum depression affect child health and development? A review. Pediatrics. Consilium Medicum. 2022;4:295–300.
DOI: 10.26442/26586630.2022.4.202029

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Аннотация

Послеродовая депрессия (ПД) считается проблемой во всем мире. Ученые считают, что высокий риск развития депрессии после родов у женщин сохраняется в течение первых 6 мес. Частота ПД варьирует от 13 до 20%. Доказано, что это психическое расстройство оказывает негативное влияние на качество жизни не только матерей (изменение отношений с мужем, включая интимную сферу, трудности грудного вскармливания), но и детей, инициируя ближайшие последствия (младенческие колики, недостаточная прибавка в массе, нарушения сна) и долгосрочные – для когнитивного и эмоционального развития ребенка. Ввиду большой занятости женщина не всегда имеет возможность посетить врача. Кроме того, она может не осознавать неблагополучие своего психического здоровья. Нередко педиатр видит, что женщина вследствие неадекватного поведения не только не справляется с материнскими обязанностями, но и может представлять опасность для своего ребенка. Эффективной и простой скрининговой методикой, которая позволяет выявить ПД на ранних этапах, является Эдинбургская шкала оценки ПД. Ее применение поможет впоследствии обеспечить женщине профессиональную помощь.

Ключевые слова: послеродовая депрессия, диада «мать–дитя» грудное вскармливание, дети, младенцы, грудное молоко, педиатр, скрининг, Эдинбургская шкала

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Postpartum depression (PD) is a worldwide issue. Researchers believe the high risk of depression after childbirth persists for the first 6 months. The rate of PD varies from 13 to 20%. This psychiatric disorder has been shown to have a negative impact on the quality of life not only for mothers (difficulty breastfeeding, changing relationships with their husbands, including intimacy) but also for children, initiating immediate effects (infant colic, lack of weight gain, sleep disturbances) and long-term effects on the cognitive and emotional development of the child. Due to a woman's busy schedule, she does not always have the opportunity to visit a doctor. In addition, she may not be aware of her mental health disorders. Often the pediatrician observes that the woman, due to inappropriate behavior, not only fails to cope with maternal responsibilities but may also be a danger to her child. A practical and simple screening technique that allows early detection of PD is the Edinburgh PD Scale. Its use will help women to receive professional care.

Keywords: postpartum depression, mother-child dyad, breastfeeding, babies, infants, breast milk, pediatrician, screening, Edinburgh Postnatal Depression Scale

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1. Goodman JH. Perinatal depression and infant mental health. Arch Psychiatr Nurs. 2019;33(3):217-24. DOI:10.1016/j.apnu.2019.01.010
2. CHirkova AV, Zubareva AD. Poslerodovaya depressiya. Molodoj uchenyj. 2019;24(262):47-50 (in Russian).
3. Dagher RK, Bruckheim HE, Colpe LJ, et al. Perinatal Depression: Challenges and Opportunities. J Womens Health (Larchmt). 2021;30(2):154-9. DOI:10.1089/jwh.2020.8862
4. Dadi AF, Miller ER, Mwanri L. Postnatal depression and its association with adverse infant health outcomes in low- and middle-income countries: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2020;20(1):416. DOI:10.1186/s12884-020-03092-7
5. Tariq N, Naeem H, Tariq A, Naseem S. Maternal depression and its correlates: A longitudinal study. J Pak Med Assoc. 2021;71(6):1618-22. DOI:10.47391/JPMA.352
6. Gelaye B, Rondon MB, Araya R, Williams MA. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry. 2016;3(10):973-82. DOI:10.1016/S2215-0366(16)30284-X
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8. Van Niel MS, Payne JL. Perinatal depression: A review. Cleve Clin J Med. 2020;87(5):273-7. DOI:10.3949/ccjm.87a.19054
9. Yim IS, Tanner Stapleton LR, Guardino CM, et al. Biological and Psychosocial Predictors of Postpartum Depression: Systematic Review and Call for Integration. Annu Rev Clin Psychol. 2015;11:99-137. DOI:10.1146/annurev-clinpsy-101414-020426
10. Hutcherson TC, Cieri-Hutcherson NE, Gosciak MF. Brexanolone for postpartum depression. Am J Health Syst Pharm. 2020;77(5):336-45. DOI:10.1093/ajhp/zxz333
11. Рayne JL, Maguire J. Pathophysiological mechanisms implicated in postpartum depression. Front Neuroendocrinol. 2019;52:165-80. DOI:10.1016/j.yfrne.2018.12.001
12. Stewart DE, Vigod SN. Postpartum Depression: Pathophysiology, Treatment, and Emerging Therapeutics. Annu Rev Med. 2019;70:183-96. DOI:10.1146/annurev-med-041217-011106
13. Carnevali GS, Buoli M. The role of epigenetics in perinatal depression: Are there any candidate biomarkers? J Affect Disord. 2021;280(Pt B):57-67. DOI:10.1016/j.jad.2020.11.056
14. Couto TCE, Brancaglion MYM, Alvim-Soares A, et al. Postpartum depression: a systematic review of the genetics involved. World J Psychiatry. 2015;5(1):103‑11. DOI:10.5498/wjp.v5.i1.103
15. Yu Y, Liang HF, Chen J, et al. Postpartum Depression: Current Status and Possible Identification Using Biomarkers. Front Psychiatry. 2021;12:620371. DOI:10.3389/fpsyt.2021.620371
16. Deligiannidis KM, Fales CL, Kroll-Desrosiers AR, et al. Resting-state functional connectivity, cortical GABA, and neuroactive steroids in peripartum and peripartum depressed women: a functional magnetic resonance imaging and spectroscopy study. Neuropsychopharmacology. 2019;44(3):546-54. DOI:10.1038/s41386-018-0242-2
17. Gingnell M, Bannbers E, Moes H, et al. Emotion reactivity is increased 4–6 weeks postpartum in healthy women: a longitudinal fMRI study. PLoS One. 2015;10(6):e0128964. DOI:10.1371/journal.pone.0128964
18. Hoekzema E, Barba-Müller E, Pozzobon C, et al. Pregnancy leads to long-lasting changes in human brain structure. Nat Neurosci. 2017;20(2):287-96. DOI:10.1038/nn.4458
19. Jha SC, Xia K, Schmitt JE, et al. Genetic influences on neonatal cortical thickness and surface area. Hum Brain Mapp. 2018;39(12):4998-5013. DOI:10.1002/hbm.24340
20. Li Y, Chu T, Che K, et al. Abnormalities of cortical structures in patients with postpartum depression: A surface-based morphometry study. Behav Brain Res. 2021;410:113340. DOI:10.1016/j.bbr.2021.113340
21. Liu L, Men X, Song X, et al. Application Analysis of Multiacupoint Stimulation in Multimodal Labor Analgesia during the Whole Stage of Labor in Primipara. Evid Based Complement Alternat Med. 2022;2022:5161562. DOI:10.1155/2022/5161562
22. Suradom C, Suttajit S, Oon-Arom A, et al. Omega-3 polyunsaturated fatty acid (n-3 PUFA) supplementation for prevention and treatment of perinatal depression: a systematic review and meta-analysis of randomized-controlled trials. Nord J Psychiatry. 2021;75(4):239-46. DOI:10.1080/08039488.2020.1843710
23. Accortt EE, Arora C, Mirocha J, et al. Low Prenatal Vitamin D Metabolite Ratio and Subsequent Postpartum Depression Risk. J Womens Health (Larchmt). 2021;30(1):113-20. DOI:10.1089/jwh.2019.8209
24. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. DSM-5. DOI:10.1176/appi.books.9780890425787
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26. Garcia K PsyD, Mancuso A, Le HN PhD. Mothers' experiences of perinatal obsessive-compulsive disorder. J Reprod Infant Psychol. 2021:1-11. DOI:10.1080/02646838.2021.2013457
27. Perry A, Gordon-Smith K, Jones L, Jones I. Phenomenology, Epidemiology and Aetiology of Postpartum Psychosis: A Review. Brain Sci. 2021;11(1):47. DOI:10.3390/brainsci11010047
28. Kondratenko IV, Bologov AA. Pervichnye immunodeficity: ucheb. posobie. Moscow: IndnksMed Media, 2020; p. 78 (in Russian).
29. Kociszewska-Najman B, Sibanda E, Radomska-Leśniewska DM, et al. Does Caesarean Section or Preterm Delivery Influence TGF-β2 Concentrations in Human Colostrum? Nutrients. 2020;12(4):1095. DOI:10.3390/nu12041095
30. Xiong Z, Zhou L, Chen J, et al. Association between postpartum depression and concentrations of transforming growth factor-β in human colostrum: a nested cohort study. Nan Fang Yi Ke Da Xue Xue Bao. 2022;42(9):1426-30 (in Chinese). DOI:10.12122/j.issn.1673-4254.2022.09.21
31. Browne PD, Aparicio M, Alba C, et al. Human Milk Microbiome and Maternal Postnatal Psychosocial Distress. Front Microbiol. 2019;10:2333. DOI:10.3389/fmicb.2019.02333
32. Toledo C, Cianelli R, Villegas Rodriguez N, et al. The significance of breastfeeding practices on postpartum depression risk. Public Health Nurs. 2021;39(1):15-23. DOI:10.1111/phn.12969
33. Kossakowska K, Bielawska-Batorowicz E. Postpartum Depressive Symptoms and Their Selected Psychological Predictors in Breast-, Mixed and Formula-Feeding Mothers. Front Psychiatry. 2022;13:813469. DOI:10.3389/fpsyt.2022.813469
34. Islam MJ, Broidy L, Baird K, et al. Early exclusive breastfeeding cessation and postpartum depression: assessing the mediating and moderating role of maternal stress and social support. PLoS ONE. 2021;16(5):e0251419. DOI:10.1371/journal.pone.0251419
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Авторы

И.Н. Захарова*1,2, И.В. Бережная1,2, Н.Г. Сугян1,3, Я.В. Оробинская1,3, А.Е. Каримова1

1 ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия;
2 ГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» Департамента здравоохранения г. Москвы, Москва, Россия;
3 ГАУЗ МО «Химкинская областная больница», Химки, Россия
*zakharova-rmapo@yandex.ru

________________________________________________

Irina N. Zakharova*1,2, Irina V. Berezhnaya1,2, Narine G. Sugian1,3, Iana V. Orobinskaia1,3, Alexandra E. Karimova1

1 Russian Medical Academy of Continuous Professional Education, Moscow, Russia;
2 Bashlyaeva Children's City Clinical Hospital, Moscow, Russia;
3 Khimki Regional Hospital, Khimki, Russia
*zakharova-rmapo@yandex.ru

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