Postpartum Depression - a serious, dangerous, disabling, extremely frequent condition that is almost completely ignored in Romania

Mihai Dimitriu, Anca Mihaela Pantea Stoian, George Roșu, Adelina Dan, Adriana Caimacan, Nikolaos Zygouropoulos, Irina Pacu, Bogdan Socea, Crîngu Ionescu, Diana Claudia Gheorghiu, Nicolae Bacalbașa, Cătălin Cîrstoveanu, Horațiu Haradja, Nicolae Gheorghiu, Alla Al-Azawi, Anca-Mihaela Măcău, Liana Pleș, Emanuele Maria Merlo, Salvatore Settineri, Florentina Jacotă – Alexe


In Romania, as anywhere in the world, postpartum depression is considered to be the most frequent health problem in the postpartum period.
Unfortunately, as it will be later explained, in Romania, in the majority of cases, patients, their families and relatives (as well as the medical staff in charge of the patient) treat the postpartum depression and its serious possible implications superficially.
Therefore and especially in order to precisely establish the perception of postpartum depression and its consequences in a targeted population, but also to evaluate indirectly the level of importance given to it by doctors (as well as the other healthcare professionals), we have designed in the year of 2019 in the Department of Obstetrics and Gynecology of "St.Pantelimon" Emergency Clinical Hospital from Bucharest a populational study that anonymously interviewed 112 pregnant women hospitalized in the clinic between 24.02.2019 and 25.03.2019.
Our interview was mostly generated by an extensive master study that was conducted in the clinic on this topic, but after seeing the results we have considered it mandatory to summarize and publish them.


Depression; Postpartum; Depression; Baby blues; Psychosis; Depression scale; Preventive medicine; Clinical Psychology.

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ACOG Committee Opinion N0. 757 Committee on Obstetric Practice. (2018).

Anderson, P. (2019a, May 23). Prevalence of Perinatal Depression Significantly Underestimated? Medscape.

Anderson, P. (2020, January 27). Top Risk Factor for Mental Disorders Identified. Medscape.

Behel, J. M., & Rybarczyk, B. (2019). Interviewing in health psychology and medical settings. In Diagnostic interviewing (pp. 481-503). Springer, New York, NY. Doi:

Beck, C. T. (1998). The effects of postpartum depression on child development: a meta-analysis. Archives of psychiatric nursing, 12(1), 12-20. Doi:

Beck, A. T., & Steer, R. A. (1984). Internal consistencies of the original and revised Beck Depression Inventory. Journal of clinical psychology, 40(6), 1365-1367. Doi:<1365::AID-JCLP2270400615>3.0.CO;2-D

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio, 78(2), 490-498. Doi:

Biebel, K., & Alikhan, S. (2016). Paternal postpartum depression [English and Spanish versions]. Journal of Parent and Family Mental Health, 1(1), 1. Doi:

Bloch, M., Schmidt, P. J., Danaceau, M., Murphy, J., Nieman, L., & Rubinow, D. R. (2000). Effects of gonadal steroids in women with a history of postpartum depression. American Journal of Psychiatry, 157(6), 924–930. Doi:

Boggs, W. (2018). Brexanolone Infusion Rapidly Relieves Postpartum Depression | Psychiatry & Behavioral Health Learning Network. Thompson Reuters.

Brauser, D. (2018, May 16). First Postpartum Depression Therapy Promising in Phase 3 Trials. Medscape.

Caputo, A. (2013). Health demand in primary care context: What do people think about physicians? Psychology, Health and Medicine, 18(2), 145–154. Doi:

Carro, M. G., Grant, K. E., Gotlib, I. H., & Compas, B. E. (1993). Postpartum depression and child development: An investigation of mothers and fathers as sources of risk and resilience. Development and Psychopathology, 5(4), 567-579. Doi:

Cassoobhoy, A. (2019, June 20). A Novel Drug for Severe Postpartum Depression: Who Might Benefit? Medscape.

Conversano, C. (2019). Psychological common factors in chronic diseases. Frontiers in Psychology, 10, 2727. Doi:

Coping With Postpartum Depression and Anxiety. (2018, January 26). Healthy Families BC.

Daniela Stanescu, A., Oana Balalau, D., Ples, L., & Balalau, C. (2018). Postpartum depression: Prevention and multimodal therapy. Journal of Mind and Medical Sciences, 5(2). Doi:

Davé, S., Petersen, I., Sherr, L., & Nazareth, I. (2010). Incidence of maternal and paternal depression in primary care: A cohort study using a primary care database. Archives of Pediatrics and Adolescent Medicine, 164(11), 1038–1044. Doi:

Davenport, L. (20019, April 9). Newly Approved Drug a “Revolution” for Postpartum Depression. Medscape.

Gjerdingen, D., McGovern, P., Attanasio, L., Johnson, P. J., & Kozhimannil, K. B. (2014). Maternal depressive symptoms, employment, and social support. Journal of the American Board of Family Medicine, 27(1), 87–96. Doi:

Goodman, J. H. (2004). Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. Journal of advanced nursing, 45(1), 26-35. Doi:

Goodman, J. H. (2019). Perinatal depression and infant mental health. Archives of psychiatric nursing, 33(3), 217-224. Doi:

Grace, S. L., Evindar, A., & Stewart, D. E. (2003). The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Archives of Women’s Mental Health, 6(4), 263-274. Doi:

Gressier, F., Tabat-Bouher, M., Cazas, O., & Hardy, P. (2015). Paternal postpartum depression: a review. Presse medicale (Paris, France: 1983), 44(4 Pt 1), 418-424. Doi:

Hamilton, M. (1960). A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry, 23(1), 56. Doi:

Hamilton, M. A. X. (1967). Development of a rating scale for primary depressive illness. British journal of social and clinical psychology, 6(4), 278-296. Doi:

Ionescu, C. A., Ples, L., Banacu, M., Poenaru, E., Panaitescu, E., & Dimitriu, M. C. T. (2017). Present tendencies of elective caesarean delivery in Romania: Geographic, social and economic factors. Journal of Pakistan Medical Association, 67(8), 1248–1253.

Jacotă–Alexe, F. (2019). Îngrijiri și consiliere la domiciliu acordate lăuzei cu depresie postpartum.

Joy, S., Mattingly, P. J., & Templeton, H. B. (2019, October 11). Postpartum Depression: Overview, Risk Factors for Postpartum Mood Disorders, Screening for Postpartum Mood Disorders. Medscape.

Kendell, R. E., Chalmers, J. C., & Platz, C. (1987). Epidemiology of puerperal psychoses. British Journal of Psychiatry, 150(MAY.), 662–673. Doi:

Kim, P., & Swain, J. E. (2007). Sad dads: paternal postpartum depression. Psychiatry (edgmont), 4(2), 35.

Lancaster, C. A., Gold, K. J., Flynn, H. A., Yoo, H., Marcus, S. M., & Davis, M. M. (2010). Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol, 202(1), 5–14. Doi:

Lee, D. J., & Park, J. S. (2018). The effects of fatigue, postpartum family support on postpartum depression in postpartum women. Korean Parent-Child Health Journal, 21(1), 39-49.

Letourneau, N. L., Dennis, C. L., Cosic, N., & Linder, J. (2017). The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review. Depression and anxiety, 34(10), 928-966. Doi:

Lucci, T. K., & Otta, E. (2013). Postpartum depression and child development in first year of life. Estudos de Psicologia (Campinas), 30(1), 7-17. Doi:

Manas, M. (2019, June 12). Postpartum Depression in New Dads Often Missed. Reuters Health.

Manea, M., Manea, M., & Costin. (2019). Abordarea tulburărilor psihiatrice și modificărilo de comportament în sarcină și lăuzie. “Carol Davila” University of Medicine and Pharmacy, Faculty of Midwifery and Nursing.

Martikainen, P., Bartley, M., & Lahelma, E. (2002). Psychosocial determinants of health in social epidemiology | International Journal of Epidemiology | Oxford Academic. International Journal of Epidemiology, 31(6), 1091–1093.

Melrose, S. (2010). Paternal postpartum depression: How can nurses begin to help?. Contemporary Nurse, 34(2), 199-210. Doi:

Merlo, E. M. (2019a). Adolescent phobia as a “mask object”. Mediterranean Journal of Clinical Psychology, 7(1). Doi:

Merlo, E. M. (2019b). Opinion Article: The role of psychological features in chronic diseases, advancements and perspectives. Mediterranean Journal of Clinical Psychology, 7(3). Doi:

Misri, S. K. (2018). Paternal Postpartum Depression: A Sad Dad. In Paternal Postnatal Psychiatric Illnesses (pp. 11-34). Springer, Cham. Doi:

Murray, L., & Cooper, P. J. (1997). Postpartum depression and child development. Psychological medicine, 27(2), 253-260. Doi:

Musser, A. K., Ahmed, A. H., Foli, K. J., & Coddington, J. A. (2013). Paternal postpartum depression: what health care providers should know. Journal of Pediatric Health Care, 27(6), 479-485. Doi:

Nelson, D. B., Freeman, M. P., Johnson, N. L., McIntire, D. D., & Leveno, K. J. (2013). A prospective study of postpartum depression in 17648 parturients. Journal of Maternal-Fetal and Neonatal Medicine, 26(12), 1155–1161. Doi:

Norwitz, E. R., & Lye, S. J. (2009). Biology of Parturition. In R. K. Creasy, R. Resnik, J. D. Iams, C. J. Lockwood, & T. R. Moore (Eds.), Creasy and Resnik’s Maternal fetal Medicine: Principles and Practice (6th Edition). Saunders Elsevier.

O’Brien, A. J., Chesla, C. A., & Humphreys, J. C. (2019). Couples’ Experiences of Maternal Postpartum Depression. Journal of Obstetric, Gynecologic & Neonatal Nursing, 48(3), 341-350. Doi:

O’Hara, M. W., Neunaber, D. J., & Zekoski, E. M. (1984). Prospective study of postpartum depression: prevalence, course, and predictive factors. Journal of Abnormal Psychology, 93(2), 158–171. Doi:

Parade, S. H., Armstrong, L. M., Dickstein, S., & Seifer, R. (2018). Family context moderates the association of maternal postpartum depression and stability of infant temperament. Child development, 89(6), 2118-2135. Doi:

Parekh, R. (2018). What Is Postpartum Depression? American Psychiatric Association.

Petrovai, D. (2009). Depresia postpartum – Screening, identificare precoce și tratament.

Pregnancy and Postpartum Disorders | Mental Health America. (n.d.). Mental Health America. Retrieved March 3, 2020, from

Pinheiro, R. T., Magalhães, P. V. S., Horta, B. L., Pinheiro, K. A. T., Da Silva, R. A., & Pinto, R. H. (2006). Is paternal postpartum depression associated with maternal postpartum depression? Population‐based study in Brazil. Acta Psychiatrica Scandinavica, 113(3), 230-232. Doi:

Presidential Task Force on Redefining the Postpartum Care Committee. (2018). ACOG Committee Opinion No. 736 Optimizing Postpartum Care. Obstetrics & Gynecology, 131(5), e140–e150.

Rowland, D. L., & Motofei, I. G. (2015). The Mind and Sexuality: Introduction to a Psychophysiological Perspective. Journal of Mind and Medical Sciences, 2(2), 2014–2025. Doi:

Rowland, D. L., & Motofei, I. G. (2017). Psycho-physiologic emergentism; four minds in a body. Journal of Mind and Medical Sciences, 4(2), 85–92. Doi:

Scaunasu, R. v, Burcoș, T., Voiculescu, Ștefan, Popescu, B. A., Bertesteanu, Șerban v, Md, ;, Burcoș, T. ;, Voiculescu, Ștefan ;, Popescu, B. A. ;, Bertesteanu, Șerban V. ;, Bălălău, O.-D. ;, Bacalbasa, N. ;, & Bălălău, C. (2016). Conservative surgery of breast cancer in women; psychological benefits Recommended Citation. Journal of Mind and Medical Sciences, 3(1), 3.

Scoville, A., & Duncan, S. F. (2018). Why is Mom So Blue? Postpartum Depression in a Family Context.

Settineri, S., Frisone, F., Alibrandi, A., & Merlo, E. M. (2019). Emotional suppression and oneiric expression in psychosomatic disorders: early manifestations in emerging adulthood and young patients. Frontiers in psychology, 10, 1897. Doi:

Settineri, S., Frisone, F., Alibrandi, A., Pino, G., Lupo, N. J., & Merlo, E. M. (2018). Psychological Types and Learning Styles. Mediterranean Journal of Clinical Psychology, 6(3). Doi:

Settineri, S., Frisone, F., & Merlo, E. M. (2019). The Mask object in psychotherapy: Presentation and Representation. Mediterranean Journal of Clinical Psychology, 7(1). Doi:

Settineri, S., Merlo, E. M., Frisone, F., Alibrandi, A., Carrozzino, D., Diaconu, C. C., & Pappalardo, S. M. (2019). Suppression Mental Questionnaire App: a mobile web service-based application for automated real-time evaluation of adolescent and adult suppression. Mediterranean Journal of Clinical Psychology, 7(1). Doi:

Sharma, V., Burt, V. K., & Ritchie, H. L. (2009). Bipolar II Postpartum Depression: Detection, Diagnosis, and Treatment. American Journal of Psychiatry, 166(11), 1217–1221. Doi:

Sharma, V., Burt, V. K., & Ritchie, H. L. (2010). Assessment and treatment of bipolar II postpartum depression: A review. Journal of Affective Disorders, 125(1–3), 18–26. Doi:

SIGN 127 • Management of perinatal mood disorders. (2012).

Silverman, M. E., Reichenberg, A., Savitz, D. A., Cnattingius, S., Lichtenstein, P., Hultman, C. M., Larsson, H., & Sandin, S. (2017). The risk factors for postpartum depression: A population-based study. Depression and Anxiety, 34(2), 178–187. Doi:

Stadtlander, L. (2015). Paternal postpartum depression. International Journal of Childbirth Education, 30(2).

Sun, X., Zhai, H., & Cao, S. (2018). Risk factors and prevention of postpartum depression. Chinese Journal of Health Management, 12(2), 181-184.

Tucker, M. E. (2018, November 5). FDA Panel Backs Novel Treatment for Postpartum Depression. Medscape.

U.S. Preventive Services Task Force. (2010). Screening for Depression in Adults: Recommendation Statement. American Academy of Family Physicians, 82(8), 976–979.

Woolhouse, H., Gartland, D., Hegarty, K., Donath, S., & Brown, S. (2012). Depressive symptoms and intimate partner violence in the 12 months after childbirth: a prospective pregnancy cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 119(3), 315–323. Doi:

Wu, Q., Chen, H. L., & Xu, X. J. (2012). Violence as a risk factor for postpartum depression in mothers: A meta-analysis. Archives of Women’s Mental Health, 15(2), 107–114. Doi:



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