Postpartum Women: A Case Study

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).

The authors discussed the need for effective treatments to address the high global rates of PPD and maternal depression up to two years after delivery (Letourneau et al., 2015, p. 1588). The research problem is the efficacy of TBPS in diminishing maternal depression up to two years postpartum (Letourneau et al., 2015, p. 1588). This problem arose due to three main factors; increased PPD and maternal depression rates, and existent theoretical frameworks about TBPS with early PPD.

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.

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,

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

Post Partum depression causes a new mother to become depressed to a severe extent. PPD causes its patients to fall to an uncomfortable mental state. PPD patients feel discouraged, hostile,

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 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 (PPD) affects about eighty-five percent of new mothers and persists as long as a year after childbirth (Texas Medical Association, 2015). In spite of the scope of this problem and the benefits of screening women, it’s not standard procedure (New York State Department Of Health, 2016). This policy brief was written for healthcare providers that treat new mothers at risk for PPD with the goal of improving screening and the number of women receiving appropriate treatment. The recommendations address measures to improve early identification and follow-up care for women found to have PPD.

It’s common for women to experience the “baby blues” — feeling stressed, sad, anxious, lonely, tired or weepy — following their baby’s birth. But some women, up to 1 in 7, experience a much more serious mood disorder — postpartum depression. (Postpartum psychosis, a condition that may involve psychotic symptoms like delusions or hallucinations, is a different disorder and is very rare.) Unlike the baby blues, PPD doesn’t go away on its own. It can appear days or even months after delivering a baby; it can last for many weeks or months if left untreated. PPD can make it hard for you to get through the day, and it can affect your ability to take care of your baby, or yourself. PPD can affect any woman—women with easy pregnancies or problem pregnancies,

This can affect the confidence of the new mother in caring for her new baby. Post partum depression is seen in 80% of women who gives birth but in most women the symptoms resolve within 2 weeks. If the symptoms last longer than that, it is recommended that she should be screened for Post partum depression. Studies have shown that children of mothers with postpartum depression displays problems with social emotional and cognitive development and these changes are visible in children as young as 3 months old. Early detection and treatment of postpartum partum depression is crucial to the physical and emotional well being of the mother and baby .It is important to know the signs and symptoms of the condition and intervene appropriately. Antidepressants are commonly used as the first treatment option for adults with moderate to severe depression, but there is little evidence on whether antidepressants are an effective and safe choice for the treatment of this disorder during this period. Serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) are

Postpartum mood disorders is defined as a spectrum of illness including postpartum blues, postpartum depression and postpartum psychosis. The postpartum blues are extremely common and no specific treatment is usually needed. Postpartum depression is less common and may significantly impact both the health of the mother and baby. Postpartum psychosis is extremely rare with clinical features including mania, psychotic thoughts, severe depression, and other thought disorders, and requires hospitalization. This paper will focus on reviewing and discussing postpartum depression.

Randomized controlled clinical trials have shown that TBPS is effective, acceptable and lowers PPD rates and symptoms during the early postpartum period (Dennis 2003, 2010, Dennis & Hodnett 2007, Dennis et al. 2009, Matthey 2009). Social support is a psychosocial therapy acceptable to mothers that improves PPD symptoms and rates (Dennis & Chung-Lee 2006). Social support is effective because mothers with PPD have low or deficient social support (Beck 2001, Xie et al. 2009, Sawyer et al. 2010, Dennis et al. 2012, Eastwood et al. 2012), low partner empathy (Fisher et al. 2012) and greater social isolation (Eastwood et al. 2012). Social support improves PPD through decreased social isolation (Nielsen Forman et al. 2000), improved self-care and