Talk:Postpartum depression

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Ashley's Peer Review, Foundations 2 2019
1. Do the group’s edits substantially improve the article as described in the Wikipedia peer review “Guiding framework”? -- Yes, definitely. The group has expanded and has added relevant information about medications for post-partum depression.

2. Has the group achieved its overall goals for improvement? -- Yes, the group has added new 2019 data about a different type of medication that can be given intravenously for post-partum depression.

3. Does the draft submission reflect a neutral point of view? -- Yes, the group's edits has maintained a neutral point of view throughout the article.

Ashleyher (talk) 21:09, 5 August 2019 (UTC)

Sara's Peer Review 2019
1. The group's addition to the medication section specifically brexanolone definitely improved the article by giving light to a medication that was not addressed in the page previously.

2. Yes, the group has achieved its overall goals for improvement and even added additional information.

3. Are the points included verifiable with cited secondary sources that are freely available? All statements were supported with a cited source

Sara.F.Shaikh (talk)Sara S.

Manuel's Peer Review, 2019
Group 7B did an awesome job making edits to this wikipedia page by making it more fluid and smooth with the transitions to read by the layman's audience. One of the most important contributions was including a whole new medication used as part of postpartum depression treatment, going so much as including the REMS program and side effects.

The group maintained neutrality throughout the article, so it was not biased towards one side.

ManuelSeraydarian (talk) 21:14, 5 August 2019 (UTC)

Group 7B response to Peer Reviews
1. Thank you for your evaluation of our contributions to this Wikipedia page.Wrd530 (talk) 16:43, 6 August 2019 (UTC)

Michael's Review- Foundations 2019
Goals

1. The information added about the drug "allopregnalone" is substantial and provides more clarity

2. Therapies and medications relating to postpartum depression were explored and supplemented through the edits made.

3. Many hyperlinks were added, and these serve to encourage further reading.

This groups edits significantly improve the article, their sources and edits pose a neutral point of view. Michaelfashola (talk) 17:32, 6 August 2019 (UTC)

Proposal to add treatment risks vs. benefits sub-section
I am currently updating the article for maternity blues and was reading the postpartum depression article for additional background. Bravo to previous editors -- this article is well-developed and has lots of interesting information! I propose adding a treatment sub-section to this article that discusses risks vs. benefits of medications compared to untreated depression. There is some interesting literature that discusses the risks to both mother and baby of untreated postpartum depression. I believe this would be a useful addition given the lack of complete knowledge on safety of these medications.

Looking forward to comments and suggestions from others interested in this topic!

Mlshulk (talk) 21:17, 5 October 2019 (UTC)

CP133 2019 Group 18 proposed edits
Ghuynh (talk) 04:11, 16 October 2019 (UTC) User: Harini Bhat

Proposed edits:
 * add a new section in regards to bills/policies that will help support postpartum depression
 * provide information regarding the bill specific in California and the importance for this bill
 * continue to update as new information is available as the discussion is still in progressChang2021 (talk) 22:13, 16 October 2019 (UTC)

Bills and Policies In February of 2019, an amendment was proposed to section 14005.18 of the Welfare and Institutions Code as it relates to Medi-Cal in the state of California. The purpose of this bill is to extend postpartum coverage by Medi-Cal from 60 days up to 1 year postpartum for maternal mental health disorders, including anxiety and depression.

Per the AB 577 bill text, the government defines "maternal mental health condition" as any condition that occurs during the pregnancy or after birth and includes a number of mental health diagnoses, including postpartum depression. Prior to this proposed amendment, all services covered by Medi-Cal for low-income pregnant women would terminate 60 days after giving birth. Postpartum depression and mood disorders are common health-related issues that can arise within the first year after giving birth. With the proposal of AB 577, Medi-Cal will continue its coverage for maternal mood disorders and facilitating access to treatment beyond the 60-day coverage limit to provide uninterrupted care. The amendment was widely well-received and awaits discussion on the assembly floor.

CP 133 2019 Group 17 Peer Edits
Michelle:

I've noticed that unfortunately, all edits that you've made have been removed since the edits. I am referencing the versions with your edits, as well as the notes from the user who removed the edits.

1. I do believe that Group 17 improved this article with the addition of Health Coverage. This is a topic that does affect the management and treatment of postpartum depression. However, I do understand Doc James' concern that the information only applied to California, and thus can be considered irrelevant. Your goals for edits on the talk page revolve primarily around new bills/policies that support postpartum depression, which I do believe is a valuable addition to this article. I believe the best way to address Doc James' concern is to speak on not just California's policy but any other states/countries as well. In addition, adding information on how the bill has will actually affect treatment/management of postpartum depression can tie that information into treatment/management. The statement on barriers to mothers receiving care was removed since it was citing a primary source. It is something that does improve the article, so perhaps using CDC/WHO guidelines or statements on these barriers might be a better source for your information. Perhaps there will also be some more information on if these barriers are addressed at all. It might be a great way to tie in your goals of informing on legislation surrounding postpartum depression and how that care is supported by policies.

2. The edits submitted represent a fairly neutral point of view. The language was very matter of fact, in using government definitions, and not expressing personal approval/disapproval of the amendment, despite acknowledging that the amendment was "well-received". Similarly, the statement on barriers to care is also listing without providing an opinion on each barrier. Great work! Michellelzhao (talk) 22:51, 2 November 2019 (UTC)

Benjamin:

I also noticed that your edits have been removed! I'll read and comment on the revisions with your edits ("Revision as of 05:50, 23 October 2019" and "Revision as of 19:59, 30 October 2019").

1. I think the group edits improved the article. The earlier edit created a section with the intent to expand on health coverage options for mothers experiencing postpartum depression. The group cited a bill introduced in California to expand postpartum mental health disorder coverage, described the necessity for such a bill, and explained the reception to the bill. I think the entry can be improved by providing a more comprehensive view of similar bills and policies worldwide. Perhaps a similar analysis of policies for postpartum health can be provided for other countries. The later edit also listed obstacles that mothers had to overcome before seeking help for their postpartum depression. This edit better explained how difficult it is to seek help and reasons why some mothers can't seek help.

2. The first edit concerning the bill introduced in California cited text directly from the official California Legislative Information government website, but the edit also cited third party websites. If possible, I believe it would be better to cite the primary source (the California Legislative Information website). For the second edit, a primary literature study was cited. The article is available in certain libraries (e.g. the UCSF library) or for purchase. While it isn't a secondary literature source (like a systematic or literature review), I don't know if the same information is available elsewhere.

BenTang2019 (talk) 02:23, 3 November 2019 (UTC)

Connie:

1. Even though the groups’ addition was deleted by Doc James, I do believe that the group’s edits could have substantially improved the article. The groups’ new edits were adding a section on Health Coverage and how a new bill can extend postpartum coverage from 60 days to up to 1 year by Medi-Cal. Since their edits got deleted, overall they haven’t been able to achieve their goals yet, but hopefully with some more revisions by maybe even adding a historical timeline of health coverage of postpartum depression in different states could help them improve this article.

2. The edits are formatted correctly because they had a main heading of “Health Coverage,” subheading of “Bills and Policies”, and then the body text. I didn’t see anything wrong with the formating, but all they really needed to do was provide more examples of more bills and policies from another state or country and provide a better source so that it doesn’t get deleted next time. Connie.chen2 (talk) 05:04, 4 November 2019 (UTC)Connie Chen

Stephanie:

1. Like my group members, I also referenced the removed edits. Yes, I found that the group’s edits substantially improved the article with the addition of the Health Coverage section because this was relevant to the topic, citations and links work, references are reliable, information is up to date, and the article is neutral. However, I do understand that the health coverage section could benefit from being more comprehensive by including bills and policies from other states and/or countries. Based on the previous edit I believe that the group achieved their overall goals of adding a bills and policies section, providing information specific to California, and ensuring that the information is up to date. However, this group’s edit has since been deleted.

2. I found no evidence of plagiarism or copyright violation. I referenced the removed edits in the Bills and Policies section that was added by this group and compared the wording and content to the cited bill text on legiscan. I think the group did a great job summarizing and making the bill succinct and easy to read. Soondubuson (talk) 02:44, 5 November 2019 (UTC)

Risk of formula feeding rather than breastfeeding
Hello, I wanted to draw attention to a bullet point under "risk factors" that could be problematic that reads "formula feeding rather than breastfeeding". While there is undeniably a relationship between breastfeeding and postpartum depression, then nature and directionality of this relationships are not well understood and likely varies from person to person i.e. I have heard testimony from a woman who has said her PPD started when she stopped breastfeeding, and one who said it ended when she stopped breastfeeding. The research surrounding this question is preliminary and inconclusive, and I worry that presenting one piece of the puzzle as a bullet point under "risk factors" may impact a woman's decision in a way that may not be positive. The ability to breastfeed is extremely important to many women and I am worried that the way this information is conveyed may function to limit that decision without the backing of comprehensive and validated research.

Adding a Section on the History of Postpartum Depression
Would like to add a section on the evolving understanding and construction of postpartum depression over the centuries. Noticed the history and evolution of ideas/medical understanding of PPD could benefit this page. Please let us know if there are any thoughts/concerns with this.Hadleyggeorgetown (talk) 21:25, 15 April 2020 (UTC)

More recent stats
Hi, throughout reading the article I kept on wondering if some of the stats included have changed over the years. For example "Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers" I would think this percent would have changed from 2014. Aroub Jamal (talk) 23:52, 1 October 2020 (UTC)Aroub Jamal

Adding New Section
Hey Guys!! I want to add a section that focuses on PPD in fathers since it is briefly mentioned throughout the article but it would be more organized to have the information compiled in one section. Below I will attach my proposed rough draft edit:

Postpartum Depression in Fathers: Paternal postpartum depression has not been studied as intently has its maternal counterpart. In men, postpartum depression is typically defined as "an episode of major depressive disorder (MDD) occurring soon after the birth of a child" [1]. Postpartum depression in men is most likely to occur 3-6 months after delivery, and is correlated with maternal depression, meaning that if the mother is experiencing postpartum depression, then the father is at a higher risk of developing the illness as well [2]. Postpartum depression in men leads to an increase risk of suicide, while also limiting healthy infant-father attachment. Men who experience PPD can exhibit poor parenting behaviors, distress, and reduce infant interaction [3].

Sources:

1. Scarff, A. (2019). Postpartum Depression in Men. Innovation in Clinical Neuroscience.16(5-6): 11–14. https://www-ncbi-nlm-nih-gov.ezproxy3.lhl.uab.edu/pmc/articles/PMC6659987/

2. Paulson JF, Bazemore SD. Prenatal and Postpartum Depression in Fathers and Its Association With Maternal Depression: A Meta-analysis. JAMA. 2010;303(19):1961–1969. doi:10.1001/jama.2010.605.

3. Suto, M., Isogai, E., Kakee, N., Misago, C., Takehara, K. (2016). Prevalence and Factors Associated With Postpartum Depression in Fathers: A Regional, Longitudinal Study in Japan. Research in Nursing and Health., 39(4), 253-262.

Pammul (talk) 19:03, 3 July 2021 (UTC)

I added information to the screening section of this article discussing postpartum depression. I found it important to discuss what different numbers scored on the test meant and how often mothers should be getting screening done when in the neonatal intensive care unit. Mdanthony6 (talk) 03:20, 2 October 2021 (UTC)

New Section
Hi Everyone!

My group and I wanted to add a new section on resources for women and men experiencing PPD symptoms. The page mentions how more resources need to be directed towards women and men experiencing PPD, but does not currently have a section or sub-section discussing specific resources. We were thinking about having two separate sub-sections titled “General” and “United States” under the main section “Resources.” There are several types of resources including education, psychiatric medical care, support groups, web-based resources (talk pages, blogs, and community forums), and helplines.

The general sub-section would include international resources and the United States sub-section would include resources specific to the U.S. We are hoping that the United States sub-section can be used as a template for future editors to structure their respective sub-sections on resources from other areas of the world.

One resource that is available internationally is the “Postpartum Support International,” which raises awareness and provides support to women and men experiencing symptoms of PPD [1]. For the United States sub-section, there are many resources we found. For example, a website with general education provided by the US Government [2] and a website that separates support groups by state [3].

Rennoelle (talk) 00:09, 19 March 2022 (UTC)

Postpartum
What is it 41.246.29.238 (talk) 10:10, 2 April 2022 (UTC)

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Sources, Inconsistency, and Visual Aid
Hello, I would like to suggest a few improvements to the page.

I have noticed that there are a few information and sources that may be a bit outdated and need changing. For example, "A 2010 review found few studies of medications for treating PPD noting small sample sizes and generally weak evidence." I would advise changing some of the information–including statistics like "In 2018, 24% of areas in the UK have no access to perinatal mental health specialist services"–to more recent ones or specifying the change over the years in each case of outdated information use.

This Wikipedia page would also benefit from a couple of visual aids for readers. For example, images of brain scans under the Neurobiology section showing the differences in the brains of mothers with postpartum depression could illustrate what the text is describing or, to cite another example, images of the medications mentioned in the treatment section. This is simple but will help the readers follow along with what the text is explaining.

The article could also benefit from including additional data when making a statement such as: "Most antidepressants are excreted in breast milk in low quantities, which can have adverse effect on babies" or "In most of these countries PPD is not considered a serious condition for women, and therefore there is an absence of support programs for prevention and treatment in health systems." Giving exact numbers/percentages will leave no room for confusion.

There also seems to be a bit of inconsistency in the balance of information. For example, the breastfeeding subsection has very little information compared to medication and therapy in the treatment section. Another example is the Epidemiology section, in which North America's information exceeds the other continents. Additionally, only the United States and Canada are covered under North America, showing a lack of diverse coverage. Ketchupandmayyonaise (talk) 12:49, 26 October 2023 (UTC)

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I'm new editor
Hi, Im student from Uskudar University. I edit this article (postpartum deprsesion) as an assignment for my course (Biotechnology in Neurosciences (NEU547/1)). I already completed Wikipedia training modules to be proficient in Wikipedia editing. I would appreciate any support. Best wishes, lenah al dalati. Lenah aldalati (talk) 20:11, 25 January 2024 (UTC)