The Effects Of Postpartum Depression On A Woman 's Mood

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).

When a woman gives birth to a child, it can be one of the most joyous and exciting moments in her life, yet it can also be difficult and stressful. There are a range of emotional, behavioral, and physical changes that occur shortly after a woman gives birth. These changes are common; however, many women who experience these emotions may have postpartum depression, with symptoms ranging from mild to severe. Many women require medical treatment. Although all causes of postpartum depression are unknown, there are many factors that can put a woman at risk. This essay provides an overview of postpartum depression, the impact it has on the individual client, the newborn, and the family, the physical and mental assessment

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

According to Katon (2014) research has shown several predictors of postpartum depression. The risk factor are as follows: prenatal depression, self-esteem, childcare stress, prenatal anxiety, life stress,

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.

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 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.

Depression is a common problem during and after pregnancy; about thirteen percent of pregnant women and new mothers have depression (Women’s Health, par. 2). According to the National Institute of Mental Health, postpartum depression is defined as a mood disorder that can affect women after childbirth (National Institute of Mental Health, par. 2). Even though the mothers that suffer from postpartum depression often think it is their fault, postpartum depression can happen to any mother. This is because it is a disorder that is out of their control, it is common among many mothers and it is usually caused by a hormonal imbalance.

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

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 mood disorder in females that is known to be present within the 4 to 6 weeks after childbirth (Battle et al). This condition is the most common complication after childbirth (Mosses-Kolko et al.,2009).Studies have shown predictors which lead to postpartum depression such as maternal childhood maltreatment and lifetime posttraumatic stress disorder (PTSD)in pregnancy (Seng 2013).A variety of factors exist among certain subgroups of women that may lead to postpartum depression. Postpartum depression affects approximately “one out of eight of the more than four million women who give birth in the United States every year”(Kruse et al. 2013a). The estimation of PPD in the US, UK, and Australia is from 7% to 20 % (Fitelson

The birth of a baby can generate powerful emotions, from excitement and joy to fear and anxiety. But it can also result in something unexpected, depression. Postpartum depression affects approximately 10-15% of women and impairs mother-infant interactions that in turn are important for child development. Postpartum depression is sometimes mistaken for baby blues, but the signs and symptoms are more intense and last longer, eventually interfering with a mother’s ability to care for the baby and handle other daily tasks. Symptoms usually develop within the first few weeks after giving birth, but may begin later and up to six months after birth. Postpartum depression isn 't a character flaw or a weakness, it 's simply a complication of giving birth. More than half of all mothers experience a period of “baby blues” in the first few weeks after delivery, when they feel significant sadness, exhaustion, fear, and mood instability. More often than not, this experience resolves on its own, especially in the presence of good social supports. Nevertheless, there are times when the “baby blues” don’t go away in just a few weeks and it sometimes progresses into an episode of major depression, with more severe and more persistent symptoms. As many as 1 of every 8 mothers are reported to develop an episode of major depression in the month immediately following delivery, though the Diagnostic and

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).