A Brief Note On The Postpartum Depression ( Ppd )

Postpartum depression is one of the most common complications of childbearing with an estimated prevalence of 19.2% in the first three months after delivery (1). Depressive episodes (major and mild) may be experienced by approximately half of women during the first postpartum year (1). Characterized by depressed mood, loss of pleasure or interest in daily activities, feelings of worthlessness and guilt, irritability, sleep and eating disturbances (2), its etiology is multi-faceted and complex (3;4).

Borra, C., Iacovou, M., & Sevilla, A. (2015). New Evidence on Breastfeeding and Postpartum Depression: The Importance of Understanding Women 's Intentions. Maternal & Child Health Journal, 19(4), 897-907. doi:10.1007/s10995-014-1591-z

To assess the mothers’ postpartum psychiatric difficulties the Postpartum Depression Screening Scale (PDSS; Beck & Gable, 2000) was used. Prior to treatment, mothers completed a self-report questionnaire packed comprised of the Brief Symptom Inventory (BSI; Derogatis, 1993), the Parenting Stress Index-Short Form (PSI-SF; Abidin, 1995), and the Maternal Self-Report Inventory-Short Form (MSI-SF; Shea &

Often the time after birth is a filled with joy and happiness due to the arrival of a new baby. However, for some mothers the birth of a baby leads to some complicated feelings that are unexpected. Up to 85% of postpartum woman experience a mild depression called “baby blues” (Lowdermilk, Perry, Cashion, & Alden, 2012). Though baby blues is hard on these mothers, another form of depression, postpartum depression, can be even more debilitating to postpartum woman. Postpartum depression affects about 15% (Lowdermilk et al., 2012) of postpartum woman. This disorder is not only distressing to the mother but to the whole family unit. This is why it is important for the nurse to not only recognize the signs and symptoms of a mother with postpartum depression, but also hopefully provide preventative care for the benefit of everyone involved.

This journal article focuses on postpartum depression and how it differentiates from other disorders. This paticuarl article however focuses on defining the different types of depression within this catagorey and looks into clinical involvement as well as recognsisng risk elements and sysmtoms that allow it to be characterized from other mood and anxiety disorders. Beck (2006) finds that persons who where most at risk of this disorder most commently had stressful lives, with a history of mental illness. This article also concludes that postpartum depression can lead into server physosi, which is in need of immediate intervention and that this mental state can lead women to be dangerous to themselves of there children and clearly states that they should never be left alone. Overall this article is paticually usuful as a researcher as it clearly describes the differences in distinguishing the types of depression as well as the servierty of postpartum depression which can be underrecognsied.

Postpartum psychiatric disorders, particularly depression, has become the most underdiagnosed complication in the United States. It can lead to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development (Earls, 2010). Over 400,000 infants are born to mothers that are depressed. One of 7 new mothers (14.5%) experience depressive episodes that impair maternal role function. An episode of major or minor depression that occurs during pregnancy or the first 12 months after birth is called perinatal or postpartum depression (Wisner, Chambers & Sit, 2006). Mothers with postpartum depression experience feelings of extreme sadness, anxiety, and exhaustion that may make it difficult for them to complete daily care activities for themselves or for others (Postpartum Depression). The six stages of postpartum are denial, anger, bargaining, depression, acceptance and PTSD. These stages may affect any women regardless of age, race, ethnicity, or economic status. However only a physician can diagnose a woman with postpartum depression. It does not occur because of something a mother does or does not do, it’s a combination of physical and emotional factors. After childbirth, the levels of hormones in a woman’s body quickly drop; which may lead to chemical changes in her brain (Postpartum Depression). Unbalanced hormones may trigger mood swings.

The birthing process generally leaves women with overwhelming joy and happiness. However, some women do experience a period of postpartum blues lasting for a few days or at most a couple of weeks but goes away with the adjustment of having a baby (Postpartum Depression, 2013). A condition called Postpartum Depression Disorder (PPD) leaves a dark gray cloud over 10-20% of woman after birth that is recognized in individuals 3 weeks to a year after the delivery of their baby (Bobo & Yawn, 2014). PPD leaves new mothers feeling lonely, anxious, and hopeless (Bobo at el, 2014). Postpartum Depression is a cross cutting disorder that can affect any woman after the delivery of a baby regardless of race, socioeconomic status, age, or education level (Postpartum Depression, 2013). Although this disorder affects more than 10% of women the article Concise Review for Physicians and Other Clinicians: Postpartum Depression reports that less than half of women with PPD are actually diagnosed with this condition (Bobo at el, 2014). It is important that postpartum women and their support systems receive education on what PPD consist of and ways to recognize the signs and symptoms of PPD so that a diagnosis is not overlooked. Early diagnosis is important because early recognition and treatment of the disorder yields for better results when treating individuals with PPD. In this paper I will deliver information about PPD based on recent literature,

Postpartum depression is a type of depression that women can experience after giving birth. It is similar to depression, but women also experience thoughts of harming the baby, feeling disconnected, or in general worry that they are not being a good mother (Centers for Disease and Control Prevention, 2013). When it comes to seeking help for this, most women can feel ashamed of what they are experiencing and may not seek the proper help they need. The purpose of this paper is to review the literature on postpartum depression and how it relates to John Bowlby’s theory of attachment. Bowlby’s theory focuses on the attachment being an innate and that mothers and infants need to stay close with one another (McLeod, 2007). As an advanced practice nurse, being able to understand, diagnose and treat women with postpartum depression is important as if diagnosed early, it is a very treatable illness with positive outcomes.

70 to 80 percent of women who have given birth experience what is know as “Baby blues,” (Piotrowski & Benson, 2015). These are mild symptoms of depression and usually go away within two weeks after giving birth. However, the symptoms of unspecified depressive disorder with peripartum onset also known as postpartum depression (PPD) can be more intense and last significantly longer than the “baby blues.” According to the DSM-5 (American Psychiatric Association [APA] 2013), postpartum depression occurs during pregnancy or in the 4 weeks following delivery. Postpartum depression has symptoms that cause clinically significant distress or impairment in the new mothers life and can include the inability to take care of the newborn or herself. The

There are times when new mothers are misdiagnosed and are given a lesser form of this depression. This is called having the baby blues, which is when a new mother experience’s mood swings, and anxiety. These symptoms can last one or two weeks after giving birth, where postpartum depression can continue on for months at a time. Even with baby blues having such a shorter time frame even after 2 weeks’ these new mothers are not being diagnosed correctly. In Mental Heath of Teen Mom Matters, Shiloh gives her experience “My son was crying and it was like the noise of scratching a chalkboard” (Reese p. 1) A new mom can face all these difficulties and my feel as though they do not have a maternal attachment to their

According to two recent studies, 7-13% of all postpartum women suffer from depression. Even more alarming, the prevalence of postpartum depression (PPD) in mothers who have pre-term infants rises to 30-40% according to a recent review (Robertson E, Grace S, Wallington T, Stewart DE., 2004; Schmied V, Johnson M, Naidoo N, et al., 2013). Mood and anxiety disorders, specifically PPD, are severe, yet common complications in women of reproductive age. Undertreated depression in postpartum women is associated with health risks for both the mother and infant, making the goal of euthymia a top priority in the care of postpartum women. Current practice regarding PPD focuses on the triad approach of early detection and prevention, the use of pharmacotherapy, and the use of psychotherapy. However, the treatment of mental illness during pregnancy requires weighing the benefits of pharmacological treatment for the mother, to the risk of the medications on the growth and development of the fetus as well as the theoretical risks associated with undertreated depression. However, many studies are showing that the risks of postpartum depression to both the mother and infant significantly outweigh the risks of pharmacological treatment during pregnancy. Also, due to the ethical issues surrounding trials of pharmacotherapy during pregnancy, further research to determine evidenced-based methods of treatment are still necessary. The most important intervention to date is a

[Daley et al.] states that symptoms of postpartum depression include decreased mood, fatigue, anxiety, thoughts of self-harm and poor mother-infant interactions(change wording). Women with post-partum depression have been reported to be at an increased risk for substance abuse, are more likely to miss gynecological and child health appointments, are more non-compliant with medical recommendations and are less likely to use preventative safety items like car seats and outlet covers (Ersek). Researchers state that women with postpartum depression are less likely to breastfeed and more

According to the CDC, current research shows that postpartum depression (PPD) is a complication that effects 1-8 women after they give birth. It is when the mother experiences depression after giving birth that is the result of hormone changes, adjustments to motherhood and fatigue. It is one of the most common diseases after the mother gives birth and is often underdiagnosed and overlooked. PPD can cause complication that not only affect the mother but also the baby by breaking the mother-infant bond. PPD can lead to a lack of social and emotional support to the baby during its critical period of life according to the CDC. There are experiences that put some women at higher risks for developing postpartum depression than others women. Some risk factors discussed by the Centers for Disease Control and Prevention are low social supports, stress, culture, multiple births, and economic standings. Some of these risk factors are shown in case A which involves a Latino family that includes a father that is 31 years in age, mother who is 30 years of age, a 5-year-old son and an 8 -week old daughter. The main idea of this case was that the mother was starting to develop postpartum depression after the birth of her last daughter.

Mothers who have brought into this world a blessing have been preparing themselves for a big change in their life. They have been learning and educating themselves about how to be a good mother. Many mothers find it really hard to transition from being an independent woman without children to becoming a mother (Corrigan, Kwasky, & Groh, 2015). Adapting to motherhood can be a drastic change, and usually creates challenges that lead to feeling overwhelmed (Leger & Letourneau, 2015). When a newly mother begins experiencing stress or becomes emotional then there can be a possibility that they can encounter Postpartum Depression (Leger et al., 2015). Postpartum depression can be seen and experienced in many different ways, it all varies on every mother (Corrigan et al., 2015). Many different mental health issues can be seen including baby blues, postpartum depression, postpartum obsessive-compulsive disorder, and the most serious, postpartum psychosis (Tam & Leslie, 2001).

Midwives work alongside health visitors on a daily basis as the health visitor’s role in supporting mothers and their families also contributes to the prevention and treatment of postnatal depression. Specialist training for health visitors can include cognitive counselling and listening visits. These have shown to significantly improve outcomes for both women suffering from depression and their families (Morrell et al, 2009). The Edinburgh Postnatal Depression Scale is a screening tool mainly used by health visitors to help identify symptoms of postnatal depression from 6-8 weeks’ post-birth. Many studies have shown that this alone is not sufficient in enabling a diagnosis but rather an aid to go alongside a full clinical evaluation with a high score potentially indicating further assessment (Holden, 1994).