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Our next PMAD Provider Training is March 6th - RSVP now!

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Resources

If you are looking for additional resources for your patients that may be experiencing PMADs – here are some trusted organizations:

Support and Referral

Postpartum Support International

The mission of Postpartum Support International is to promote awareness, prevention, and treatment of mental health issues related to childbearing in every country worldwide.

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The Postpartum Resource Center of NY

The Postpartum Resource Center of New York, Inc. is a nonprofit IRS-recognized 501(c)(3) organization in New York State representing perinatal mood and anxiety disorders support and education. Two Long Island women, Sonia Murdock, and Emily Sampino co-founded the Postpartum Resource Center of New York, Inc. in 1998 after they each experienced gaps and recognized the need for education, treatment, and support services regarding postpartum depression and postpartum psychosis.

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Massachusetts General Hospital Center for Women's Mental Health

Massachusetts General Hospital Center for Women’s Mental Health provides a range of current information, including a discussion of new research findings in women’s mental health and how such investigations inform day-to-day clinical practice.

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The Motherhood Center's "Our Day Program" Brochure

The Motherhood Center aims to educate, diagnose, and treat moms/birthing parents suffering from perinatal mood and anxiety disorders (PMADs) otherwise, known as postpartum depression.

Download the brochure

The Motherhood Center's "Learn About PMADs" Brochure

The Motherhood Center aims to educate, diagnose, and treat moms/birthing parents suffering from perinatal mood and anxiety disorders (PMADs) otherwise, known as postpartum depression.

Download the brochure

Perinatal Psychiatric Consultation Services

Postpartum Support International’s Perinatal Psychiatric Consult Line

The PSI perinatal psychiatric consultation line is a service provided at no cost.
The consultation line is available for medical professionals who have questions about mental health care related to pregnant and postpartum patients and pre-conception planning. This consultation service is available for medical providers only.

The Perinatal Psychiatric Consult Line is staffed by reproductive psychiatrists who are members of PSI and specialists in the treatment of perinatal mental health disorders. The service is free and available by appointment.

Phone: 1-877-499-4773

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Project TEACH

Project TEACH provides real-time access to reproductive psychiatrists to address your questions about how to help your patients with maternal mental health concerns. For timely consultations in real-time with a reproductive psychiatrist.

Phone: 1-855-227-7272

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Maternal Mental Health Hotline

Suicide and Crisis Lifeline: 988

The 988 Suicide & Crisis Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week in the United States.

Call or text hotline: 988

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National Maternal Mental Health Hotline: 1-833-943-5746

The National Maternal Mental Health Hotline is a 24/7, free, confidential hotline for pregnant and new moms in English and Spanish.

Call or text: 1-833-9-HELP4MOMS (1-833-943-5746)

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The Motherhood Center Research

"Outcomes at the Motherhood Center: A Comparison of Virtual and On‑Site Versions of a Specialized Perinatal Partial Hospitalization Program"

“Remotely administered mental health care is becoming increasingly common for treatment of a range of psychiatric disorders; however, there is a dearth of literature overviewing direct comparisons between remote and in-person interventions for treatment of Perinatal Mood and Anxiety Disorders (PMADs). The sudden advent of the Covid-19 pandemic in New York City forced an abrupt conversion for an intensive day treatment program for new mothers with PMADs, from an on-site to a remote program.”

Read the full TMC study

"Attachment Security in a Dyadically-Informed Perinatal Partial Hospitalization Program (PHP)"

“The Perinatal Partial Hospitalization Program (PHP) has revolutionized treatment of severe maternal mental illness by incorporating the infant into the therapeutic frame, providing an effective and time-limited model of care for treating symptoms of Postpartum Mood and Anxiety Disorders (PMADs) and thereby lessening the impact of intergenerational transmission of relational trauma.”

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"Development and Frame of Partial Hospitalization Program for Perinatal Mood and Anxiety Disorders (PMADs)"

“This presentation outlines the development and frame of the partial hospitalization program (PHP) at the Motherhood Center which aims to treat women with perinatal mood and anxiety disorders (PMADs).”

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"Treatment of Severe Postpartum Depression and Attachment Security In a Dyadically-Informed Perinatal Partial Hospitalization Program"

“The aim of this study was to assess the efficacy of the perinatal PHP in treating primary mood symptoms, adult attachment style, and mother-to-infant bonding. Between admission and discharge from the perinatal PHP, patients demonstrated significant improvement in primary depressive symptoms, maternal infant bonding and adult attachment security, as measured with the Edinburgh Postnatal Depression Scale (EPDS), Postpartum Bonding Questionnaire (PBQ) and the Adult Attachment Questionnaire (AAQ), respectively.”

Read the full TMC study

Additional Research

"Prioritizing Maternal Mental Health in Addressing Morbidity and Mortality"

“The rate of maternal mortality in the United States is 2-fold to 3-fold greater than that in other high-income countries. While many national initiatives have been developed to combat maternal mortality, these efforts often fail to include mental illness.”

Katherine L. Wisner, MD, MS; Caitlin Murphy, MPA-PNP; Megan M. Thomas, MD

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"Prescription Stimulant Use During Pregnancy and Risk of Neurodevelopmental Disorders in Children"

“Use of medications for attention-deficit/hyperactivity disorder (ADHD) during pregnancy is increasing in the US. Whether exposure to these medications in utero impacts the risk of neurodevelopmental disorders in children is uncertain.”

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"Things reproductive psychiatrists might ‘always’ or ‘never’ do in 2022"

“To open 2022, I wanted to revisit the practices I nearly “always” (or conversely, “never”) follow as a reproductive psychiatrist across the numerous clinical situations and variations on the associated clinical themes encountered as we see patients during pregnancy and the postpartum period.”

Dr. Lee S. Cohen

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"Mapping Global Prevalence of Depression Among Postpartum Women"

“Postpartum depression (PPD) is the most common psychological condition following childbirth, and may have a detrimental effect on the social and cognitive health of spouses, infants, and children. The aim of this study was to complete a comprehensive overview of the current literature on the global epidemiology of PPD. A total of 565 studies from 80 different countries or regions were included in the final analysis.”

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"Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees in 36 U.S. States, 2017 - 2019"

Key Finding: Among the 1,018 pregnancy-related deaths, an underlying cause of death was identified for 987 deaths. The 6 most frequent underlying causes of pregnancy-related death — mental health conditions (22.7%), hemorrhage (13.7%), cardiac and coronary conditions (12.8%), infection (9.2%), thrombotic embolism (8.7%), and cardiomyopathy (8.5%) — accounted for over 75% of pregnancy-related deaths

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"Four in 5 Pregnancy-Related Deaths in the U.S. are Preventable"

“Key Findings: Among pregnancy-related deaths with information on timing, 22% of deaths occurred during pregnancy, 25% occurred on the day of delivery or within 7 days after, and 53% occurred between 7 days to 1 year after pregnancy.”

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"Maternal Health: Outcomes Worsened and Disparities Persisted During the Pandemic"

“Hundreds of women in the U.S. die each year from complications related to pregnancy and childbirth. Pregnant women with COVID-19 are more likely to experience complications.”

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"Largest Study Ever Shows no Increase in Risk of Neurodevelopmental Disorders in Kids Exposed to Antidepressants in Utero"

“Analyzing data from nearly 150,000 children with prenatal antidepressant exposure in two healthcare databases, a recent study finds no association between prenatal exposure to antidepressants and risk for neurodevelopmental disorders.”

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"U.S Maternal Depression Screening Rates Released for the First Time Through Hedis (Healthcare Effectiveness Data and Information Set)"

“The first set of U.S. maternal depression screening is now available through HEDIS. Not Surprisingly, screening in both pregnancy and the postpartum period was reported at less than 20%.”

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"New Study Uncovers the Heavy Financial Toll of Untreated Maternal Mental Health Conditions"

“Common and Costly Expenditures Associated with the Birth of Children in 2017 Amount to More than $14 Billion.”

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"Postpartum Psychosis: Protecting Mother and Infant"

“Urgent identification and treatment are needed to prevent potentially fatal consequences.”

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"Recognizing and Managing Postpartum Psychosis A Clinical Guide for Obstetric Providers"

“Postpartum psychosis (PPP) is at once the most dangerous and the least understood of perinatal psychiatric disorders. It affects 1 to 2 per 1000 women and constitutes a true psychiatric emergency, one that requires immediate hospitalization and treat- ment.1,2 The lack of knowledge about what it is, how to recognize it, and how to treat it, combined with stigma about perinatal psychiatric disorders in general and the lack of appropriate treatment venues, means that it is often missed, by both obstetricians and psychiatrists, with sometimes tragic consequences.”

Lauren M. Osborne, MD

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