Maternal Depression And Its Impact On Infant Health

Postpartum depression can have serious consequences for the health of both mother and child. Indeed, a recent study of 10, 000 postpartum women found 19.3% of women with postpartum depression had considered hurting themselves (5). In the United Kingdom suicide is the leading cause of maternal death in the postpartum period (6). Even in less severe cases, postpartum depression may compromise caregiving practices (e.g., are less likely to use car seats, breastfeed, or ensure that their child receives up to date vaccinations); (7;8) and maternal-infant bonding (e.g., are less responsive to their infants, engage in less face-to-face interactive play and participate in fewer enrichment activities); (7;9;10). These factors may be partly responsible for delayed cognitive, intellectual, social, and emotional development of the child (11-15). Given the negative consequences of postpartum depression, prevention and treatment is imperative.

Postpartum depression is one of the most commons disorders in the early few weeks of child birth. According to the American Psychology Association almost 1 in 7 women are Likely to inherit the disorder. Postpartum depression is caused by the rapid drop of estrogen and progestrone hormone following the birth of a child. The effects include excessive crying without reasoning, irritability, anxiety, loss of memory, and the inability to focus. Within the early weeks of child birth it is expected for a mother embrace her baby however;  The symptoms of postpartum depression can cause intrusive thoughts that can harm both mother and child. Many women suffer from the postpartum due to the lack of a support system. It is likely that if a mother doesn't

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,

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.

Postpartum Depression is important because too often it affects the mother, her spouse, and the newborn child. This affects the relationship between the mother and child based on Erikson’s Psychosocial developmental Theory and the idea of trust vs. mistrust. If the child’s basic needs are not met that could lead to mistrust, anxiety, and insecurities. This could also lead to Reactive Attention Disorder, where the neglect a child experiences leads to difficulty making relationships. It’s also found to be more likely in mothers of colicky babies because if the child cries a lot the mothers are less likely to make an emotional connection.

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.

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

“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

Anemia, Low birth weight, Preeclampsia, and Premature delivery are effects of postpartum depression during pregnancy (Mena 2016). Mothers’ who were going through postpartum depression during the first three months of the child’s life were seen to be irritable and less engaged (Field 2011). Inadequate caregiving is also a major effect of postpartum depression (Field 2011). Mothers who have postpartum depression are less likely to continue breastfeeding if it becomes difficult (Field 2011). Infant’s with sleep problems are often put into unsafe sleep practices because of a mother’s postpartum depression (Field 2011). Infants of mothers with postpartum depression are less likely to attend well doctor’s appointments (Field 2011). Safety practices are often violated when a mother has postpartum depression (Field 2011). Some mothers have thoughts of harming their infants during postpartum depression (Field 2011). They also can have a fear of being alone with their child (Field 2011). Mothers with postpartum depression are also known to use harsher punishments (Field 2011).

One of the most devastating impact that postpartum depression can have on a mother is to interfere with the ability to care for her child. That is an instant blow to the bonding process. Mothers who suffer from postpartum depression start to feel inadequate as a parent. They have very little interaction with their infant. Quite often they will make less eye contract with their infant as well as, they display less examples of mother-child contact and positive interaction as compared to mothers who don’t have depression. A mom who has postpartum depression shows less affection toward their infant and they also are less sensitive and nurturing. At this stage the infant will sense the tension and anxiety the parent is feeling and in return they will withdraw from their parent. The interaction between mother and child at the early phase of a child’s life is very critical to the evolution of a child.

Postpartum Depression is depression that occurs after performing childbirth. This condition is often mistaken for the “baby blues” which has similar symptoms such as tearfulness, extreme sadness, anxiety, self-doubt, and fatigue. However, the “baby blues” goes away within a few weeks after and unlike the “baby blues”, postpartum depression can cause suicidal thoughts, difficulty making decisions, and feeling too exhausted to get out of bed for hours. If postpartum depression is not treated properly or soon enough it can drastically effect the lives of those who have developed it as well as their families. This is because a mother is a very important figure in one’s life because she is the first person that an individual ever makes an emotional connection with; she’s also the first one to play the role of supplying nourishment to her child. Consequently, “PPD can affect familial relationships and a woman’s capacity to care for and bond with her newborn. Some research indicates that young children of depressed mothers are at increased risk of delay in cognitive and language development” (McGarry, Kim, Sheng, Egger, & Baksh, 2009). Postpartum depression can take hold of a woman and her family’s life and is one of the most common complications of childbirth. However, “postpartum depression (PPD) is less frequently detected, treated, or the focus of obstetric research” (McGarry et al., 2009). This is because mothers suffering with postpartum depression are unable to seek proper

The birth of a baby can provoke a lot of emotions. Mothers particularly can have a range of emotions, including depression. Many mothers experience postpartum “baby blues”. Baby blues include symptoms of crying, anxiety, mood swings, and problems sleeping for about two weeks (Postpartum, n.d.). However, postpartum depression (PPD) is more severe and long-term. Mothers with postpartum depression experience similar symptoms of baby blues, however these symptoms are more intense and extreme. This disorder not only makes it difficult for them to complete daily care activities for themselves, but also for their baby and others. The purpose of