Post Partum Depression VS

Post Partum Depression VS. PostPartum Psychosis Cherbonia Ross 11/14/2023 Expected Findings Pathophysiology Nursing Interventions Treatment Risk Factors Postpartum depression Feelings of guilt and inadequacies Irritability Anxiety Fatigue persisting beyond a reasonable amount of time Feeling of loss Lack of appetite Persistent feelings of sadness Intense mood swings Sleep pattern disturbances PHYSICAL ASSESSMENT FINDINGS Crying Weight loss Flat affect Irritability Rejection of the infant Severe anxiety and panic attack Postpartum psychosis Pronounced sadness Disorientation Confusion Paranoia PHYSICAL ASSESSMENT FINDINGS: Behaviors indicating hallucinations or delusional thoughts of self-harm or harming Postpartum depression occurs within 12 months of delivery and is characterized by persistent feelings of sadness and intense mood swings. It occurs in 10% to 15% of new parents and usually does not resolve without intervention. It is similar to nonpostpartum mood disorders.  Postpartum psychosis develops within the first 2 to 3 weeks of the postpartum period. Clients who have a history of bipolar disorder are at a higher risk. Clinical findings are severe and can include confusion, disorientation, hallucinations, delusions, Monitor interactions between the client and their infant. Encourage bonding activities.  Monitor the client’s mood and affect.  Reinforce that feeling down in the postpartum period is normal and self-limiting. Encourage the client to notify the provider if the condition persists.  Encourage the client to communicate feelings, validate and address personal conflicts, and reinforce personal power and autonomy.  Reinforce the importance of compliance with any prescribed medication regimen.  Contact a Antidepressants can be prescribed by the provider if indicated.  Antipsychotics and mood stabilizers can be prescribed for clients who have postpartum psychosis. Hormonal changes with a rapid decline in estrogen and progesterone levels  Individual socioeconomic factors  Decreased social support system  Anxiety about assuming new role as a parent  Unintended pregnancy  History of previous depressive disorder  Low self-esteem  History of partner violence  Medical conditions (thyroid imbalance, diabetes, infertility)  Complications with breastfeeding  Parent of multiples