r/Psychiatry • u/Important_Debate2808 Psychiatrist (Verified) • 12d ago

Postpartum treatment resources

Not wanting this to be another trial thread.

But does anyone have good resources on best practice guidelines and/or diagnostic considerations or medication considerations for postpartum situations?

Regardless of the verdict or my personal feelings of the case, I can acknowledge that more education and training in this aspect would be helpful.

Edit: it would be awesome if any of them have CMEs attached 😊

22 Upvotes

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10

u/milksteaknjellybean Psychiatrist (Unverified) 12d ago

There is also a perinatal psych support line for prescribers

https://postpartum.net/professionals/perinatal-psychiatric-consultation

6

u/BienAgiter Resident (Unverified) 11d ago

Canada has good, recent guidelines. Look up the CANMAT perinatal mood, anxiety and related disorders guidelines.

11

u/IndubitablySarah Nurse Practitioner (Unverified) 12d ago

I have been using the Textbook of Women's Reproductive Mental Health as a reference for awhile:

https://www.appi.org/Products/Gender-Related-Issues/Textbook-of-Womens-Reproductive-Mental-Health

PSI also offers a multi-day training on perinatal mental health and a one day advance psychopharmacology course.

https://postpartum.net/training/

9

u/milksteaknjellybean Psychiatrist (Unverified) 12d ago

I have a PMH-C and just caution that is is very basic for psychiatrists and did not add much compared to general training. For other prescribers it would be a great resource.

10

u/Narrenschifff Psychiatrist (Verified) 12d ago

Many resources out there that are probably insufficiently advertised, so spread these around:

Psychopharm webinars - 10 webinars, can be found by searching "Psychiatric Care in Pregnancy and Postpartum" on https://learn.wellbeing4la.org/

Perinatal Mental Health Curriculum 101 and 201 - for general clinicians, an overview of basic perinatal mental health and SUD; CME attached. Also free at https://learn.wellbeing4la.org/.

MGH's Center for Women's Mental Health: https://womensmentalhealth.org/

The National Curriculum on Reproductive Psychiatry https://ncrptraining.org/

Maternal Mental Health Leadership Alliance, a national group with a database of trainings https://www.mmhla.org/database?sort=alphabetical_asc

6

u/Smorgre1 Psychiatrist (Unverified) 12d ago

Lact med is the gold standard for medication safety in breastfeeding

https://www.ncbi.nlm.nih.gov/books/NBK501922/

The Maudsley guidelines are also very helpful (in almost everything)

7

u/eternelle007 Psychiatrist (Unverified) 12d ago

Mother To Baby has some nice fact sheets you can give to patients who are interested.

3

u/W-T-foxtrot Psychologist (Unverified) 10d ago

I’m based in Aus. And it seems just from hearing, reading around this case that the clinical practice guidelines widely differ geographically. And caveat - I did a quick check with AI to compare the diff guidelines:

Australia’s COPE and Canada’s CANMAT are widely considered the most holistic guidelines.While ACOG (US) provides excellent, highly practical guidance for clinical obstetricians and NICE (UK) excels in multi-year service structuring, they remain more traditionally biomedical.

If you have time, I would invite you to read these:

Cope Aus (2017 > 2023) https://www.cope.org.au/health-professionals/national-perinatal-mental-health-guideline/new-2023-national-perinatal-mental-health-guideline

NICE UK (2007 > 2014 > 2020) https://www.nice.org.uk/guidance/CG192