Patient's Personal Health History

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).

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 (PPD) is a major event occurring in eight to fifteen percent of the woman population after delivering their child (Glavin, Smith, Sørum & Ellefsen, 2010). The symptoms and causes of PPD are similar to depression symptoms in other periods of life (Glavin et al., 2010). These symptoms may include feelings of helplessness and hopelessness, loss of interest in daily activities, sleep changes, anger or irritability, loss of energy, self-loathing, reckless behavior and concentration problems. These symptoms may lead to other factors that are detrimental to the child bearing and rearing family.

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

According to the CDC, current research shows that postpartum depression (PPD) is a complication that effects 1-8 women after they give birth. It is when the mother experiences depression after giving birth that is the result of hormone changes, adjustments to motherhood and fatigue. It is one of the most common diseases after the mother gives birth and is often underdiagnosed and overlooked. PPD can cause complication that not only affect the mother but also the baby by breaking the mother-infant bond. PPD can lead to a lack of social and emotional support to the baby during its critical period of life according to the CDC. There are experiences that put some women at higher risks for developing postpartum depression than others women. Some risk factors discussed by the Centers for Disease Control and Prevention are low social supports, stress, culture, multiple births, and economic standings. Some of these risk factors are shown in case A which involves a Latino family that includes a father that is 31 years in age, mother who is 30 years of age, a 5-year-old son and an 8 -week old daughter. The main idea of this case was that the mother was starting to develop postpartum depression after the birth of her last daughter.

Postpartum major depression is a type of depression that affecting as many as eighty percent of new mothers at some point in their childs first few weeks of infancy. Scientists have categorized their findings on postpartum depression into three basic categories. These include: the conditions surrounding the birth of the child, diagonosis and treatment of the disease, and the the long term affects of postpartum depression on the mother`s child. Postpartum major depression is not to be confused with Postpartum Psychosis, which is a rare condition with some bizarre symptoms including: confusion and disorientation, hallucinations and delusions, paranoia, and attempts to harm oneself or the baby. One mother who

“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

Postpartum depression, or PPD, is a mental health disorder that occurs in women prior to the birth of a newborn infant. PPD is caused by a dramatic shift in hormones occurring anywhere from a month to a year after childbirth. Because of the hormonal changes, women may feel that pregnancy is a time of happiness, fear, excitement, exhaustion, and even sadness. Expecting mothers may also feel a multitude of emotions after delivery as well. Postpartum depression in new mothers is a debilitating illness that can affect her everyday life, her family’s life and her newborn infants’.

Postpartum depression is depression that occurs after child birth. Pregnancy is normal, the mother is excited about having the baby and the after the child is born you go into a deep depression. This does not occur because of something the mother does or does not do, it occurs because of a chemical imbalance in the mothers brain that triggers mood changes. Some mothers feel as though they cannot get anything done, they’re angry and irritable, excessive crying. Something mothers are supposed to feel joy about they wish had never happen. Most mothers often fear and have anxiety that they are not good mothers and cannot bond with their child.

Infants can ultimately have developmental delay. Postpartum depression has long term effects on children of depressed mothers. The impact can extend up to puberty. Children will experience feelings of insecurity, poor social skills, reduce verbal and cognitive skills (Earls, 2010). Children will end up with more behavioral problems, conduct disorders, depression and anxiety. Timely identification and management of maternal depression is important for the child’s early brain development and school readiness. The negative effects of the long term exposure to maternal depressive symptoms in early childhood is concerning. Early intervention will help both the mother and the child (Horwitz, Briggs-Gowan, Storfer-Isser, & Carter, 2009).

After delivering a baby, some women experience symptoms of postpartum depression. There are three levels of postpartum depression: baby blues, postpartum depression, and psychosis. Symptoms include feelings of sadness, anxiety, hopelessness, fatigue, and a lack of motivation to do pleasurable things. For women with the second level, the disorder interferes with their ability to function. On the extreme end, psychosis, women experience confusion, hallucinations, paranoia, and thoughts of hurting themselves or their baby. Postpartum depression affects 1 in 7 women. It’s medical risk factors include underperforming thyroid, hormone imbalance, and low levels of serotonin. It 's psychological risk factors include a history of depression, stress, fatigue, and a lack of support. Generally, women with the disorder are treated with antidepressant medication and psychotherapy. However, one case study found that mommy-and-me classes and a strong support system helped treat the disorder. Moreover, a recent study found that exercise can be used to treat postpartum depression and fatigue.

Ans.1) Postnatal depression is a clinical practice term describes the signs and symptoms which women may experience after childbirth. It effects majority of females but 4-25% of new fathers also affected by depression. Postnatal depression (PND) has a major impact on maternal physical and mental health. It affects around 12 to15% of all childbearing women in Australia. The prevalence may vary 3% to 30% depends assessment time. There are about 250,000 births each year in Australia, from which at least 25,000 to 50,000 women are likely to be affected by PND every year (Yelland, Sutherland, & Brown,2010).In 40% to 70% cases, the onset of postnatal depression arise in first 3 months. It often persist for many months. 25% to 60%of cases remit

According to Merriam Webster Dictionary, depression is “a psychoneurotic or psychotic disorder marked especially by sadness, inactivity, difficulty in thinking and concentration, a significant increase or decrease in appetite and time spent sleeping, feelings of dejection and hopelessness, and sometimes suicidal tendencies.” According to the definition of the fourth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), postpartum depression “may include any nonpsychotic depressive disorder during the first four weeks of postpartum, according to research criteria during the first year after birth. The exact cause of postpartum depression is not yet known, and most researchers believe that postpartum depression is a bio-psycho-social problem. So far, the biological aspect of the disease is explained by changing the levels of estrogen and progesterone during pregnancy, and by decrease of hormone levels after birth. Psychological correlates are often associated with low self-esteem, pessimism as a personality trait, bad strategies of coping with stress, mood swings and emotional reactions. The social aspect of the disease is associated with the existential conditions of pregnant woman, support of partners and education level. Actually, ”it is estimated that on average 15% of women, regardless of the pregnancy outcome, are suffering from postpartum depression.”(Fazlagić. 2011,) In United States, postpartum

Postpartum Depression is a term that people know by name, but are not necessarily familiar with. For me, a recent incident involving an acquaintance prompted my interest in finding out more.

This problem is significant to nursing in a variety of ways. According to Zadeh et al. (2012), this type of study has never been conducted. Previous studies only investigated the prevalence of postpartum depression following normal pregnancy (Zadeh et al., 2012). Around one third of all pregnancies are classified as high-risk pregnancies. A high risk pregnancy consists of medical problems of mother before pregnancy, medical complications due to pregnancy, obstetrical complications and fetal problems (Zadeh et al., 2012). High prevalence of postpartum psychological problems and lack of specific studies to examine the relationship between postpartum psychological problems and high-risk pregnancies because it has never been studied (Zadeh et al., 2012).