Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice.


:Perinatal depression (PND) is the most common obstetric complication in the United States. Even when screening results are positive, mothers often do not receive further evaluation, and even when PND is diagnosed, mothers do not receive evidence-based treatments. Studies reveal that postpartum depression (PPD), a subset of PND, leads to increased costs of medical care, inappropriate medical treatment of the infant, discontinuation of breastfeeding, family dysfunction, and an increased risk of abuse and neglect. PPD, specifically, adversely affects this critical early period of infant brain development. PND is an example of an adverse childhood experience that has potential long-term adverse health complications for the mother, her partner, the infant, and the mother-infant dyad. However, PND can be treated effectively, and the stress on the infant can be buffered. Pediatric medical homes should coordinate care more effectively with prenatal providers for women with prenatally diagnosed maternal depression; establish a system to implement PPD screening at the 1-, 2-, 4-, and 6-month well-child visits; use community resources for the treatment and referral of the mother with depression; and provide support for the maternal-child (dyad) relationship, including breastfeeding support. State chapters of the American Academy of Pediatrics, working with state departments of public health, public and private payers, and maternal and child health programs, should advocate for payment and for increased training for PND screening and treatment. American Academy of Pediatrics recommends advocacy for workforce development for mental health professionals who care for young children and mother-infant dyads, and for promotion of evidence-based interventions focused on healthy attachment and parent-child relationships.










Has Abstract


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  • Long-term follow-up study of serum immunoglobulin G and immunoglobulin A antibodies after Helicobacter pylori eradication.

    abstract:OBJECTIVE:There have been few studies concerning serum titers of anti-Helicobacter pylori immunoglobulin G (IgG) antibody >12 months after eradication of the original infection. Moreover, clinical usefulness of immunoglobulin A (IgA) antibody levels remains to be established. The purpose of this study was to investigat...


    pub_type: 杂志文章


    authors: Kato S,Furuyama N,Ozawa K,Ohnuma K,Iinuma K

    更新日期:1999-08-01 00:00:00

  • AAP periodicity guidelines: a framework for educating patients.

    abstract::In 1967 the American Academy of Pediatrics published standards for periodic health supervision visits. In 1972 and 1975, in response to changes in child health needs, the guidelines were revised. The current AAP periodicity guidelines, adopted in 1981, provide for reasonable care and meet the minimum requirements for ...


    pub_type: 杂志文章


    authors: Strain JE

    更新日期:1984-11-01 00:00:00

  • Effect of antibiotic therapy and etiologic microorganism on the risk of bacterial meningitis in children with occult bacteremia.

    abstract:OBJECTIVE:To quantify the effect of antibiotic therapy on the probability of subsequent bacterial meningitis in children with fever without source treated as outpatients. DESIGN:Bayesian meta-analyses. REPORTS INCLUDED: All reports of the organism-specific prevalence of occult bacteremia in children with fever without...


    pub_type: 杂志文章,meta分析


    authors: Baraff LJ,Oslund S,Prather M

    更新日期:1993-07-01 00:00:00

  • Early Intervention for Children With Autism Spectrum Disorder Under 3 Years of Age: Recommendations for Practice and Research.

    abstract::This article reviews current evidence for autism spectrum disorder (ASD) interventions for children aged <3 years, based on peer-reviewed articles published up to December 2013. Several groups have adapted treatments initially designed for older, preschool-aged children with ASD, integrating best practice in behaviora...


    pub_type: 共识发展会议,杂志文章,实务指引


    authors: Zwaigenbaum L,Bauman ML,Choueiri R,Kasari C,Carter A,Granpeesheh D,Mailloux Z,Smith Roley S,Wagner S,Fein D,Pierce K,Buie T,Davis PA,Newschaffer C,Robins D,Wetherby A,Stone WL,Yirmiya N,Estes A,Hansen RL,McPartlan

    更新日期:2015-10-01 00:00:00

  • Effectiveness of pulse oximetry screening for congenital heart disease in asymptomatic newborns.

    abstract:OBJECTIVE:To determine the sensitivity, specificity, predictive value, and accuracy of a program of pulse oximetry screening of asymptomatic newborns for critical congenital cardiovascular malformation (CCVM). METHODS:Pulse oximetry was performed on asymptomatic newborns in the well-infant nurseries of 2 hospitals. Ca...


    pub_type: 杂志文章,多中心研究


    authors: Koppel RI,Druschel CM,Carter T,Goldberg BE,Mehta PN,Talwar R,Bierman FZ

    更新日期:2003-03-01 00:00:00

  • The Improving Renal Outcomes Collaborative: Blood Pressure Measurement in Transplant Recipients.

    abstract:BACKGROUND AND OBJECTIVES:Hypertension is highly prevalent in pediatric kidney transplant recipients and contributes to cardiovascular death and graft loss. Improper blood pressure (BP) measurement limits the ability to control hypertension in this population. Here, we report multicenter efforts from the Improving Rena...


    pub_type: 杂志文章,多中心研究


    authors: Seifert ME,Dahale DS,Kamel M,Winterberg PD,Barletta GM,Belsha CW,Chaudhuri A,Flynn JT,Garro R,George RP,Goebel JW,Kershaw DB,Matossian D,Misurac J,Nailescu C,Nguyen CR,Pearl M,Pollack A,Pruette CS,Singer P,VanSick

    更新日期:2020-07-01 00:00:00

  • Helping Babies Survive Programs as an Impetus for Quality Improvement.

    abstract::Achieving the ambitious reduction in global neonatal mortality targeted in the Sustainable Development Goals and Every Newborn Action Plan will require reducing geographic disparities in newborn deaths through targeted implementation of evidence-based practices. Helping Babies Survive, a suite of educational programs ...


    pub_type: 杂志文章


    authors: Ehret DEY,Patterson JK,Kc A,Worku B,Kamath-Rayne BD,Bose CL

    更新日期:2020-10-01 00:00:00

  • Long-term follow-up and outcome of phenylketonuria patients on sapropterin: a retrospective study.

    abstract:OBJECTIVE:Sapropterin dihydrochloride, the synthetic form of 6R-tetrahydrobiopterin (BH4), is an approved drug for the treatment of patients with BH4-responsive phenylketonuria (PKU). The purpose of this study was to assess genotypes and data on the long-term effects of BH4/sapropterin on metabolic control and patient-...


    pub_type: 杂志文章,多中心研究


    authors: Keil S,Anjema K,van Spronsen FJ,Lambruschini N,Burlina A,Bélanger-Quintana A,Couce ML,Feillet F,Cerone R,Lotz-Havla AS,Muntau AC,Bosch AM,Meli CA,Billette de Villemeur T,Kern I,Riva E,Giovannini M,Damaj L,Leuzzi V,B

    更新日期:2013-06-01 00:00:00

  • Sudden infant death syndrome and small airway occlusion: facts and a hypothesis.

    abstract::Respiratory failure is almost certainly the cause of death in the majority of cases of sudden infant death syndrome (SIDS), but the mechanisms leading to it have not been elucidated. SIDS shares many environmental and socioeconomic risk factors with severe forms of bronchiolitis, and the age distribution of incident c...


    pub_type: 杂志文章,评审


    authors: Martinez FD

    更新日期:1991-02-01 00:00:00

  • High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure.

    abstract::Apnea of prematurity (AOP) is frequently managed with nasal continuous positive airway pressure (NCPAP). Nasal cannula (NC) are used at low flows (<0.5 L/min) to deliver supplemental oxygen to neonates. A number of centers use high-flow nasal cannula (HFNC) in the management of AOP without measuring the positive diste...


    pub_type: 临床试验,杂志文章


    authors: Sreenan C,Lemke RP,Hudson-Mason A,Osiovich H

    更新日期:2001-05-01 00:00:00

  • A proactive, data-based determination of the standard of medical care in pediatrics.

    abstract::A 3-week-old infant awoke with a fever. He was taken to the doctor who noted that the child was irritable. The doctor took him to the hospital where a resident performed a spinal tap, started an intravenous (IV) line, and ordered antibiotics. The entire drama, from entering the doctor's office to infusion of ampicilli...


    pub_type: 杂志文章


    authors: Meadow W,Lantos J

    更新日期:1998-04-01 00:00:00

  • Mirrored symptoms in mother and child with chronic fatigue syndrome.

    abstract:OBJECTIVE:Our aim with this study was to assess the relation between chronic fatigue syndrome in adolescents and fatigue and associated symptoms in their fathers and mothers, more specifically the presence of chronic fatigue syndrome-like symptoms and psychologic distress. METHOD:In this cross-sectional study, 40 adol...


    pub_type: 杂志文章


    authors: van de Putte EM,van Doornen LJ,Engelbert RH,Kuis W,Kimpen JL,Uiterwaal CS

    更新日期:2006-06-01 00:00:00

  • American Academy of Pediatrics: Committee on Genetics. Prenatal diagnosis for pediatricians.

    abstract::Pediatricians should be familiar with the principles of antenatal diagnosis and how they should be applied to specific problems in genetic counseling, diagnosis, and management in clinical practice. At the same time, pediatricians should be familiar with the resources for the new technology available to them in their ...


    pub_type: 杂志文章



    更新日期:1980-06-01 00:00:00

  • Can an alternative umbilical arterial catheter solution and flush regimen decrease iatrogenic hemolysis while enhancing nutrition? A double-blind, randomized, clinical trial comparing an isotonic amino acid with a hypotonic salt infusion.

    abstract:OBJECTIVE:In the process of sampling blood through an umbilical arterial catheter (UAC), infant blood comes into stagnant contact with infusion solution in the "waste syringe" before being reinfused. We have previously demonstrated in vitro that this process is associated with less hemolysis of red blood cells (RBCs) w...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Jackson JK,Biondo DJ,Jones JM,Moor PJ,Simon SD,Hall RT,Kilbride HW

    更新日期:2004-08-01 00:00:00

  • Correlates of objectively measured sedentary behavior in US preschool children.

    abstract:OBJECTIVE:To identify correlates of objectively measured sedentary behavior in a diverse sample of preschool children. METHODS:A total of 331 children (51% male, 51% black) from a wide range of ethnic and socioeconomic backgrounds in greater Columbia, South Carolina, were recruited for this study. Sedentary behavior (...


    pub_type: 杂志文章


    authors: Byun W,Dowda M,Pate RR

    更新日期:2011-11-01 00:00:00

  • Simulation in Pediatric Emergency Medicine Fellowships.

    abstract:BACKGROUND AND OBJECTIVES:Graduate medical education faces challenges as programs transition to the next accreditation system. Evidence supports the effectiveness of simulation for training and assessment. This study aims to describe the current use of simulation and barriers to its implementation in pediatric emergenc...


    pub_type: 杂志文章


    authors: Doughty CB,Kessler DO,Zuckerbraun NS,Stone KP,Reid JR,Kennedy CS,Nypaver MM,Auerbach MA

    更新日期:2015-07-01 00:00:00

  • Imbalance between production and conjugation of bilirubin: a fundamental concept in the mechanism of neonatal jaundice.

    abstract:OBJECTIVE:The objective of this study was to evaluate the roles of production and conjugation of bilirubin, individually and in combination, in the mechanism of neonatal jaundice. METHODS:A cohort of healthy, term male newborns was sampled on the third day of life, coincident with routine metabolic screening, for bloo...


    pub_type: 杂志文章


    authors: Kaplan M,Muraca M,Hammerman C,Rubaltelli FF,Vilei MT,Vreman HJ,Stevenson DK

    更新日期:2002-10-01 00:00:00

  • Predictors of fatality in postdiarrheal hemolytic uremic syndrome.

    abstract:OBJECTIVES:Describe the cause of deaths among patients with postdiarrheal hemolytic uremic syndrome (HUS) and identify predictors of death at the time of hospital admission. METHODS:Case-control study of 17 deaths among patients with HUS identified from the Intermountain HUS Patient Registry (1970-2003) compared again...


    pub_type: 杂志文章


    authors: Oakes RS,Siegler RL,McReynolds MA,Pysher T,Pavia AT

    更新日期:2006-05-01 00:00:00

  • A system for individualized dosing of intravenous aminophylline using a programmable calculator.

    abstract::A program that calculates a value of clearance for an individual patient prior to reaching steady state in the early stages of aminophylline therapy is presented. The program is written for the Texas Instruments TI-59 programmable calculator and may be used with or without the PC-100C printer. The program can provide ...


    pub_type: 杂志文章


    authors: Mitsuoka JC,Fleck RJ

    更新日期:1984-01-01 00:00:00

  • Initiation of breastfeeding among mothers of very low birth weight infants.

    abstract:OBJECTIVE:To examine factors that predict the initiation of expressed milk feedings and the transition to direct breastfeedings among mothers of very low birth weight (VLBW) infants. METHODS:The sample consists of 361 mother-infant pairs enrolled in a follow-up study of children aged 6 to 8 years who were born weighin...


    pub_type: 杂志文章,多中心研究


    authors: Smith MM,Durkin M,Hinton VJ,Bellinger D,Kuhn L

    更新日期:2003-06-01 00:00:00

  • Hand hygiene practices in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection.

    abstract:OBJECTIVE:Health care-associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers (HCWs) remains low. The objective of this st...


    pub_type: 杂志文章


    authors: Lam BC,Lee J,Lau YL

    更新日期:2004-11-01 00:00:00

  • Premedication for nonemergent neonatal intubations: a randomized, controlled trial comparing atropine and fentanyl to atropine, fentanyl, and mivacurium.

    abstract:OBJECTIVE:The purpose of this work was to investigate whether using a muscle relaxant would improve intubation conditions in infants, thereby decreasing the incidence and duration of hypoxia and time and number of attempts needed to successfully complete the intubation procedure. PATIENTS/METHODS:This was a prospectiv...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Roberts KD,Leone TA,Edwards WH,Rich WD,Finer NN

    更新日期:2006-10-01 00:00:00

  • Use of trained mothers to teach interviewing skills to first-year medical students: a follow-up study.

    abstract::This report describes an attempt to evaluate the effectiveness of "trained mother" interviews early in the medical school curriculum. As an adjunct to a first-year course that teaches interviewing techniques, half of the students were exposed to an interview with one of three trained mothers early in the course. This ...


    pub_type: 杂志文章


    authors: Stillman PL,Sabers DL,Redfield DL

    更新日期:1977-08-01 00:00:00

  • Disseminated fungal infections in very low-birth-weight infants: therapeutic toxicity.

    abstract::The improved survival of very low-birth-weight infants, who require prolonged hospitalization and many invasive procedures, increases the risks for nosocomial illnesses, such as disseminated fungal infections. In a 2-year period, systemic fungal infections were clinically diagnosed in ten infants. This necessitated th...


    pub_type: 杂志文章


    authors: Baley JE,Kliegman RM,Fanaroff AA

    更新日期:1984-02-01 00:00:00

  • Life-threatening sepsis caused by Burkholderia cepacia from contaminated intravenous flush solutions prepared by a compounding pharmacy in another state.

    abstract::We report 2 life-threatening cases of Burkholderia cepacia sepsis caused by infusate contamination during compounding. Bacterial isolates from the patients' blood cultures and the infusate were indistinguishable by pulsed-field gel electrophoresis. Proper quality controls at a local and national level are important fo...


    pub_type: 杂志文章


    authors: Held MR,Begier EM,Beardsley DS,Browne FA,Martinello RA,Baltimore RS,McDonald LC,Jensen B,Hadler JL,Dembry LM

    更新日期:2006-07-01 00:00:00

  • Timing of Puberty Suppression and Surgical Options for Transgender Youth.

    abstract:OBJECTIVES:Puberty suppression (PS) is a cornerstone of treatment in youth experiencing gender dysphoria. In this study, we aim to inform prescribing professionals on the long-term effects of PS treatment on the development of sex characteristics and surgical implications. METHODS:Participants received PS according to...


    pub_type: 杂志文章


    authors: van de Grift TC,van Gelder ZJ,Mullender MG,Steensma TD,de Vries ALC,Bouman MB

    更新日期:2020-11-01 00:00:00

  • Guidelines for pediatric cancer centers.

    abstract::Since the American Academy of Pediatrics published guidelines for pediatric cancer centers in 1986 and 1997, significant changes in the delivery of health care have prompted a review of the role of tertiary medical centers in the care of pediatric patients. The potential effect of these changes on the treatment and su...


    pub_type: 指南,杂志文章


    authors: Corrigan JJ,Feig SA,American Academy of Pediatrics.

    更新日期:2004-06-01 00:00:00

  • Elimination of Perinatal Hepatitis B: Providing the First Vaccine Dose Within 24 Hours of Birth.

    abstract::After the introduction of the hepatitis B vaccine in the United States in 1982, a greater than 90% reduction in new infections was achieved. However, approximately 1000 new cases of perinatal hepatitis B infection are still identified annually in the United States. Prevention of perinatal hepatitis B relies on the pro...


    pub_type: 杂志文章



    更新日期:2017-09-01 00:00:00

  • A new pattern of cerebellar hemorrhages in preterm infants.

    abstract:OBJECTIVE:Posterior fossa hemorrhages may be underdiagnosed in surviving neonates, with cerebellar hemorrhage discovered in 10% to 25% of autopsy specimens from very low birth weight infants. Posterior fossa lesions have been difficult to visualize by the traditional ultrasonography approach through the anterior fontan...


    pub_type: 杂志文章


    authors: Merrill JD,Piecuch RE,Fell SC,Barkovich AJ,Goldstein RB

    更新日期:1998-12-01 00:00:00

  • Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data).

    abstract:OBJECTIVE:To determine how sociodemographic factors and type of insurance influence use of medical and health-related services by children with special health care needs (CSHCN), after controlling for need. METHODS:A cross-sectional analysis of 1994 National Health Interview Disability Survey was conducted. Children b...


    pub_type: 杂志文章,多中心研究


    authors: Weller WE,Minkovitz CS,Anderson GF

    更新日期:2003-09-01 00:00:00