Shaila Kulkarni Misri, MD, Frcpc, is one of the leading reproductive psychiatrists in North America and is internationally recognized as a pioneer in women's mental health and reproductive issues. She is the founder and director of Reproductive Mental Health at both St. Paul's Hospital and BC Women's Hospital & Health Centre in Vancouver, and Clinical Professor of Psychiatry and Obstetrics and Gynecology at the University of British Columbia, Canada.
Severe depression is a devastating complication of pregnancy that is often unrecognized and untreated, asserts Misri, a practicing reproductive psychiatrist and researcher (Univ. of British Columbia). Drawing on research and case studies from her own practice, she analyzes the complex physiological, psychological, and social factors that produce major chemical imbalances in a woman's brain during pregnancy. A firm believer in the use of medication, Misri emphasizes that the harm resulting from untreated mood disorders is far more dangerous than the side effects of antidepressants. Unfortunately, the extensive bibliography of medical references and brief list of Internet resources lack consumer resources, and the technical language can be heavy going at times. Still, in-depth discussions of the many drugs currently used to treat depression, including antipsychotics, antianxiety medication, and mood stabilizers; the effects of drugs on mother and child; dosage requirements during pregnancy; breastfeeding; and brief coverage of nonpharmacological therapies make this a groundbreaking, much-needed resource on an important women's health topic. Recommended to consumer and mental health collections; an excellent companion to Brooke Shields's Down Came the Rain: My Journey Through Postpartum Depression.-Karen McNally Bensing, Benjamin Rose Lib., Cleveland, OH Copyright 2005 Reed Business Information.
"This groundbreaking and important book brings pregnancy-related
depression out of the closet and offers effective, compassionate,
and scientifically accurate solutions that can help alleviate the
suffering of millions of pregnant women and the babies they are
--Christiane Northrup, M.D.