Postpartum Depression : Symptoms And Symptoms

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

Often the time after birth is a filled with joy and happiness due to the arrival of a new baby. However, for some mothers the birth of a baby leads to some complicated feelings that are unexpected. Up to 85% of postpartum woman experience a mild depression called “baby blues” (Lowdermilk, Perry, Cashion, & Alden, 2012). Though baby blues is hard on these mothers, another form of depression, postpartum depression, can be even more debilitating to postpartum woman. Postpartum depression affects about 15% (Lowdermilk et al., 2012) of postpartum woman. This disorder is not only distressing to the mother but to the whole family unit. This is why it is important for the nurse to not only recognize the signs and symptoms of a mother with postpartum depression, but also hopefully provide preventative care for the benefit of everyone involved.

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,

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.

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

A new addition to the family brings a lot changes; the good and the bad, as well as, mixed emotions during the first couple weeks after delivery. Parents may experience loss of sleep, loss of appetite, new schedules, and trying to determine why the child is crying/upset. However, depression is often an unanticipated occurrence. Families with more than one child, may not understand why the mother is experiencing these symptoms with this baby and not with the other children. Fathers may tell the mother to “get over” and be “normal”, but in reality, it is not as easy as it seems. The father may put a lot of pressure on the mother to be a stay-at-home-mom, while they go to work and not feel the need to help out as much within the home. The percentage of depression is 18.4% during pregnancy and 19.2% postpartum (Evans, Heron, Francomb., Oke, & Golding, 2001).

Postpartum depression (PPD) is a range of depressive symptoms that women may experience after giving birth. It’s onset within the first month after birth. Many studies define the “postpartum period” at a minimum of 3 months up to a year after childbirth (Chaudron, Szilagyi, Campbell, Mounts, & McInerny, 2007). Symptoms range in severity and the timing post childbirth, peaking at about six weeks after delivery for major depression and two to three months for minor depression. Women can experience another peak of depressive symptoms 6 months after birth (Earls,

“Maternal Depression” is a term that includes a range of depressive conditions, which impact mothers while pregnant and up to 12 months after delivery (NIHCM). Such depressive conditions include prenatal depression, postpartum depression and postpartum psychosis (NIHCM). In this paper, current literature that examines both prenatal depression and postpartum depression in relation to infant health will be reviewed. Prenatal depression includes depressive episodes starting during pregnancy and lasting from six months to one year after delivery (NIHCM). The symptoms of prenatal depression are similar to those of major depression and those of postpartum depression (NIHCM). Postpartum depression occurs after the baby is born, usually within the first 2-3 months postpartum, yet onset can be immediate, and may last up to one year after delivery (NIHCM) (Health.gov). It is estimated by the Centers for Disease Control and Prevention (CDC) that one out of eight women suffer from postpartum depression (CDC). Symptoms of postpartum depression include “feeling disconnected from the baby, worrying that you will hurt the baby, and doubting your ability to care for the baby” (CDC). Most people who experience maternal depression, even those with severe forms, are able to improve with treatment (CDC).

Pregnancy and birth are both major changes in the lives of women everywhere. These events can be overwhelming, and can lead many women to experience feelings of depression, which can result in postpartum depression, a serious condition that can adversely affect the health of mother and child. The following PowerPoint aims to help educate women on the symptoms and causes of postpartum depression, and how to differentiate it from the normal feelings that can occur with childbirth. Finally, it seeks to provide resources to women for diagnosis, treatment, and support.

According to authors Susan Dowd Stone and Alexis E. Menken postpartum depression can start during pregnancy which is called perinatal disorder (2008). During pregnancy, women can suffer through mood disorders which are a leading cause of postpartum depression. Women who are screened and diagnosed for depression are most likely to have postpartum depression. Doctors know to keep a close watch on these women who are found positive for depression. After giving birth, the woman will develop postpartum depression; this can lead to postpartum psychosis when women do not receive the help that they need. There are women known to have killed their children due to having postpartum depression or

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,

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

According to statistics, up to 20 % of new mothers may experience postpartum depression in the months after giving birth. Up to 85% of women have bouts of crying, mood swings, anxiety, feeling overwhelmed, sad or fatigued after the birth of a child, in a condition called “the baby blues.” It can last up to two weeks and is said to be normal. However, these are the same symptoms of PPD. Symptoms of PPD vary from person to person, between men and women, and now can even start before the baby is born. On top of the colossal size of symptoms seen in depression alone now we introduce another unwavering set. These also include feelings of extreme sadness/shame/guilt, loneliness, hopelessness, fears about hurting the baby, and feelings of disconnect

Postpartum depression is more serious than postpartum blues and occurs in about 10 to 20 percent of new mothers, and is detected anywhere between the first three and six months after the birth of the child, but may not affect the mother until up to a year after the child is born. Symptoms of this condition include: sadness, loss of interest in normal activities, guilt, anxiety, tiredness, feeling like you"re not good enough, impaired concentration or memory, over concern for the baby or none at all, inability to cope, despondency or despair, hopelessness, panic attacks, thoughts of suicide, bizarre or strange thoughts, or feeling " 'like you are going crazy.""(www.chss.iup.edu).