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Omega-3 fatty acids for the prevention of postpartum depression: negative data from a preliminary, open-label pilot study.

Marangell LB, Martinez JM, Zboyan HA, Chong H, Puryear LJ.

Department of Psychiatry, Baylor College of Medicine, Houston, Texas 77030, USA. laurenm@bcm.tmc.edu

Based on the putative relationship between depleted omega-3 fatty acids and postpartum depression, we initiated an open-label pilot study of omega-3 fatty acid supplementation with the aim of preventing postpartum depression. Euthymic pregnant females with a past history of depression in the postpartum period were started on 2960 mg of fish oil (1.4:1 eicosapentaenoic acid:docosahexaenoic acid) per day between the 34th to 36th week of pregnancy and assessed through 12 weeks postpartum. Four of seven participants had a depressive episode during the study period. No participants withdrew from the study due to adverse events. This preliminary, small, open-label pilot study failed to show promising results for the use of omega-3 fatty acid monotherapy beginning at 34 to 36 weeks gestation for the prevention of postpartum depression in patients with a prior postpartum depression history. Controlled studies are lacking. Copyright 2004 John Wiley & Sons, Ltd.

PMID: 14978781 [PubMed - indexed for MEDLINE]