Effects Of Mental Illness And Stigma On Pregnant Women Essay

Perinatal mental illness is a collective term used to describe mental illnesses experienced by at least 10% of women during pregnancy and up until a year after birth (Hogg, 2014). Mental health is with paramount importance to the role of the midwife (National Institute for Health and Clinical Excellence (NICE), 2014) as mental illness is a significant threat to the lives of mothers and can have a huge effect for their babies and families (Knight et al., 2015). Between 2009 and 2013 there were 161 maternal deaths related to mental health problems, one of the leading causes of maternal mortality in the United Kingdom (UK) (Knight et al., 2015). The main types of mental health disorders, signs and symptoms along with possible treatments

Postpartum depression, which is the most prevalent of all maternal depressive disorders, is said to be the hidden epidemic of the 21st century. (1) Despite its high prevalence rate of 10-15% and increased incidence, postpartum depression often goes undetected, and thus untreated. (2) Nearly 50% of postpartum depression cases are untreated. As a result, these cases are put at a high risk of being exposed to the severe and progressive nature of their depressive disorder. (3) In other words, the health conditions of untreated postpartum depression cases worsen and progress to one of their utmost stages, and they are: postpartum obsessive compulsive disorder, postpartum panic disorder, postpartum post traumatic stress, and postpartum psychosis.

In order to elaborate the above mentioned aspects Tower Hamlets Borough has been chosen by the researcher. In the context of Tower Hamlets Borough, 17% of the maternal deaths in the Borough between the period of 2011-2012, which included direct, indirect and late (between 42 days-365 days after delivery,

Madhouses, looney bins, insane asylums, monsters, witches, and lunatics. These are the terms that haunt both the mentally ill and the facilities that provide their treatment. The stigma of mental illness prevents persons in need of treatment from seeking help for their mental illnesses. The roots of the stigma of mental illness need to be dissected to reduce the discrimination, prejudice, and stereotyping of the mentally ill. There are things that can be done to prevent this stigma including changes in federal policy, public cooperation, and individual advocacy.

Mental health has become an important factor in a persons well-being and is recognized as having the same importance as physical health. The mental health of a person can determine how they act in society. Their mood and behavior can be severely affected in ways that family or friends don’t understand. A mood disorder that has a significant affect on family members is called postpartum depression. Postpartum depression is a mood disorder that occurs in women who have given birth a few weeks prior. This mood disorder is diagnosed after two months or even longer, new mother can be continuously sad throughout the day and feel as though not having a connection with their baby. Doctors are not able to know which mother will have postpartum depression

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.

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

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.

Dax Andrew Parcells published the article “Women’s mental health nursing: depression, anxiety, and stress during pregnancy” in 2010 in the 17th edition of the Journal of Psychiatric and Mental Health Nursing. This study aimed to understand the relationship of maternal psychosocial and biochemical profiles during the antepartum period. Occurrence of depression in mothers during their third trimester of pregnancy was the focus of the study (Parcells, 2010).

There are still many societies that view people with mental health problems as threatening or unstable. These attitudes often cause stigma and discrimination towards people with mental health problems. Many people who make these assumptions about people with mental health problems are often uneducated. Social workers today educate and help families that may may be struggling with this disease. Mental health disorders affect different people and are more prone to exist in areas where help can be found or is not affordable. Mental health disorders are often frowned upon by people because they do not understand it. Many people live throughout their lives not getting the help they need because of stigma on this topic. As a society Mental health diseases should be identified as problem that can be fixed and not be an identification for the person it is affecting.

Depression is a major public health problem that is twice as common in women as men during the childbearing years. Postpartum depression is defined as an episode of non-psychotic depression according to standardized diagnostic criteria with onset within 1 year of childbirth (Stewart D., et. al, 2003, p. 4). For women aged 15 to 44 years around the world, Postpartum Depression is second to HIV/AIDS, in terms of total disability (World Health Organization, 2001). Depression has a profound impact on parameters of interpersonal behavior. Post-Partum depression

It is estimated that 43.5 million Americans, adults 18 or older, live with mental illness. This number represents 18.1% of all U.S. adults (National Institute of Mental Health, 2014). Stigma toward those who are seen as different have existed for as long as civilization itself, with the stigma for mental illness being one of the most prominent and long lasting that society has had to face throughout its ages (Arboleda-Florez & Stuart, 2012). Increased understanding and awareness for those individuals suffering from mental illness is necessary for us to overcome the impacts stigma has on our society.

People suffering from mental illness and other problems are often the most discriminated, socially excluded, stigmatized, and vulnerable members of the society. They have to constantly struggle and face a double problem. Firstly, they have to struggle with the symptoms of the mental illness itself. They may face with problems such as illusions, delusions, hallucinations and other symptoms, which depend on a particular mental disorder. These symptoms do not allow the person to live a satisfactory life. They do not allow the person to work and independently achieve something in their life. And secondly, they are challenged by several stereotypes and prejudices, which gradually result in many misconceptions about mental illness known as “stigma”. Therefore, mental illness results not only in the difficulties arising from the symptoms of the disorder but also in the negative attitudes and beliefs that motivates the people to fear, reject, avoid and exclusion of people with mental illness. Some people with mental illness could lose self confidence, accept the prejudices and may also turn them against themselves. This is referred to as ‘self-stigma’, loosening the confidence of the person suffering with mental illness.

Stigma can be expressed in various term, it can be a brand, labelling or identification. It is a differentiation of a person resulting to a boundary between “us” and “them” (Link and Phelan 2001). These affect consumers in a way they are discriminated and treated differently because they have mental illness. The effect of stigma can take away the rights of consumers who are suffering from mental illness causing social dilemmas (SANE Australia 2013). A survey shows 74% of consumers experience stigma from school, work, and social activities. Consumers had only one feedback, to reduce stigma so they can go with their life peacefully and engage in normal social activities without discrimination (SANE Australia 2006). It is

Health promotion are strategies used by nurses as guidance for assessment and alleviation of risk factor for diseases (Potter et al.,2009). Maternal health nurses provides specific screening, teaching, counselling and risk preventing tools to achieve optimal health of mother and child during the postpartum period. Postpartum is a period of both physiological and psychological changes. The mothers adaptation such as, changes in parental role ,family ,body image, physiological changes after child birth and the requirements needed for an effective infant care makes the women more vulnerable to depression(Fahey &Shenessa,2013) .The maternal health nurses provides effective strategies to cope with depression with the goal of achieving optimal health . Nurses help women through teaching how to effectively mobilize social support, gaining self-efficacy, positive coping skills and setting realistic goals and expectation to treat depression during post-partum (Kuosemanen & Kumpuniemi,2010). As we know that depression leads to all other complications such as cardiovascular disease, cancer obesity, substance use, alcohol abuse. It also interferes with the child and mother relationship and the overall psychosocial, physical and mental health of a women. It is therefore really important to treat postpartum depression in women for not just reducing their risk of disease but also for a holistic approach to health.