Introduction: Pregnancy and postpartum are considered as high risk periods for the emergence of psychiatric disorders. Postnatal depression (PND) is one of the most common psychopathology in these phases. PND describes non-psychotic depressive episodes, with loss of interest, insomnia, and loss of energy experienced by mothers within the period of 4 to 6 weeks after delivery [1]. A wide range of PND prevalence (10-42%) has been reported across the globe [2-11]. It is considered a serious public health issue because of its devastating effects on mothers, families, and infants or children [12]. Accurate estimates of PND prevalence are difficult to obtain as cultural norms may affect women’s reporting of their symptoms and …show more content…
The studied hospital is attached to a rural medical college recognized by Medical Council of India with teaching facility for both under and post graduates in obstetrics and gynecology. It caters to the need of nearby villages and talukas and linked with many government health programmes for the benefit of rural poor.
The total population of Mandya district is 1.92 million. Situated in southern part of Karnataka state, it is a prominent agricultural district blessed with the irrigation waters of river Cauvery and Hemavathi [18]. More than half of the population is involved in agriculture. Most of the industries that are run in the district depend on agriculture for their raw material. Sugar Mills, Jaggery making units, Rice Mills are the prominent industries of this district [18].
Study design and sample
Cross sectional study design was adopted to accomplish the study objective. All the women who came for postnatal follow up to studied hospital from June to July 2012 formed the sampling frame. We decided to study at least 96 postnatal mothers based on minimum estimated PND prevalence of 10% with 6% precision, 95% confidence level [19]. All the women who came for follow up from 4th to 10th week of postnatal period from June to Nov 2012 were included. Women with acute severe illness or cognitive impairment or not willing to consent for voluntary participation were excluded. In a day maximum of two postnatal women, satisfying inclusion and
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.
“Postpartum depression affects 10% to 20% of women after delivery, regardless of maternal age, race, parity, socioeconomic status, or level of education”.( Consise) Postpartum depression is a major depression episode that occurs after childbirth affecting not only the mother but also the child and family members. After the delivery of the placenta extending for about six weeks this is considered as as the postpartum period. This a critical period for the mother and new born physiological and psychological because the woman’s body is returning to a non-pregnant state in which hormones, sleep parttters, emotions and relationship are changing. Therefore, up to 80% of mothers experience the "baby blues during the first week in which
What is Postpartum Depression (PPD)? How would you know if you had it? Is it unavoidable, something you just have to endure? Fortunately, Postpartum depression is more akin to a temporary condition that can be managed and counterbalanced with insight, sensitivity, and support. What begins as the “baby blues” is estimated to affect as many as upwards of 80% of women after a birth. Although some purport it is caused by hormonal changes, there remains a lack of consensus as to
My area of specialization is maternal postpartum depression and its effect on child development. It 's a well-documented fact that postpartum depression affects not only the patient but other family members including the children.
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 (PPD) affects at least 10-20% of new mothers. However, the true incidence may be much higher due to the fact that screening is not considered to be a standard practice, leaving PPD undetected and untreated in many women (Schaar & Hall, 2014). Postpartum depression not only negatively affects the mother; it also has a negative impact on the infant. For this reason, it is important for the health care providers caring for pregnant and postpartum mothers to screen them for risk factors associated with PPD, as well as educate them on ways to lessen their chances of getting PPD. It is also important for the health care providers to screen for PPD with a standardized tool like the Edinburgh Postnatal Depression Scale (EPDS), and to take action in treating it when it is suspected or diagnosed.
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
Depression is a common problem during and after pregnancy; about thirteen percent of pregnant women and new mothers have depression (Women’s Health, par. 2). According to the National Institute of Mental Health, postpartum depression is defined as a mood disorder that can affect women after childbirth (National Institute of Mental Health, par. 2). Even though the mothers that suffer from postpartum depression often think it is their fault, postpartum depression can happen to any mother. This is because it is a disorder that is out of their control, it is common among many mothers and it is usually caused by a hormonal imbalance.
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.
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
The data on maternal and neonatal sickness will be obtained using perceived or self-report data which will then be validated by field midwives. Perceived or self-report is based on the pain and suffering reported by the woman. The questions on maternal and neonatal sickness will be formulated to be administered in sequence, from symptoms during pregnancy, delivery, postnatal and up to the neonatal period. All questions will be related to the most recent live birth.
As mental health in America is finally being addressed and more research is seen, it is important to look at the potential causes or correlations that lead to common diagnoses for patients. According to Brummelte and Galea (2010), “depression affects approximately 1 in 5 people, with the incidence being 2-3x higher in women than in men.” Postpartum depression (PPD), a subset of this debilitating disease, has an estimated prevalence rate of 13-19% with another estimated 50% that are undiagnosed (O’hara and McCabe, 2013). As a whole, it has the same symptoms as major depressive disorder but diagnosis occurs within 0-4 weeks of giving birth (American Psychiatric Association, 2013). Part of this lack of diagnosis is due to a multitude of healthcare
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.
Regarding public health and associated concern, in the recent years, it has been observed that mental illness has a major impact on pregnant women and the postpartum period which has become a concern of public health lately. The aspect that associated with the pregnancy of women and their mental health that has brought this topic to the forefront is the fact that mental health problems like depression and anxiety have the probability to impact women twice as compared to men. The severity of the situation can be seen from the fact that depression is one of the main reasons of maternal mental illness during the childbearing age of women, which is approximately between the age group of 15 to 44 years. As a result of this to the Global Burden of Disease (GBD), it contributes about 7% of the entire GBD for women of all age group (Leham, 2015).