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Cohort study
Telephone delivery of interpersonal psychotherapy by certified nurse-midwives may help reduce symptoms of postpartum depression
  1. Constance Guille1,
  2. Edie Douglas2
  1. 1Medical University of South Carolina, Charleston, South Carolina, USA;
  2. 2Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
  1. Correspondence to: Dr Constance Guille, Medical University of South Carolina, Charleston, SC 29425–2503, USA; guille{at}

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Implications for research and practice

  • Interpersonal psychotherapy (IPT) delivered via telephone by an IPT trained certified nurse-midwife helps to reduce symptoms of postpartum depression.

  • Designing studies that overcome barriers to participation, use a wait-list control group or cross-over design can ensure that studies have an adequate sample are ethically responsible and generate high quality data.


One in five women will experience postpartum depression (PPD) and are at risk for chronic major depression.1 Suicide accounts for 20% of postpartum deaths and is the second most common cause of mortality in postpartum women.2 PPD is associated with difficulties bonding with and nurturing one's newborn as well as long-term risks for children including impaired learning and …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.