Postpartum Depression : A Mental Health Disorder

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).

Thesis: Postpartum depression is a mood disorder that can greatly effect new mothers. Knowing how to recognize their symptoms and treating it can greatly increase chances of a healthy, happy living.

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.

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 also referred to as “the baby blues” is depression that is suffered by a mother following the birth of her child that typically arises from the combination of hormonal changes and fatigue, as well as the psychological adjustment to becoming a mother. Most mothers will feel depressed or anxious after the birth of their child, however it turns into postpartum depression when is lasts longer than two weeks, and if treatment is not sought after a month, it could continue to worsen severely.

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 depression is a category of depression that can occur when a mother has a baby. The symptoms of postpartum depression are similar to the symptoms of major depression. Postpartum depression is often experienced during the first month that the baby is born (Bolyn 2017). Some women experience postpartum depression during pregnancy (Bolyn 2017). A few symptoms of postpartum depression are excessive crying, loss of appetite, feelings of hopelessness, and difficulty concentrating (Bolyn 2017). Teen pregnancy contributes to a small percentage of women who are diagnosed with postpartum depression (Bolyn 2017). A pregnant woman is considered a teen mom if she is from the ages of

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

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.

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.

A woman’s body goes through many changes during pregnancy and after childbirth. Women can experience “postpartum baby blues” a few days after they deliver. During the postpartum baby blues, mothers may experience “depression, fatigue, insomnia, headache, anxiety, sadness, and anger” (Lowdermilk, Perry & Cashion, 2014). If the symptoms do not subside in a few weeks post-delivery, a mother may be diagnosed with postpartum depression (PPD). The estimated prevalence of mother experiencing postpartum depression is around 10-15% (Lowdermilk et al., 2014). Postpartum depression can affect a woman’s everyday life and how she responds to having a new baby in her life. She may not feel as though she can take care of her baby which can become a problem.

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 after two weeks. However, the symptoms of unspecified depressive disorder with peripartum onset also known as postpartum depression (PPD) can be more intense and last significantly longer. 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 to the new mothers life and can include the inability to take care of the newborn or herself. The DSM-5 also states that,

Postpartum depression (PPD) is a condition diagnosed in birth mothers upon returning home from the hospital after giving birth and feeling adrift. Symptoms may include depressed mood or severe mood swings from the first few weeks, to up to six months after birth. While hormonal changes is just one of the many factors that contribute to PPD, sleep deprivation, lifestyle, and environment may also affect any new parent (Smith, & Segal, 2016). Although our knowledge about PPD has greatly advanced in recent years, many aspects of pregnancy and the postpartum depression process are not understood and could be contributing to the high prevalence and low treatment rates. Three areas need to be further addressed to better understand postpartum

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).