Antenatal Depression

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).

This article talked about dealing with women’s postpartum depression (PPD) in a spiritual way. Similar to Borra, C., Iacovou, M., & Sevilla, A’s article, the author also mentioned that the fluctuation of hormonal or chemical levels in women can be triggered by circumstances which include socioeconomic status, prior mental health history and their childbirth experiences such as if the mother had the experience of a traumatic delivery, preterm labor or difficulty in feeding. These factors not only influence on the well-being of the mother but also impact on the families, marriage and the lifelong health development of the child and their siblings.

I believe that mental health is not well discussed, or known, in today’s culture. People could struggle with mental health daily and others could have no idea. There are many different types of mental health issues, and one specific issue that is rarely discussed is postpartum depression. Postpartum depression is a specific type of depression that new mothers can experience after the birth of their child. (Schacter, Gilbert, Wegner, Nock, 2012). The changing hormones a mother can experience directly after birth cause this condition. Postpartum depression can cause a mother to feel sad, guilty, and even experience thoughts of suicide. Postpartum depression may be discussed in the text, but the causes and even the treatments are not.

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.

In summary, postpartum depression is the most widespread complication of childbirth, and the lack of diagnosis in postpartum depression cases results in the deterioration of their conditions. Deterioration arises in the form of progression stages of postpartum depression, and it varies from a case to another. Thus, preventive measures ought to be taken by detecting the onset of postpartum depression and providing early treatment. Also, the implications drawn from the aforementioned details may aid mental healthcare providers in the pursuit of better treatment

Despite the physical changes that a woman is to expect during her pregnancy, a major concern that requires attention is a period of expected feelings of depression that a woman may encounter known as baby blues. Although normal, and expected baby blues can lead into post partum depression that involves a myriad of emotions and mood swings. If not addressed postpartum depression can lead to a more severe form of baby blues known in the clinical world as postpartum non-psychotic depression that requires professional intervention. The therapeutic goal during this time is to prevent the new mother from committing suicide where she poses a danger to both herself and her newborn.

The Center for Disease Control estimates that 1 in 20 people suffer from depression (2014). Although widely recognized and somewhat easy to diagnose, depression is an ignored and almost hidden, disease. In women, the statistics are especially grim for those who are pregnant or were recently pregnant. A great number of women suffer from postpartum depression; an illness which is often overlooked, misdiagnosed and untreated. Postpartum depression (PPD) has been defined as an emotional disorder that occurs in an estimated 10-15% of all women after childbirth (Liberto, 2010). Postpartum depression not only impacts the mother, but can cause long-term psychological challenges for the baby and create emotional turmoil for all family members.

During pregnancy, there are some factors beyond the mother’s control which can have negative significances for the fetus. Maternal stress occurs when the mother is exposed to psychosocial stressors during pregnancy (Kramer et al, 2009). The mother could also develop depression during or after her pregnancy. This mental illness affects the mother’s ability to function and cope with everyday life (NIHCM, 2010), thus affecting her relationship with her baby. Recent research evidence has highlighted that there is some overlap between the symptoms of maternal depression and stress (Cheng & Pickler, 2014), and that these play a role in affecting the normal development of the fetus. However, other research has indicated that stress and depression do not harm the fetus, and in fact can be developmentally beneficial (DiPetro, 2004). In this essay, a number of symptoms of maternal stress and depression shall be addressed, and the extent to which they affect the developing fetus. First to be discussed is how the emotional stability of the mother may affect the relationship she has with her baby.

In the United States and many other countries many women do not seek for treatment because they have many concerns and fear about medications. Depressed breastfeeding women concern about the exposure of the infants to medications. Also postpartum depression can lead to a suicide. Postpartum has been linked with some neurotransmitter such as dopamine and serotonin, but research continues working on that. Therefore, it’s very important to inform mothers about postpartum depression, so they will be able to recognize any sign and seek for help. Postnatal depression can be identified by the use of screening tools or interview schedule to diagnose women who are at high risks, then as result of these methods they can receive an adequate and early intervention using psychological and psychosocial interventions, as well as psychopharmacological interventions (Mallikarjum

Pregnancy and birth are both major changes in the lives of women everywhere. These events can be overwhelming, and can lead many women to experience feelings of depression, which can result in postpartum depression, a serious condition that can adversely affect the health of mother and child. The following PowerPoint aims to help educate women on the symptoms and causes of postpartum depression, and how to differentiate it from the normal feelings that can occur with childbirth. Finally, it seeks to provide resources to women for diagnosis, treatment, and support.

Estimates of the prevalence of postpartum depression range from 13% to 19% (O 'Hara & McCabe, 2013). However, major depressive episodes may go undiagnosed in 65% of pregnant women ( (Ko, Farr, Dietz, & Robbins, 2012). It is important for pregnant women and new mothers to undergo depression screening to be diagnosed and treated early if they are experiencing any symptoms of depression. Depression during pregnancy is associated with a higher risk of inadequate nutrition, poor weight gain, inadequate prenatal care, preterm birth, surgical birth and low birth weight babies (Wirz-Justice, et al., 2011). The newborns have a higher rate of neonatal intensive care admissions and increased risk of cognitive, emotional, and behavioral disorders (Wirz-Justice, et al., 2011).

Postpartum depression is the most common psychological complexity that occurs after childbirth (Bakhshizadeh, 2013). This form of depression has been reported to be as high as 20% (Asltoghiria, 2012). The mother will begin to experience postpartum depression between the birth of the infant and 6 to 8 weeks later (Bhati, 2015). Depending on the person, the typical length of postpartum depression ranges anywhere from two weeks to two years in length (Posmontier, 2010). It is thought that postpartum depression affects mothers of multiples at a greater incidence than mothers whom birth just one child, and the chance increases with the number of children in a multiple birth. Evidence shows that the older the mother’s age at the time of birth, shows there is no notable increase in the risk of being diagnosed with postpartum depression. Another factor that is thought to have an influence on the diagnosis of postpartum depression is income within the household. A study shows that as income goes down, the risk of having

Discovering the disease from the early beginnings will help to cure it easily. This also applies on postnatal depression. Postnatal depression has early signs a mother can notice on herself which tells her that she is in a risk. Those signs include crying for no obvious reason, having difficulty to bind with her baby, neglecting herself. For example, she doesn't wash or change her clothes, losing the sense of time. For instance, being unaware for so long, losing the sense of humor and not being able to see the funny side of anything, and worrying that something is wrong with her baby.

After reading the second page, I had thought about post-partum depression as the main theme of the story. Being in confinement and being misdiagnosed of the depression, it tends to make the depression stronger. With Jane's husband taking all of her "stress" relievers away is making her fall into a deeper depression, which will take longer for her to come out of. I understand as a doctor and a men in this time period, everything that we know now is not what they knew back when the story was written. As for being a man, he had the more dominance to tell Jane what was good for her and what was not good for her to cure her "nervousness".