Postpartum depression (PPD) is a mood disorder characterized by depressive episode symptoms within three months after delivery, lasting between two and six months. The characteristic symptoms of postpartum depression are: exaggerated worry about the child's state of health, which does not cause any concern, weakened bond with the child, obsessive thoughts about harming the child (egodystonic thoughts), egosyntonic, non-obsessive thoughts about killing the child. All psychotropic medications are secreted in breast milk. Pharmacological treatment of PPD is not contraindication for breastfeeding. PPD should be treated because it disturbs formation of a proper bond between mother and child, which has an adverse effect on the child's psychosocial development.

PPD; postpartum depression; depression

Brummelte S, Galea LAM. Postpartum depression: Etiology, treatment and consequences for maternal care. Horm Behav. 2016 Jan;77:153–66.

Couto TC e. Postpartum depression: A systematic review of the genetics involved. World J Psychiatry. 2015;5(1):103.

Cameron AD, Sidorowicz S, Grzesiak M, Kantorska-Janiec M, Elsevier U& P. Psychiatria. Wrocław: Elsevier Urban & Partner; 2011.

Nielsen Forman D, Videbech P, Hedegaard M, Dalby Salvig J, Secher NJ. Postpartum depression: identification of women at risk. BJOG Int J Obstet Gynaecol. 2000 Oct;107(10):1210–7.

Guintivano J, Manuck T, Meltzer-Brody S. Predictors of Postpartum Depression: A Comprehensive Review of the Last Decade of Evidence. Clin Obstet Gynecol. 2018 Mar;1.

Guintivano J, Sullivan PF, Stuebe AM, Penders T, Thorp J, Rubinow DR, et al. Adverse life events, psychiatric history, and biological predictors of postpartum depression in an ethnically diverse sample of postpartum women. Psychol Med. 2018 May;48(7):1190–200.

Ludermir AB, Lewis G, Valongueiro SA, de Araújo TVB, Araya R. Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. Lancet Lond Engl. 2010 Sep 11;376(9744):903–10.

Murray L, Cooper PJ. EDITORIAL: Postpartum depression and child development. Psychol Med. 1997 Mar;27(2):253–60.

Wisner KL, Parry BL, Piontek CM. Clinical practice. Postpartum depression. N Engl J Med. 2002 Jul 18;347(3):194–9.

Cohen LS, Altshuler LL, Harlow BL, Nonacs R, Newport DJ, Viguera AC, et al. Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment. JAMA. 2006 Feb 1;295(5):499–507.

Beck CT. Postpartum depression: it isn’t just the blues. Am J Nurs. 2006 May;106(5):40–50; quiz 50–1.

Doucet S, Dennis C-L, Letourneau N, Blackmore ER. Differentiation and clinical implications of postpartum depression and postpartum psychosis. J Obstet Gynecol Neonatal Nurs JOGNN. 2009 Jun;38(3):269–79.

Ip S, Chung M, Raman G, Trikalinos TA, Lau J. A summary of the Agency for Healthcare Research and Quality’s evidence report on breastfeeding in developed countries. Breastfeed Med Off J Acad Breastfeed Med. 2009 Oct;4 Suppl 1:S17-30.

Davanzo R, Copertino M, De Cunto A, Minen F, Amaddeo A. Antidepressant drugs and breastfeeding: a review of the literature. Breastfeed Med Off J Acad Breastfeed Med. 2011 Apr;6(2):89–98.

Hale TW, Rowe HE. Medications & mothers milk. Seventeenth edition. New York: Springer Publishing Company; 2017. 1095 p.