title: Are antidepressants effective in the treatment of postpartum depression? A systematic review.
abstract: OBJECTIVE
  In spite of the paucity of randomized controlled trials of antidepressants in postpartum depression, these drugs are the most commonly used agents in the pharmacologic treatment of postpartum depression. This article reviews the literature on the efficacy of antidepressants in randomized controlled trials of postpartum depression.
  
  
  METHODS
  Four electronic databases, MEDLINE/PubMed (1966-2013), PsycINFO (1806-2013), EMBASE (1980-2013), and the Cochrane Database of Systematic Reviews, were searched using a combination of the keywords antidepressive agents/therapeutic use, antidepressant drugs, antidepressant agent/drug therapy, depression, postpartum/drug therapy, postpartum depression, and puerperal depression/drug therapy.
  
  
  METHODS
  The reference lists of articles identified were also searched. All relevant articles published in English were included. A total of 124 articles were identified. The efficacy of antidepressants has been studied in 6 randomized controlled trials, of which 3 were placebo-controlled studies.
  
  
  RESULTS
  Placebo-controlled randomized data do not support the notion that antidepressants are efficacious in postpartum depression. However, the methodological flaws of studies have to be kept in mind while interpreting the results of these studies.
  
  
  CONCLUSIONS
  Due to the paucity of controlled data and methodological limitations of studies, the question about the efficacy of antidepressants in postpartum depression cannot be answered unequivocally.
authors.affiliation: Department of Psychiatry, Western University (Dr Sharma), and Mood and Anxiety Disorders Program, Regional Mental Health Care (Dr Sharma and Ms Sommerdyk), London, Ontario, Canada.
authors.forename: Verinder
authors.initials: V
authors.lastname: Sharma
authors.affiliation: Department of Psychiatry, Western University (Dr Sharma), and Mood and Anxiety Disorders Program, Regional Mental Health Care (Dr Sharma and Ms Sommerdyk), London, Ontario, Canada.
authors.forename: Christina
authors.initials: C
authors.lastname: Sommerdyk