The Epidemiology of Male Postpartum Depression Only in recent history have significant strides been made to understand and treat postpartum depression. While the psychiatric disorder was written as long ago as 700 BC, by Hippocrates, it was not officially recognized as a medical diagnosis until the nineteenth century. Even in today’s society, individuals tend to harbor ill feelings toward postpartum depression, likely due to cultural beliefs and miseducation. According to the U.S National library of medicine postpartum depression is “moderate to severe depression in a woman after she has given birth, occurring soon after delivery or up to a year later”, (U.S National Library of Medicine, 2014). Women have been most widely identified as being impacted by postpartum depression, and for decades, research has focused on them, with limited data related to males. However, recent studies focusing on male postpartum depression, not only prove that men are affected by the disorder; potentially to the same extent as women, but also suggest that there is a likely correlation between either parent having the condition, and it consequently affecting both parents. Recent studies have found that, “prenatal and postpartum depression was evident in about 10% of men in the reviewed studies and was relatively higher in the 3- to 6-month postpartum period. Paternal depression also showed a moderate positive correlation with maternal depression” (Paulson and Bazemore, 2010, p. 1961). Given this
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).
Postpartum depression is one of the most commons disorders in the early few weeks of child birth. According to the American Psychology Association almost 1 in 7 women are Likely to inherit the disorder. Postpartum depression is caused by the rapid drop of estrogen and progestrone hormone following the birth of a child. The effects include excessive crying without reasoning, irritability, anxiety, loss of memory, and the inability to focus. Within the early weeks of child birth it is expected for a mother embrace her baby however; The symptoms of postpartum depression can cause intrusive thoughts that can harm both mother and child. Many women suffer from the postpartum due to the lack of a support system. It is likely that if a mother doesn't
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
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 has been around for centuries, it was recognized as early as 1500 B.C. However, instead of seeing it as a medical issues it was viewed as witch craft or victims of witch craft. Later on in the 1920s one theory suggested these mood disorders were caused from suppressed homosexuality or incestuous urges. Postpartum depression was not even taught in schools because people believed that it was impossible for a pregnant woman to be depressed because pregnancy/birth of a child was a joyous occasion. Now fast forward to present day and postpartum depression is well known and is taken very seriously. Recent studies show that within the first year of giving birth one in five woman have experienced postpartum depression.
"Why do so many women continue to suffer?" Asked Psychotherapist Karen Kleimen in her recent article on postpartum depression in a well-known medical magazine, Psychology Today. "Why is it that postpartum depression and its related conditions continue to be misunderstood by so many healthcare professionals?" Followed Karen. After being constantly bombarded with terrifying effects and the rising number of cases of postpartum depression, many women are raising similar questions as those of Karen and are demanding satisfactory answers from healthcare providers. As a result, healthcare providers have conducted several research and concluded a number of potential causes for postpartum depression.
Women who have previously suffered with depression prior to childbirth have a higher chance of experiencing the debilitating depression. Teenage mothers have an increased risk of postpartum depression “with prevalence estimates ranging from 26% to over 50%” (Springer). Adolescent mothers can experience the consequences of postpartum more so than non-adolescent mothers because of “their increased risk of adverse birth outcomes, low self-esteem, little social support and parenting difficulties” (Springer) at such a young age.
There is need for people to understand what postpartum depression is and learn how to deal efficiently and effectively with it. According to the national health science (NHS), postpartum depression is defined as a depression that normally occurs after childbirth. To help deal with this issue, a lot of investment has been made for public sensitization on how to handle the issue. However, this effort of public sensitization may yield little results because many people view this problem as a problem of others. This literature review therefore focused on trying to understand the various issues surrounding or leading to postpartum depression and the effects that it has on family experience, starting from the mother, the child, the father and the whole society in general. The study was majorly centered on trying to understand to what extent the depression either directly or indirectly affects the mother, the father and the whole society, in general. The objective of this literature review was to examine and decode a considerable number of relevant articles that had researched and arrived at conclusions that related to postpartum depression. After rigorous review of the literature, it was found out that postpartum depression had a direct effect on the family experience. The findings show how exactly postpartum depression affects the mother, the father/family, the child and the whole society in general. This
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,
Post partum depression can begin two weeks to couple months after delivery for a woman. It is also referred to as “the baby blues,” a feeling of stress, sadness, anxiety, loneness, and tiredness following the child’s birth (American Psychological Association [APA], 2016). As critical as it could be for the mother, post partum depression has long term consequences on the development of the child. It does not only impact the mother in providing care for the newborn, it also has numerous impacts on the families, and the larger community. APA (2016) suggested that up to 1 in 7 women experiences postpartum depression and that it can affect any woman, regardless of their marital status, first-time mothers or mothers with one or more children, easy or problem pregnancies, income, age, race or ethnicity, culture or education. Its impact may affect both the child development, and the mother interaction in respect to the child development. The whole family system is affected with perinatal loss. Many children experience unresolved grief which can be seen later on in adulthood. According to the article “siblings in families bereaved as a result of perinatal loss suffer in two ways: they mourn the loss of their expected sibling and they mourn the loss of the parents as they knew prior to the loss”. The loss of a child can be so overwhelming that parents forget about their child’s grief. This type of grief is known as the incipient grief; grief that is not
Childbirth is considered to be a blessing and joyful event in most cultures. However, for many mothers, this is not the case. Mothers who experience unplanned pregnancies may be ill-prepared and ill-equipped to take on their new role as mothers and the associated responsibilites. Even when pregnancies are planned, women may lack the necessary social support needed after childbirth. Furthermore, many women may not have a full understanding of how this event will impact them physically, mentally, and emotionally. Nor are can they fathom how it will affect their roles, relationships, and responsibilities. As a result, mothers may experience mood disorders ranging from the “baby blues” to postpartum depression.