The Negative Effects Of Postpartum Depression

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).

Borra, C., Iacovou, M., & Sevilla, A. (2015). New Evidence on Breastfeeding and Postpartum Depression: The Importance of Understanding Women 's Intentions. Maternal & Child Health Journal, 19(4), 897-907. doi:10.1007/s10995-014-1591-z

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.

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.

Postpartum depression (PPD) is a major event occurring in eight to fifteen percent of the woman population after delivering their child (Glavin, Smith, Sørum & Ellefsen, 2010). The symptoms and causes of PPD are similar to depression symptoms in other periods of life (Glavin et al., 2010). These symptoms may include feelings of helplessness and hopelessness, loss of interest in daily activities, sleep changes, anger or irritability, loss of energy, self-loathing, reckless behavior and concentration problems. These symptoms may lead to other factors that are detrimental to the child bearing and rearing family.

Postpartum psychiatric disorders are generally divided into 3 different categories: postpartum blues, postpartum psychosis and postpartum depression. Postpartum blues are very common. Symptoms are characterized by crying, confusion, mood swings, and anxiety. These symptoms manifest early after birth but don’t last very long. Another one is postpartum psychosis which is more severe. Symptoms appear within four weeks and include delusions, hallucinations and gross impairment in functioning. Postpartum depression begins in or extends into the postpartum period (Ohara, 2004). According to Health Facty, there are 10 symptoms of postpartum depression; sadness, mood swings, feeling overwhelmed, crying spells, problems with memory and concentration, change in sleep cycle, altered patterns of eating, loss of libido, social withdrawal, and an enduring sense of exhaustion. Symptoms must last longer than one moth to be diagnosed as postpartum depression.

The birth of a child can be a very exciting time in a mother's life, but sometime the feeling of excitement can be overshadowed by extreme mood swings, uncontrollable crying, the feeling of sadness, the loss of appetite, feeling angry followed by anxiety and restlessness. These are all symptoms of postpartum depression. Postpartum depression is a severe mental disorder that some time will occur after giving birth or after being pregnant. According to research postpartum depression usually will occur within a year after giving birth. According to the Centers for Disease Control, 11 to 20% of women who give birth each year have postpartum depression symptoms. ). Although researchers have not been able to determine one main

In the United States, as well as many other countries and cultures, postpartum depression is prevalent, but many times overlooked or not diagnosed. Postpartum depression is a “mood disorder that occurs with alarming frequency with documented prevalence of 10% to 15% during the first 3 months after delivery” (Horowitz, et. al, 2013, p. 287). Throughout hospitals, nurses are being educated about postpartum depression, which allows them to educate patients on what postpartum depression is and how to recognize the signs. If unrecognized and left untreated, women are at an increased risk of future depressive episodes and functional impairment (Katon et. al, 2014). There are many initiatives in place to increase the amount of screening and education that is occurring for postpartum depression.

People lose interest in things they used to enjoy and may withdraw from others.” While the CMHA does not explicitly note in its definition that both men and women may experience this mental illness, its use of the words “some” and “people,” instead of women, can be seen as suggesting that both sexes are susceptible. The assertion that both men and women can experience postpartum depression is corroborated by a study done by Escribà-Agüir and Artazcoz (2011). Despite the position of these two sources, Thurtle (1995) explicitly notes that diagnosis of postpartum depression should be “restricted to mothers with a depressive illness,” asserting that this pathology exclusively affects women. Being that Thurtle’s study was published in 1995, within a decade of researchers beginning to study sex differences, and similarities, and only a year after women were allowed to participate in biomedical research, it is likely that they did not consider investigating the illness through a gendered lens.

Consequently, the treatment for postpartum depression is more intense than that for the baby blues. Among the many treatments, many mothers undergo intense counseling, take antidepressants, or even experience hormone therapy ((3)).

After having some background information about how postpartum depression happens, it’s time to talk about the stages. The first stage is denial, no one wants to believe that they are depress after giving life to little angel because everywhere you go or anytime you here a baby is born you think of happiness and how great life will be, so it’s difficult for a mother to believe she is depress.

A rare case, but experienced by many innocent women, is the murderous intentions of severe Postpartum depression and how it has affected mothers, and innocent children. During pregnancy, women go through numerous hormonal changes and imbalances that change their state of mind and mood. It’s obvious that pregnant women are very hormonal, but during labor, those hormone levels increase significantly. Many times for first time mothers, this results in; lack of confidence, feelings of guilt, suicidal thoughts, anxiety, fatigue, and hallucinations. Often times, these hallucinations and feelings of guilt will lead a mother to kill her own child. There has been situations when a mother wants to commit suicide, so she kills her baby first. She kills

Life following postpartum can be filled with satisfying or unpleasant feelings. Support from the workplace and extended family, along with positive relationship quality, can facilitate the prosperous growth of the couple and their baby. Inadequate social support and the inability to cope following birth, however, can result in postpartum depression, also known as PPD. This paper will discuss the effects of PPD amongst mothers, fathers, and infants, and how certain nursing actions can be applied to treat those affected.