Women’s Health

New depression screening guidelines benefit pregnant women and new moms–and everyone

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

The U.S. Preventive Services Task Force has recently updated their guidelines on depression screening to include pregnant and postpartum women, which will be a great help to the many new moms who experience mood changes that go beyond the “baby blues.” The updated guidelines offer other benefits, too, that help improve everyone’s access to mental health care — especially those who can’t currently afford it.

Zika, pregnancy, and winter travel: Many unknowns, and a cautious message

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

If you’re planning an escape from the dreary winter weather, and you’re pregnant or trying to get pregnant, you may want to plan your destination carefully. There’s still a lot we don’t know about Zika virus — which is now widespread in several favorite tropical destinations, such as the Caribbean — and its potential pregnancy-related complications. Until we know more, it’s better to be safe and follow the precautions we’ve listed here.

New depression screening guidelines outline very helpful, yet achievable goals

Michael Craig Miller, M.D.
Michael Craig Miller, M.D., Senior Editor, Mental Health Publishing, Harvard Health Publications

The U.S. Preventive Services Task Force recently updated their guidelines on screening for depression. This time around, they recommended widespread screening through primary care practices, plus gave special attention to women who are pregnant or recently gave birth. These matter-of-fact, achievable guidelines and goals have the potential to reap enormous health benefits.

Where is best for birth: Hospital or home?

Jeffrey Ecker, MD
Jeffrey Ecker, MD, Contributing Editor

By the mid-20th century, most births took place in the hospital. But increasingly, some women are choosing to have their babies at home in an effort to avoid seemingly unnecessary interventions and find an alternative to hospital environments. We don’t have the best data to assess the safety of home birth. But a recent analysis offers insights that can help women make choices based on what they value the most.

C-section rates: Consider this when deciding where to have your baby

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

For years, there has been concern about the high rate of cesarean births — but just how many cesareans are too many? A recent study suggests that a cesarean rate of 19% is about right. The reasons for high cesarean rates may be related more to each hospital’s circumstances and processes than to other, more commonly cited reasons. If you’re concerned, find out the C-section rate at the hospital where you plan to deliver your baby.

Yoga in pregnancy: Many poses are safer than once thought

Marlynn Wei, MD, JD
Marlynn Wei, MD, JD, Contributing Editor

Yoga can help relieve symptoms of anxiety, depression, and stress, all of which are common during pregnancy. A new study shows that many yoga poses are safe for mothers-to-be and their babies. However, pregnant women should take certain precautions when doing yoga — for example, avoiding heated yoga classes and being careful not to over-stretch. It’s also important for pregnant women to check with their doctors to be sure there are no underlying health concerns before starting yoga.

The gender gap in sports injuries

Robert H. Shmerling, MD
Robert H. Shmerling, MD, Faculty Editor, Harvard Health Publications

For a variety of reasons, women are more prone to suffer many of the most common sports-related injuries than men are. This has led to some innovative approaches to prevent injuries among women in sports. Certain strategies, such as muscle conditioning, can help reduce the risk of some injuries. However, more research is needed to help close this particular gender gap.

Miscarriage: Keep breaking the silence

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

Many public figures have begun speaking up about their experiences with miscarriage. While it’s wonderful that they’re breaking the silence, a recent survey has revealed that the general public still has a lot of misconceptions about this surprisingly common event. Dr. Hope Ricciotti shares her reactions to the survey results, and her advice to women experiencing miscarriage.

New mammography guidelines call for starting later and screening less often

Julie Corliss
Julie Corliss, Executive Editor, Harvard Heart Letter

The age at which women should start having screening mammograms, and how often, has been controversial for some time. Reputable national organizations have differed in their recommendations. Accumulating data suggest that for women under 45, screening mammograms may bring more harm than good. As a result, the American Cancer Society has radically shifted its screening guidelines for women in their early 40s at an average risk for breast cancer.

Premenstrual dysphoric disorder: When it’s more than just PMS

Hope Ricciotti, MD
Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) share physical symptoms, but the psychological and emotional symptoms of PMDD are much more severe. No woman should struggle with debilitating symptoms associated with her menstrual cycle. Carefully tracking symptoms and having a discussion with your doctor, as well as trying one of several medications available to treat these conditions, can pave the way to relief.