Essay On Postpartum Psychosis

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).

“In 1858 postpartum psychosis was determined by organic factors and constituted a disease entity” (Swyer 1232). To understand whether Margery Kempe had postpartum depression, psychosis, or a different mental illness like depression after her first child, readers have to look at the symptoms Margery Kempe showed and the symptoms of each illness. To start, depression is the least serious and can happen to anyone. Wiessman and Olfson said that women tend to be more depressed than men and can begin early in adolescence years, “around 13 to 15 years of age, and is maintained throughout life. There is a peak in first onsets during the childbearing years and a decrease in onsets after age 45”and that “depressed

Symptoms of postpartum psychosis are “delusions or strange beliefs, hallucinations (seeing or hearing things that aren’t there), feeling very irritated, decreased need or inability to sleep, paranoia, rapid mood swings and difficulty communicating at times”. (“Postpartum Psychosis”, 2009)

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.

(4) As the small number of affected cases implies, postpartum psychosis is extremely rare and adverse. Also, it is marked by a group of psychotic symptoms such as intense emotional instability, severe confusion, unfathomable speech, unexplainable behaviors, and a combination of extreme hallucinations and delusions. In spite of postpartum psychosis severity, cases recover from it remarkably due to a number of effective treatments such antidepressants and mood stabilizers.

Post Partum depression causes a new mother to become depressed to a severe extent. PPD causes its patients to fall to an uncomfortable mental state. PPD patients feel discouraged, hostile,

Society must realize postpartum depression is treatable and manageable. Depression of any kind is a serious illness that requires not only further study, but a shift in thinking so it is less misunderstood and more widely recognized. Early identification of PPD symptoms must be increased in order to alleviate the tremendous burden this illness causes on families and new mothers and while current diagnosis practices are expanding to include earlier identification and increasing successful treatment, it is critical that the medical community work together to expand and add to the prevention of postpartum depression. In conjunction with a greater tolerance and understanding of this mostly hidden disease, perhaps depression will no longer be such a hidden and misunderstood mental

In relation to the nursing metaparadigm, Beck’s theory was intended for women with PPD and to serve as an educational tool for nursing students; healthcare professionals including nurses, doctors, mental health care workers and those within social services. Beck did not clearly define health; however, her focus was on mental health as PPD is a mental health disorder. Holistic health was a predominate factor in her theory, referring to the “wholeness” of a person, where the entire being, physically, emotionally, and psychologically are entwined with the environment as one. Beck determined that the interpersonal environment of the individual woman, if unstable, has an outward affect on them as well as on the family. Regardless of the setting of the individual’s environment, variables, be it rich or poor, famous or non famous, different cultures and backgrounds, all are subject to the effects of PPD (Lasiuk & Ferguson, 2005).

It is a rare illness that occurs in approximately 1 to 2 per 1000 women after childbirth. Its presentation is often dramatic, with onset of symptoms as early as the first 48 to 72 hours after delivery. The majority of women with puerperal psychosis develop symptoms within the first two postpartum weeks. Symptoms of postpartum physics often include delusions or strange beliefs, hallucinations, decreased need for or inability to sleep, paranoia and suspiciousness. The most significant risk factors for postpartum psychosis are a personal or family history of bipolar disorder, or a previous psychotic episode. Postpartum psychosis is different from the baby blues; 70% of new mothers experience the baby blues, which is a short-lasting condition that does not impact their daily functioning and does

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

In 2001, Andrea Yates, a Texas mother, was accused of drowning her five children, (aged seven, five, three, two, and six months) in her bathtub. The idea of a mother drowning all of her children puzzled the nation. Her attorney argued that it was Andrea Yates' untreated postpartum depression, which evolved into postpartum psychosis that caused her horrific actions (1) . He also argued that Andrea Yates suffered from postpartum depression after the birth of her fourth child, and that she attempted suicide twice for this very disorder ((1)). What is postpartum depression, and how can it cause a mother to harm her very own children, altering her behavior towards her children in a negative way? One in ten women

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).

Postpartum mood disorders is defined as a spectrum of illness including postpartum blues, postpartum depression and postpartum psychosis. The postpartum blues are extremely common and no specific treatment is usually needed. Postpartum depression is less common and may significantly impact both the health of the mother and baby. Postpartum psychosis is extremely rare with clinical features including mania, psychotic thoughts, severe depression, and other thought disorders, and requires hospitalization. This paper will focus on reviewing and discussing postpartum depression.