TY - JOUR KW - Child, Preschool KW - Depression, Postpartum/diagnosis/psychology/therapy KW - Depressive Disorder, Major/diagnosis/psychology/therapy KW - Evidence-Based Medicine KW - Father-Child Relations KW - Female KW - Health Promotion KW - Humans KW - Infant KW - Infant, Newborn KW - Male KW - Mass Screening KW - Maternal-Child Health Centers KW - Mother-Child Relations KW - Object Attachment KW - Patient-Centered Care KW - Pediatrics KW - Perinatal Care KW - Physician's Role KW - Pregnancy KW - Pregnancy Complications/diagnosis/psychology/therapy KW - Referral and Consultation KW - Societies, Medical KW - United States AU - M. F. Earls AU - Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics A1 - AB - Every year, more than 400,000 infants are born to mothers who are depressed, which makes perinatal depression the most underdiagnosed obstetric complication in America. Postpartum depression leads to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development. Pediatric practices, as medical homes, can establish a system to implement postpartum depression screening and to identify and use community resources for the treatment and referral of the depressed mother and support for the mother-child (dyad) relationship. This system would have a positive effect on the health and well-being of the infant and family. State chapters of the American Academy of Pediatrics, working with state Early Periodic Screening, Diagnosis, and Treatment (EPSDT) and maternal and child health programs, can increase awareness of the need for perinatal depression screening in the obstetric and pediatric periodicity of care schedules and ensure payment. Pediatricians must advocate for workforce development for professionals who care for very young children and for promotion of evidence-based interventions focused on healthy attachment and parent-child relationships. BT - Pediatrics C5 - General Literature CP - 5 CY - United States DO - 10.1542/peds.2010-2348 IS - 5 JF - Pediatrics N2 - Every year, more than 400,000 infants are born to mothers who are depressed, which makes perinatal depression the most underdiagnosed obstetric complication in America. Postpartum depression leads to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development. Pediatric practices, as medical homes, can establish a system to implement postpartum depression screening and to identify and use community resources for the treatment and referral of the depressed mother and support for the mother-child (dyad) relationship. This system would have a positive effect on the health and well-being of the infant and family. State chapters of the American Academy of Pediatrics, working with state Early Periodic Screening, Diagnosis, and Treatment (EPSDT) and maternal and child health programs, can increase awareness of the need for perinatal depression screening in the obstetric and pediatric periodicity of care schedules and ensure payment. Pediatricians must advocate for workforce development for professionals who care for very young children and for promotion of evidence-based interventions focused on healthy attachment and parent-child relationships. PP - United States PY - 2010 SN - 1098-4275; 0031-4005 SP - 1032 EP - 1039 EP - T1 - Incorporating recognition and management of perinatal and postpartum depression into pediatric practice T2 - Pediatrics TI - Incorporating recognition and management of perinatal and postpartum depression into pediatric practice U1 - General Literature U2 - 20974776 U3 - 10.1542/peds.2010-2348 VL - 126 VO - 1098-4275; 0031-4005 Y1 - 2010 ER -