Postpartum Depression : A Severe Psychotic Syndrome

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.

We know now that stressful events such as childbirth can bring on the symptoms of various mental illnesses (Gray 587), and we also know that having one mental illness can increase likelihood of having another (Mental Illness). Therefore, it is possible that Margery’s post-partum depression opened the door to symptoms of other disorders, such as hallucinations. Margery, at the end of her depression, sees a vision of Christ, after which she is “as stabled in her wits and reason as ever she was before” (Kempe 8). If Margery was indeed suffering from post-partum depression, it is unlikely that she recovered as quickly as she describes. It is more likely that she had been slowly recovering and the vision acted as a sort of catalyst, causing her to realize her improvement. She may have gained a sense of optimism from the vision; it has been proven with various diseases that those with an optimistic outlook on recovery tend to recover better and more quickly than those who have a more pessimistic view (Repper 52). If the vision is a hallucination, it is interesting that the onset of new psychotic symptoms cure her of her depression.

Borra, C., Iacovou, M., & Sevilla, A. (2015). New Evidence on Breastfeeding and Postpartum Depression: The Importance of Understanding Women 's Intentions. Maternal & Child Health Journal, 19(4), 897-907. doi:10.1007/s10995-014-1591-z

The postpartum period is about going through change and transition from a woman to a new mother. This is a time where mothers restore muscle tone and connective tissue in the body after the birth of the baby. Although there is a dramatic change during the postpartum period, women’s body is nonetheless not fully stored to pre-pregnant physiology until about 6 months post-delivery (Osailan, 6). At this time, women need to receive special health and social support to prevent problems such as postpartum depression. During this period, culture plays a major role in the way a woman perceives and prepares for her birthing experience. In fact, the notions of birth and postnatal care vary considerably with cultural beliefs and traditional practices. Each culture has its own values, beliefs and practices related to pregnancy and birth (Osailan,1). In the United States, after a short hospital stay, moms and babies are sent home because it is expected for mothers to heal within 42 days after giving birth. Whereas in other societies like Mexico, the postpartum recovery is active long enough until the new mother is fully healed (Brenhouse). In the article, “Why Are America’s Postpartum Practices So Rough on New Mothers?” by Hilary Brenhouse, the author states, “With these rituals comes an acknowledgment, familial and federal, that the woman needs relief more at this time than at any other—especially if she has a career to return to—and that it takes weeks, sometimes months, to properly

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.

According to Dupey “postpartum depression and postpartum psychosis are two separate conditions. Postpartum depression the mom knows that she is struggling but does not lose touch with reality. With postpartum psychosis the mom is dealing with anxiety, depression, and a complete break from reality. Knowing the difference between the two is important that family and providers recognize the difference (2014, para.12)”. When doctors do not recognize the difference and is treating the new mom for postpartum depression instead of psychosis, the end results can be harmful for the mother. The rate of mothers harming their children or commit suicide has increased over time. More states would benefit to have more faculties that deal with women

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.

First, to properly understand and contrast the differences in the treatment of postpartum depression in Gilman's day versus now, one must first compare the symptoms of the illness as presented in the story versus how health professionals recognize them today. Gilman's main character describes her symptoms by saying that most of the time she has become "awfully lazy, and lie[s] down ever so much" (Gilman 1039). Throughout the story, she constantly speaks of being nervous and tired. Additionally, she says of her baby that she "cannot be with him, it makes me so nervous" (Gilman 1037). Similarly, the author's own symptoms are that she became "depressed, spiritless, weak, and hysterical" (Golden), all of which one sees reflected in the story. According to Laith, the symptoms recognized today are "decreased energy, exhaustion,

Postpartum depression is a type of depression that women can experience after giving birth. It is similar to depression, but women also experience thoughts of harming the baby, feeling disconnected, or in general worry that they are not being a good mother (Centers for Disease and Control Prevention, 2013). When it comes to seeking help for this, most women can feel ashamed of what they are experiencing and may not seek the proper help they need. The purpose of this paper is to review the literature on postpartum depression and how it relates to John Bowlby’s theory of attachment. Bowlby’s theory focuses on the attachment being an innate and that mothers and infants need to stay close with one another (McLeod, 2007). As an advanced practice nurse, being able to understand, diagnose and treat women with postpartum depression is important as if diagnosed early, it is a very treatable illness with positive outcomes.

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

Mental health has become an important factor in a persons well-being and is recognized as having the same importance as physical health. The mental health of a person can determine how they act in society. Their mood and behavior can be severely affected in ways that family or friends don’t understand. A mood disorder that has a significant affect on family members is called postpartum depression. Postpartum depression is a mood disorder that occurs in women who have given birth a few weeks prior. This mood disorder is diagnosed after two months or even longer, new mother can be continuously sad throughout the day and feel as though not having a connection with their baby. Doctors are not able to know which mother will have postpartum depression

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

Ongoing sleep deprivation, the intense experience of birth, radical role shifts, and hormonal fluctuations all collide to produce mood swings, irritability, and feelings of being overwhelmed in the majority of mothers. While as many as 80% experience some form of the “baby blues,” a smaller percentage experience Postpartum Depression, with even fewer moms that experience Postpartum Psychosis. Treatments vary depending degree and intensity of symptoms, and can include talk therapy/psychotherapy (individually or group), antidepressants, electroconvulsive therapy, and other modalities. Awareness encompasses knowing and recognizing signs and symptoms. In order to minimize the harmful effects of this disorder, we should know our risk factors, conduct regular screenings, engage recent moms in expressing feelings, and sustain postpartum support groups.

In order to fully understand the narrator’s condition, it is essential to fully understand who she is, what her context is, and the mental disorder she is suffering from. Through her secret diary, we learn about the narrator’s experiences as a newlywed suffering from Postpartum Depression and the unhelpful advice of her husband John, who doubles as her doctor. The mental disorder the narrator is dealing with is called Postpartum Depression; a mental illness affecting 1 in 7 women in the United States alone, causing symptoms such as anxiety, excessive crying, changes in appetite, harmful or “scary thoughts,” and many more of the unusual actions portrayed by the narrator in her journal (“Postpartum Depression”). These symptoms are evident

After receiving my medical degree, I decided to learn about the health care in my home country. I started working in various communities and tertiary hospitals as a Medical officer. I also attended various medical camps in the rural areas of my country. When I was working in Gynecology & Obstetrics department I came across a patient who had developed postpartum psychosis. I still remember how aggressive, she had gotten and had to be closely monitored to prevent her from harming herself or others. Even while working in other departments, I had to deal with a lot of patients who had psychiatric issues and had to be referred to psychiatry for further consultation. Personally, my uncle ended his life having suffered from a lifelong depression.