Perinatal Depression: A Case Study

Twenty-four mother-infant dyads completed all aspects of the study. Of those 24, 18 were Caucasian, 22 were married, eight of them had an annual family income of $50,000 to $74,999, and seven had an annual family income of over $100,000. Also 16 of the participating mothers had a graduate degree. Not only is the sample size very small, but the demographics of the mothers is greatly disproportionate. With the majority of mothers being caucasian, educated, middle class, married women, the sample size does not accurately represent the majority of the population who lives in relative poverty and cannot afford to seek help. About half of the mothers had a history of depression and were taking or had just started taking antidepressant medication when they first enrolled. Considering the size of the sample, all the mothers should have been either prescription drug users, or not, but not both. Prescription drug treatment for any depression significantly changes perceptions of mood, skewing the results, and there is not enough women in the study to make a concise prognosis.

Segre, A. R. (n.d.). Perinatal Depression: A Review of U.S. Legislation and Law. Retrieved from www.ncbi.nlm.nih.gov: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3725295/

During the last two decades, researchers have intensified their efforts to expand the findings about paternal perinatal depression. The study conducted by Goodman in 2004, has shown that the postpartum depression’s prevalence among fathers varied from 1.2% to 25% in the population sample. Furthermore, these percentages rose to achieve 24 to 50 per cent when the paternal postpartum depression was associated with maternal postpartum depression. The literature review and studies asserted the detrimental consequences of paternal perinatal depression on child wellbeing and development (Children, C. on D., Parenting Practices, and the Heaslthy Development of, Medicine, I. of, Education, D. of B. and S. S. and, & Council, N. R., 2009) such as hyperactivity, emotional deregulations, behavioral problems (Davis, Davis, Freed, & Clark, 2011, van den Berg et al., 2009). These studies outlined the importance of prevention and intervention to foster the paternal perinatal depression issue, through developing screening, diagnosis and management guidelines.

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.

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 (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.

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

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.

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.

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.

Perinatal depression is common in pregnancies whether regardless of race. Although, it is higher among African American low income women. Depression or anxiety during pregnancy, stressful recent life events, poor social support and a previous history of depression are all predictors of postpartum depression. (Stewart, D.E., Robertson, E., Dennis, G.L., Grace, S.L. & Wallington, T. 2003) Childcare stress, low self-esteem, maternal neuroticism, and difficult infant temperament are moderate predictors of postpartum depression.( Stewart, D.E., Robertson, E., Dennis, G.L., Grace, S.L. & Wallington, T. 2003) Obstetric and pregnancy complications, negative cognitive attributions, single marital status, poor relationship with partner, and lower socioeconomic status including income are small predicators of post-partum depression.

Postpartum depression is a mood disorder in females that is known to be present within the 4 to 6 weeks after childbirth (Battle et al). This condition is the most common complication after childbirth (Mosses-Kolko et al.,2009).Studies have shown predictors which lead to postpartum depression such as maternal childhood maltreatment and lifetime posttraumatic stress disorder (PTSD)in pregnancy (Seng 2013).A variety of factors exist among certain subgroups of women that may lead to postpartum depression. Postpartum depression affects approximately “one out of eight of the more than four million women who give birth in the United States every year”(Kruse et al. 2013a). The estimation of PPD in the US, UK, and Australia is from 7% to 20 % (Fitelson

The birth of a child can be a very exciting time in a mother's life, but sometime the feeling of excitement can be overshadowed by extreme mood swings, uncontrollable crying, the feeling of sadness, the loss of appetite, feeling angry followed by anxiety and restlessness. These are all symptoms of postpartum depression. Postpartum depression is a severe mental disorder that some time will occur after giving birth or after being pregnant. According to research postpartum depression usually will occur within a year after giving birth. According to the Centers for Disease Control, 11 to 20% of women who give birth each year have postpartum depression symptoms. ). Although researchers have not been able to determine one main

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