Use of the Edinburgh Postnatal Depression Scale (Epnds) with Mothers of Different Cultural Backgrounds Within Butetown in Cardiff

Postpartum depression can have serious consequences for the health of both mother and child. Indeed, a recent study of 10, 000 postpartum women found 19.3% of women with postpartum depression had considered hurting themselves (5). In the United Kingdom suicide is the leading cause of maternal death in the postpartum period (6). Even in less severe cases, postpartum depression may compromise caregiving practices (e.g., are less likely to use car seats, breastfeed, or ensure that their child receives up to date vaccinations); (7;8) and maternal-infant bonding (e.g., are less responsive to their infants, engage in less face-to-face interactive play and participate in fewer enrichment activities); (7;9;10). These factors may be partly responsible for delayed cognitive, intellectual, social, and emotional development of the child (11-15). Given the negative consequences of postpartum depression, prevention and treatment is imperative.

Thesis: Postpartum depression is a mood disorder that can greatly effect new mothers. Knowing how to recognize their symptoms and treating it can greatly increase chances of a healthy, happy living.

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.

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,

According to Epperson, (2010), “With the delivery of a baby, a women experiences a myriad of different emotions, mood swings, and crying spells that fade quickly. She may encounter an array of extreme feelings that range from being feeling sad frequently, or being excited one minute and disappointed the next. She

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.

Depression after childbirth is called postpartum depression. Some women who have postpartum depression might just think it is the “baby blues”. Anywhere from forty to eighty percent of new mothers experience baby blues (BabyCenter Medical Advisory Board, par. 1). However, baby blues typically go away within a few days or a week, and the symptoms are not as severe, and do not need treatment. Symptoms of the baby blues include minor crying spells, trouble sleeping, feeling overwhelmed, and/or loss of appetite. Postpartum depression symptoms last longer and are more severe than baby blues, and can begin anytime within the first year after childbirth (Women’s Health, par. 11). However, in some rare cases

Postpartum depression in a common experience for newer mothers to have after childbirth. It is meant to last only a few days but can extend for a few months if it is severe. It is thought that it is caused by extreme hormonal shifts in the body after childbirth. If not treated in time, it has a potential chance harm the mother or the child. It is important that the mother feels appreciated and respected during this time. This article will help by giving further information in postpartum depression and further help the claims of how gender roles can further depression.

Postpartum depression is a type of depression that women can experience after giving birth. It is similar to depression, but women also experience thoughts of harming the baby, feeling disconnected, or in general worry that they are not being a good mother (Centers for Disease and Control Prevention, 2013). When it comes to seeking help for this, most women can feel ashamed of what they are experiencing and may not seek the proper help they need. The purpose of this paper is to review the literature on postpartum depression and how it relates to John Bowlby’s theory of attachment. Bowlby’s theory focuses on the attachment being an innate and that mothers and infants need to stay close with one another (McLeod, 2007). As an advanced practice nurse, being able to understand, diagnose and treat women with postpartum depression is important as if diagnosed early, it is a very treatable illness with positive outcomes.

Mental health has become an important factor in a persons well-being and is recognized as having the same importance as physical health. The mental health of a person can determine how they act in society. Their mood and behavior can be severely affected in ways that family or friends don’t understand. A mood disorder that has a significant affect on family members is called postpartum depression. Postpartum depression is a mood disorder that occurs in women who have given birth a few weeks prior. This mood disorder is diagnosed after two months or even longer, new mother can be continuously sad throughout the day and feel as though not having a connection with their baby. Doctors are not able to know which mother will have postpartum depression

Depression, in general, affects more than 340 million people around the world and is reported to be the highest cause of disability in high-income countries (Demissie). 15% to 85% of mothers can experience postpartum “blues” with postpartum depression rates between 11.7% and 20.4% in the United States alone (Ersek). This depression can occur at anytime from post-delivery up to one year (Ersek).

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

Postpartum depression affects about 13% of new mothers within the first year after childbirth (Marrs, 2013). Every year there are nearly 4 million births and approximately 1 in 7 women experience postpartum depression (“Postpartum Depression-ACOG”, 2013). When a woman is screened for PPD, they are typically evaluated after giving birth and approximately 4-6 weeks after delivery. Screening can include the use of Postnatal questionnaires to determine the severity of the depression and the treatment if needed. The treatment can range from the use of antidepressants to the use of therapy to help manage and improve PPD. Many women choose not to use antidepressants due to concerns of breastfeeding and the potential harm to the child and would prefer to use therapy (Scope, 2012, p. 1910). In using therapy, the standard form had previously been on a one-to-one basis with a therapist or psychiatrist. Women found that speaking in confidence allowed them to open up about their feelings without any judgment (Scope, 2012, p. 1914). In contrast, other studies have shown that more women find that doing group therapy is more beneficial and feel that individual therapy can create feelings of self-isolation which adversely leads to a reduction in compliance with following through with continued therapy sessions (Scope, 2012, p.1914). Recently, the use of a method called cognitive behavior therapy (CBT) and online therapy, have allowed women to discuss their PPD and find

Over the course of my research paper I will be examining the different aspects of postpartum depression and how it affects their child’s developmental stages. The research compiled will explain how maternal depression could do harm to a child and if the possible treatments available. I will explain the methods I will be using, information I found in my research, developmental theories, and my opinion on this subject. In the first section of my paper I will explain what methods I have used to gather my information next I will conclude my research findings this section will include definitions, the stages, how it affects developmental and treatments available, moving on with my paper I will explain how developmental theories