Both groups experienced significant improvements of PPD symptoms during the intervention phase, but this improvement was significantly larger in the saffron group compared to the placebo group. The improvement observed in placebo arm could be explained by the placebo effect (27). However, the mean difference in response and remission rate between saffron and placebo groups found to be statistically significant and clinically meaningful. In terms of etiology, PPD is a multifactorial disorder with biological, psychological, and sociological aspects. Nonetheless, with our data we were able to find indications that saffron is effective on psychological and behavioral outcomes in postpartum depressive mothers.
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.
This article talked about dealing with women’s postpartum depression (PPD) in a spiritual way. Similar to Borra, C., Iacovou, M., & Sevilla, A’s article, the author also mentioned that the fluctuation of hormonal or chemical levels in women can be triggered by circumstances which include socioeconomic status, prior mental health history and their childbirth experiences such as if the mother had the experience of a traumatic delivery, preterm labor or difficulty in feeding. These factors not only influence on the well-being of the mother but also impact on the families, marriage and the lifelong health development of the child and their siblings.
Published studies of psychosocial factors or interventions associated to PDN were reviewed. This included a search of the following electronic databases, from 1946 to up to 10 August 2017: Medline, Embase, PsycInfo, Cinahl, Web of Science, ISRCTN registry, ClinicalTrials.gov registry, and EU Clinical Trials registry. Also, the reference lists of all included papers and of related published reviews (e.g., Eccleston et al., 2015) were screened to identify any additional eligible studies.
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
Risks are higher among ethnic minority women or women with a lower socioeconomic status (SES), and suffering from a major depressive disorder. Yet, less than half of these women will be identified or treated for PPD disorder (Yonkers, p. 1856). The woman who are vulnerable for this disorder can be identified by risk factors during the postpartum period. These factors may include a history of major depression, depressive symptoms during the pregnancy, obstetrical complications, unstable marriage (significant other), stressed life events, low income, educational attainment, and not breastfeeding (Yonkers, 2001), and these factors can be used to assess women outside of the postpartum period.
Atlas.ti was utilized to analyze and code the EPDS, SSQ and individual interviews to create common themes. Direct quotes from the interviews of the women were categorized for each risk factor. As hypothesized, women of Asian descent have higher incidence of postpartum depression than North American women, (see Figure 1). One hundred and two Asian women were considered having signs of PPD two weeks postpartum as opposed to the sixty-seven North American women.
An article on postpartum depression states “70 to 80 percent of women who have given birth experience what are called the ‘baby blues’ or the ‘fourth-day blues’ “(Postpartum Depression). The “baby blues” and “fourth-day blues” have symptoms of mood-swings, unhappiness, anxiety, irritability, or restlessness and these symptoms will often go away or lessen without medical intervention (Postpartum Depression). If someone experiences these symptoms they are not automatically classified with having PPD.
What is Postpartum Depression (PPD)? How would you know if you had it? Is it unavoidable, something you just have to endure? Fortunately, Postpartum depression is more akin to a temporary condition that can be managed and counterbalanced with insight, sensitivity, and support. What begins as the “baby blues” is estimated to affect as many as upwards of 80% of women after a birth. Although some purport it is caused by hormonal changes, there remains a lack of consensus as to
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).
Postpartum depression (PPD) exists as a part of the spectrum of major depression, coded with a modifier for postpartum onset which is defined as an episode of depression, mania, or