15Nov 2019

PREVENTION OF POST PARTUM DEPRESSION : COMPARATIVE STUDY BETWEEN SERTRALINE AND PAROXETIN

  • Assistant Professor, Department of Obst and gynae , G.S.V. M Medical college Kanpur
  • Assistant Professor Departent Of Pharmacology G.M.C Kannauj
  • Professor And Head Department Of Pharmacology G.M.C Kannauj
  • Demonstrator , Department Of Pharmacology G.M.C Kannauj
  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

Objective: The authors attempted to reduce the rate of postpartum depression in high-risk women and to increase the time to recurrence comparing Sertraline and Paroxetine . METHOD: Nondepressed pregnant women with at least one past episode of postpartum major depression were recruited into a randomized clinical trial. Mothers were assigned randomly to a 17-week trial of sertraline or paroxetine immediately after birth and assessed for 20 sequential weeks with the Hamilton Rating Scale for Depression. RESULTS: Of 22 subjects who took sertraline, 6 suffered a recurrence. Of 22 subjects who were assigned to paroxetine, four ) suffered recurrences. This difference was not significant. The time to recurrence was significantly equal in the sertralineand paroxetine-treated women. Conclusions: Sertraline and Paroxetine confer preventive efficacy for postpartum-onset major depression and prevent recurrence and have equal efficacy.


  1. Carter AS,? Garrity-Rokous? FE,? Chazan-Cohen? R,? Little? C,? Briggs-Gowan? ? Maternal depression? and? comorbidity:? Predicting? early? parenting,? attachment? security,? and? toddler social-emotional? problems? and? competencies.? J? Am? Acad? Child? Adolesc? Psychiatry. 2001;40:18?26.
  2. Kumar Postnatal? mental? illness:? A? transcultural? perspective.? Soc? Psychiatry? Psychiatr Epidemiol.? 1994;29:250?64.
  3. Okano T,? Nomura J, Kumar? R, Kaneko? E, Tamaki R, Hanafusa I, et? An epidemiological? and clinical? investigation? of? postpartum? psychiatric? illness? in? Japanese? mothers.? J? Affect? Disord. 1998;48:233?40.
  4. O?Hara MW, Swain AM. Rates? and? risks? of? post-partum? depression ?? A? meta-analysis. Int? Rev Psychiatry.? 1996;8:37.
  5. O?Hara MW, Schlechte? JA,? Lewis? DA, Varner? Controlled? prospective? study? of? postpartum mood disorders:? Psychological,? environmental,? and? hormonal? variables.? J? Abnorm? Psychol. 1991;100:63?73.
  6. Chandran M, Tharyan P,? Muliyil? J,? Abraham? Post-partum? depression? in? a? cohort? of women from a rural area of? Tamil? Nadu, India. Incidence? and? risk? factors. Br? J? Psychiatry. 2002;181:499?504.
  7. Troutman BR, Cutrona Nonpsychotic? postpartum? depression among? adolescent? mothers. J Abnorm Psychol. 1990;99:69?78.
  8. Born L, Zinga? D, ?Steiner? Challenges? in? identifying? and? diagnosing? postpartum? disorders. Prim? Psychiatry.? 2004;11:29?36.
  9. Causey S,? Fairman M, Nicholson D,? Steiner? Can postpartum? depression be? prevented?? Arch Women Ment Health. 2001;3(Suppl? 1
  10. 0):S24..
  11. Kendell RE,? McGuire? RJ,? Connor? Y,? Cox JL. Mood? changes? in the? first? three? weeks? after childbirth.? J? Affect? ? 1981;3:317?26.
  12. Henshaw Mood? disturbance? in the? early? puerperium:? A? review. Arch Womens? Ment? Health. 2003;6(Suppl? 2):S33?42
  13. 12 Rai? S, Pathak? A, Sharma I. Postpartum? psychiatric? disorders:? Early? diagnosis and? Indian J Psychiatry. 2015;57(Suppl? 2):S216?S221. doi: 10.4103/0019-5545.161481
  14. Begg EJ,? Duffull? SB,? Saunders? DA,? et? al.? Paroxetine? in? human? milk. Br? J? Clin? Pharmacol. 1999;48(2):142?147.? doi:10.1046/j.1365-2125.1999.00992.x
  15. 14 Wisner? KL, Parry? BL, Piontek? CM:? Clinical? practice:? postpartum? ? N? Engl? J? Med 2002;? 347:194?199
  16. 15 First? MB,? Spitzer? RL,? Gibbon? M,? Williams? JBW:? Structured? Clinical? Interview? for? DSM-IV? Axis? I Disorders? (SCID).? New? York,? New? York? State? Psychiatric? Institute,? Biometrics? Research,? 1996
  17. 16 Hamilton M:? A rating? scale? for? J Neurol? Neurosurg? Psychiatry? 1960;? 23:56?62
  18. l7 ?sberg? M, Cronholm? B, Sjogvist? F, Tuck? D:? Correlation? of? subjective? side? effects? with? plasma concentrations? of? ? Br? Med? J? 1970;? 4:18?21
  19. 18 Endicott? J,? Spitzer? RL:? A? diagnostic? interview:? the? Schedule? for? Affective? Disorders? and Schizophrenia.? Arch? Gen? Psychiatry? 1978;? 35:837?844
  20. American Psychiatric? Association:? Practice? Guideline? for? the? Treatment? of? Patients? With Major? Depressive? Disorder? (Revision).? Am? J? Psychiatry? 2000;? 157(April? suppl )
  21. 20 Katherine? ? Wisner? James? M. Perel? Kathleen S. Peindl? Kathleen S. PeindlBarbara? H. Hanusa Prevention? of? Postpartum? Depression:? A? Pilot? Randomized? Clinical? Trial? American? ournal? of Psychiatry? 2004;161;1290--1292 . L.

[Shruti Gupta, Ch. Nagesh, Mohit Trivedi, Ambrish Kumar Gupta and Shruti Dubey (2019); PREVENTION OF POST PARTUM DEPRESSION : COMPARATIVE STUDY BETWEEN SERTRALINE AND PAROXETIN Int. J. of Adv. Res. 7 (Nov). 840-843] (ISSN 2320-5407). www.journalijar.com


Dr Shruti Gupta
Assistant Professor, Department of Obst and gynae , G.S.V. M Medical college KANPUR.

DOI:


Article DOI: 10.21474/IJAR01/10083      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10083