The 411 on Pregnancy and Depression

Giving birth can be one of the most joyous occasions in a woman’s life—or, unfortunately for some women, one of the most depressing: Of 10,000 new mothers who took part in a recent study, fourteen percent screened positive for postpartum depression, according to a new study published in the journal JAMA Psychiatry.

To assess women’s odds of developing postpartum depression, researchers from the University of Pittsburgh arranged for 10,000 new mothers to receive a screening four to six weeks after giving birth.  Clinicians asked each mother a series of 10 questions, all of which related to feelings of depression and/or thoughts of self-harm. Those who screened positive for postpartum depression or who had thoughts of self-harm were then offered an in-home evaluation from a psychiatrist or a telephone screening to determine a diagnosis.

Of the women who completed the evaluation, the vast majority said their depression-related symptoms didn’t start until after they had conceived: A whopping 40 percent started experiencing depression postpartum, while 33 percent said they first starting feeling depressed during pregnancy. Just 27 percent said they experienced symptoms of depression before conceiving, suggesting that, in most cases, there was a definite correlation between the pregnancy and the depression. Even more alarming?  Almost 20 percent of the women also had suicidal thoughts.

It’s unclear why pregnancy-related depression occurs, says Dorothy Sit, MD, a psychiatrist at the University of Pittsburgh and one of the study authors. “The disruption in sleep and rest and maybe even nutrition could be factors that may contribute, but we just don’t know yet.”

The good news: There are a few things that can help prevent or at least treat pregnancy-related depression, says Sit. First and foremost, if you have a family or personal history of depression, consider beginning treatment—like seeing a psychotherapist or taking anti-depressant medication—immediately after giving birth, even before symptoms may appear.

Second, you may want to schedule a routine postpartum depression screening a few weeks after giving birth, says Sit. Even if you don’t have a formal screening, you should be on the lookout for possible signs of the condition. Red flags include coming down with a case of the blues, having difficulty falling asleep, suffering from a complete lack of energy, feeling especially anxious about things that never used to bother you, tearing up randomly, and feeling “meh” about things you used to enjoy, says Sit. If you can check off a few of these symptoms for 10 to 14 days straight, hightail it to your doctor, who will tailor a treatment plan to your specific needs.

It’s also helpful to get moral support from family and friends. Having people who are there for you may not necessarily prevent postpartum depression, but it can help ease the transition for all new mothers—particularly those with PPD, says Sit.

photo: Hemera Technologies/AbleStock.com/Thinkstock

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Will Your Baby Be Addicted to Junk Food?
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Are You a Netflix Cheater?

There’s a new temptation threatening to come between you and your guy: It’s enthralling, addictive, and always available. It’s not a new type of porn—it’s Netflix and other streaming services. According to a recent Women’s Health survey, 86 percent of women say there are certain shows they stream only when they’re with their significant others—but 50 percent have cheated and watched new episodes alone. In a recent article, The Cut dubbed the phenomenon “Netflix adultery.”

While this isn’t exactly Tiger Woods-level cheating, the transgression can make for some pretty hilarious fights. And it’s not just women who tend to be Netflix cheaters—58 percent of Women’s Health readers say their partner has committed this digital sin.

What are most people “cheating” with? The top three seducers were The Walking Dead, How I Met Your Mother, and Breaking Bad, according to our survey.

Women’s Health asked readers to share their naughtiest Netflix exploits. Here, our favorite stories:

photo: iStockphoto/Thinkstock

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Why You Really Need to Stop Ranting

Next time you’re seething, take a deep breath… and step away from the keyboard. Online venting is all the rage right now (see: forums designed specifically for complaining, like JustRage.com and NotAlwaysRight.com). Too bad that both reading rant sites and posting on them can bring on negative mood shifts, according to researchers at the University of Wisconsin-Green Bay.

To get a better understanding of people’s mindsets when they visit rant sites (on which people can anonymously vent about any topic they’d like) researchers conducted two studies. For the first one, they surveyed 32 users about their anger, their visitation habits, why they read other people’s rants, and how ranting made them feel. “We found that people tend to rant because it makes them feel relaxed right after they do it,” says Ryan C. Martin, PhD, the lead author of the study and chair of the University of Wisconsin-Green Bay Psychology department.

For the second study, 91 undergraduate students read other people’s rants and explained how they felt afterward. They then wrote their own rants and reported back again. No surprise, the participants felt sadder after reading the rants. After writing them, they also felt less happy—as well as angrier.

Here’s the thing about ranting: Despite the initial sense of relief you get afterward, separate research shows that venting causes more anger and aggression in the long-term. In fact, anything done with the intent of blowing off steam—whether it’s writing a passive-aggressive email or mentally venting during a run—is counterproductive. Why? It prolongs the amount of time you spend focusing on negative feelings, says Martin.

Here’s what you can do instead of going on a complaining bender: Brainstorm possible moves that would actually address what has you so upset, suggests Raymond Chip Tafrate, PhD, a clinical psychologist and author of Anger Management for Everyone: Seven Proven Ways to Control Anger and Live a Happier Life. For example, if you come home to find your roommate has left a pile of dishes in the sink—again—you could call up your sister to gripe. Or you could knock on your roommate’s door and ask if she’d mind washing the pots and pans so you can use them to make dinner. “Anger can be a useful thing,” says Tafrate. “It can energize you to take action.”

photo: Brand X Pictures/Thinkstock

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The Mistake that Puts You at Risk for HPV

You wouldn’t stop running a 5K a quarter of a mile before crossing the finish line—or stop having sex just moments before orgasming. Yet 10 percent of women who start the HPV vaccination series never finish it, rendering it less effective, according to new research from the University of Texas Medical Branch.

Researchers examined data from the National Health Interview Survey, which tracks more than 27,000 adults in the U.S. They found that, as of 2010 (the most recent year for which stats were available at the start of the study), more than 75 percent of women ages 18 to 26 had not begun the HPV vaccination series. What’s more, 10 percent of the women who had received at least one shot weren’t administered all three doses. Since it’s not yet known how much protection girls and women receive from just one or two doses of an HPV vaccine, it’s crucial to finish out the series to reap the full benefits.

Introduced seven years ago, the human papillomavirus (HPV) vaccine series prevents infection from the four strains of HPV that are most likely to cause cervical cancer and genital warts. The vaccine series also helps prevent cancers of the vulva and the vagina and is approved for the prevention of anal cancers in both men and women. HPV is the most common sexually transmitted infection in the U.S. At least half of all sexually active men and women contract genital HPV at some point in their lives, according to the Centers for Disease Control and Prevention.

The problem: HPV vaccines are administered on a three-dose schedule, with the second shot administered one to two months after the first dose and the third shot administered six months after the first dose. Because of this, completion rates are an issue, says lead author Abbey Berenson, MD, director of the University of Texas Medical Branch’s Center for Interdisciplinary Research in Women’s Health.

“Most people do not typically need to go to the doctor three times in six months,” says Berenson. “They forget their follow-up appointments or do not make them a priority.”

If you’ve missed one or two HPV shots, it’s not too late to finish the series. According to previous research from the University of Washington in Seattle, delaying doses of the vaccine won’t diminish the series’ effectiveness. What may? Skipping a dose altogether, says Berenson.

The CDC’s Advisory Committee on Immunization Practices recommends the vaccine to women up to age 26 who did not get one or all of the doses when they were younger. (The best option for females is getting vaccinated between the ages of 11 and 12, but most of us were already older than that when the vaccine first became available.)

Planing to see your doc for the doses you missed? Two brands of the vaccine are approved for use in women (Cervarix and Gardasil). If possible, it’s best to get all of your doses from the same brand—so try to figure out which one you already received before you book your appointment. It’s also a good idea to go ahead and schedule any follow-up appointments now. Once they’re on your calendar, they’ll be harder to miss.

photo: AbleStock.com/Thinkstock

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The Health Risks of Oral Sex
Should I Get the HPV Vaccine?
Reduce Your Cervical Cancer Risk

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Daily Dose: March 21, 2013

Check out the list of links that should be on your radar today:

Jessica Biel, Jason Bateman, and Josh Gad have joined Matt Damon’s “toilet strike,” swearing that they won’t use the restroom until everyone in the world has access to safe water and sanitation. Even though they’re (hopefully) joking, their PSA will crack you up and make you want to get involved in World Water Day tomorrow. [YouTube]

Is dropping pounds the key to world peace? A new diet support group is bringing Israeli and Palestinian women together to help them achieve their weight-loss goals. [NYT]

Researchers have found evidence that gene therapy may offer promising new ways to fight cancer. [WSJ]

Ryan Gosling is taking a break from acting because he says, “I’ve been doing it too much. I’ve lost perspective on what I’m doing.” Our perspective: That adorable stubble isn’t in nearly enough films.  [US Weekly]

Another teen is being harassed online after coming forward with sexual assault allegations. Luckily, the alleged offenders are being charged this time. [US News]

According to a new analysis of recent studies, there’s insufficient evidence to recommend having one or two alcoholic drinks per day for health. Noooooo. [Reuters]

If commercials get you fired up to work out, you’re in luck: Ads might be coming to an elliptical near you. [MediaPost]

A new procedure promises to increase the size of a woman’s G-spot by injecting it with collagen. Because there’s nothing like a needle near your vagina to get you in the mood… [Fox News]

Esquire UK editor Alex Bilmes has admitted that the magazine uses pictures of “ornamental” women for male readers “in the same way we provide pictures of cool cars.” Since when does honesty make objectification of women OK? [Guardian]

photo: Todd Williamson/Invision for Water.org

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How Food Packaging Messes With Your Mind

Chew on this: People are more likely to think a food item is healthier if it has a green calorie label, according to a new study out of Cornell University.

The study, published in the journal Health Communication, took place in two parts. First, 93 undergrad participants looked at a picture of one of two candy bars. The candy bars each had the same number of calories listed: 260. In fact, they were nearly identical—the only difference between them was that one had a green calorie label, and the other had a red calorie label. Yet the participants who looked at the photo of the green-labeled candy bar judged it to be significantly healthier and to have fewer calories than other candy bars.

“Green means go and has generally positive associations, so we might see that as a green light to indulge,” says Jonathon Schuldt, PhD, the lead study author, assistant professor of communication, and director of Cornell’s Social Cognition and Communication Lab. Since red can of course carry its own implications (Stop! Warning!), the researchers decided it was unclear whether it was the green or the red that caused the results—so they performed a second study. This time, 60 online participants looked at a candy bar with either a green or a white calorie label, and they answered a question about how much value they put on healthy eating. Those who put a lot of weight on healthy eating thought the candy bar with the green label was healthier than the one with the white label.

“Even when we provided the participants with identical calorie information, the color was able to exert this effect,” says Schuldt. “It’s a reminder that it’s hard for us to navigate decisions about what’s healthy.”

And the calorie label isn’t the only packaging element that can color your perception of a food’s healthfulness. Check out the mind-benders in the infographic above.

photo (thumbnail): iStockphoto/Thinkstock

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Healthy Shopping: Avoid Food Fraud
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How Food Packaging Messes With Your Mind

Chew on this: People are more likely to think a food item is healthier if it has a green calorie label, according to a new study out of Cornell University.

The study, published in the journal Health Communication, took place in two parts. First, 93 undergrad participants looked at a picture of one of two candy bars. The candy bars each had the same number of calories listed: 260. In fact, they were nearly identical—the only difference between them was that one had a green calorie label, and the other had a red calorie label. Yet the participants who looked at the photo of the green-labeled candy bar judged it to be significantly healthier and to have fewer calories than other candy bars.

“Green means go and has generally positive associations, so we might see that as a green light to indulge,” says Jonathon Schuldt, PhD, the lead study author, assistant professor of communication, and director of Cornell’s Social Cognition and Communication Lab. Since red can of course carry its own implications (Stop! Warning!), the researchers decided it was unclear whether it was the green or the red that caused the results—so they performed a second study. This time, 60 online participants looked at a candy bar with either a green or a white calorie label, and they answered a question about how much value they put on healthy eating. Those who put a lot of weight on healthy eating thought the candy bar with the green label was healthier than the one with the white label.

“Even when we provided the participants with identical calorie information, the color was able to exert this effect,” says Schuldt. “It’s a reminder that it’s hard for us to navigate decisions about what’s healthy.”

And the calorie label isn’t the only packaging element that can color your perception of a food’s healthfulness. Check out the mind-benders in the infographic above.

photo (thumbnail): iStockphoto/Thinkstock

More from Women’s Health:
Healthy Shopping: Avoid Food Fraud
The Truth About Serving Sizes
Nutrition Labels: Read the Fine Print!

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Daily Dose: March 20, 2013

Check out the list of links that should be on your radar today:

Whole Foods Markets, Trader Joe’s, and Aldi stores have all pledged to keep what would potentially be the first genetically modified fish available for public consumption off their shelves—even if the FDA approves it. (Women’s Health totally called that the frankenfish would be a serious issue, by the way.) [NYT]

Malala Yousufzai, the poor Pakistani girl who was shot by the Taliban for supporting education for women, returned to school yesterday. Welcome back! [USA TODAY]

Kate Spade’s new Saturday line just launched. Let the reasonably priced online shopping commence! And for  some guidance, check out our editors’ faves from the collection. [Washingtonian]

About 15 percent of people in the U.S. are “supertasters,” which means they experience flavors more intensely—and may have an aversion to veggies as a result. (We’re willing to bet that even supertasters won’t be able to resist these amazing vegetable-based recipes, though.) [WSJ]

Coke just announced plans to introduce a new “healthy” beverage called Fruitwater… not that it contains any fruit or fruit juice. [Newser]

In depressing (but not totally shocking) news, people say men stay sexy until an older age than women do. [Reuters]

A recent survey of brides outlines the “rules” for social media and weddings—and nearly half say it’s not cool to use a wedding idea that a friend has pinned. But isn’t sharing inspiration the entire point of Pinterest? [Social Times]

People who received an electrical current through their brains were better able to complete a creativity task. So if you need to boost your brainstorming abilities, now you know what to do… (Just kidding. Here’s a much safer way to get your creative juices flowing.)  [The Atlantic]

Some energy drink companies are now classifying their products as “beverages” rather than “dietary supplements”—but that doesn’t change the fact that they’re still bad for you (and in some cases, possibly deadly). [MyHealthNewsDaily.com]

photo: Stockbyte/Thinkstock

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Stop Dwelling On It—It May Make You Sick!

So you completely botched a job interview or stumbled your way through a toast at your friend’s wedding. This may sound harsh, but you should really just get over it—your health may depend on it. Dwelling on a stressful event may increase inflammation levels in the body, according to new research out of Ohio University. The study is the first to directly measure the physiological link between inflammation and rumination on negative incidents.

For the study, researchers had 34 women ages 18 to 28 give an impromptu speech about their strengths and weaknesses to a panel. During the event, the panel remained stony-faced. Afterward, participants were instructed to either replay the speech in their mind for several minutes—or to imagine something else, like walking up and down the aisles of a grocery store. By collecting blood samples from the participants throughout the study, researchers discovered that the concentration of C-reactive proteins in the blood (a sign of inflammation) was higher for both groups following the stressful speech. But, while C-reactive protein levels continued to rise for the group that stayed focused on how poorly the speech went, they returned to normal for the group that thought about something else afterward.

“What we think this suggests is that ruminating or dwelling on these stressful events after they’re over may make the inflammatory response last longer—but distraction may reduce or lessen that,” says Peggy Zoccola, PhD, one of the co-authors of the study and an assistant professor of psychology at Ohio University.

Chronic inflammation has been linked to a number of diseases and disorders, including cardiovascular disease, diabetes, dementia, and depression.

Women are more likely to report daily or weekly worrying, anxiety, or nervousness, according to a recent survey from the Centers for Disease Control and Prevention. Even if you normally let things roll off your back, certain situations tend to bring out the worrier in all of us. “Things that are particularly upsetting or traumatic can lead an individual to engage in this kind of repetitive or ruminative thought,” says Zoccola. “You’re trying to think, ‘What happened? Why did it happen to me? What are the consequences?’”

When your mind is stuck on repeat and you can’t get a negative event out of your head, follow these tips:

Let yourself think about it
While this may seem counterintuitive, research shows that making a conscious effort to not think about something almost guarantees you’ll fixate on it. “Simply telling someone to suppress their thoughts and just not think about it may make them think about it even more,” says Zoccola. Instead, acknowledge your thoughts about the negative event, resist the urge to respond to them emotionally—just accept that you have them—and then imagine taking those thoughts and setting them aside. Some researchers think this mindfulness technique could help you move toward closure—and move on, says Zoccola.

Make sure your mind is elsewhere
In the study, researchers used about 20 different prompts such as “Think about what a rose looks like,” “Picture a ship sailing on the ocean,” and “Imagine yourself walking down the aisles at the grocery store” to keep participants from thinking about the stressful speech they’d given. This exemplifies how distractions—even fairly mundane ones—may help keep your mind off of negative incidents. The key, says Zoccola, is to find something that will keep you fully absorbed, whether it’s a hands-on hobby you enjoy (like painting) or something that will keep your brain engaged (like a game of Sudoku).

Grab a pen
Since people often get hung up on stressful events because they’re trying to make sense of them, taking to pen and paper (or a keyboard) can help. “Expressive writing and getting your emotions out there can help you construct a story, especially for something very disruptive,” says Zoccola, who points to research that shows writing or journaling after a stressful incident can lead to a more positive outcome and greater wellbeing. “It may help facilitate that closure process,” she says.

photo: iStockphoto/Thinkstock

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Do You Want to Be a Mom and Work Full Time?

Everyone’s buzzing about the new career advice book Lean In from Facebook COO Sheryl Sandberg (check out this peak inside the book). While some people have more positive things to say than others, one thing’s for sure: A growing number of women want to have both a career and kids. According to a recent Pew Research Center survey, close to one-third of mothers with children under 18 said they would prefer to work full time. In 2007, only 21 percent of mothers said the same.

Researchers asked 2,511 mothers and fathers about the challenges they face trying to balance a job and parenting. They also analyzed the American Time Use Survey, which asked more than 124,000 mothers and fathers how they split their time between work and home—and well they felt they managed it.

Why the uptick? Researchers say they think it might be due to economic necessity. “The women that said they didn’t have enough money to make ends meet were the ones who said they wanted to work full time,” says Kim Parker, MA, a study co-author and associate director at the Pew Research Center. But when it came to juggling work and family life, 56 percent of working mothers said it’s difficult to balance the two–while only 50 percent of dads said they have trouble dealing with it.

There’s no doubt about it: Raising a family can be hectic, and working 40 hours a week (sometimes more) just adds to the stress. See how real working moms (and fellow Women’s Health followers) make it work:

Women’s Health asked…

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TELL US: What are your secrets for staying on top of things at work and at home? Share them in the comments!

photo: Ron Chapple Studios/Thinkstock

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