Postpartum Depression Chapter 22

postpartum depression
postpartum blues
postpartum depression
postpartum psychosis

*Postpartum Blues* Clinical Manifestations
Crying
Feelings of sadness
Lack of appetite
Sleep Pattern Disturbances
Feelings of Inadequacies
Intense mood swings

*Postpartum Blues* Occurrence
Occurs in 50%-70% of women
Stards during the first few days after birth and continues for up to 10 days

Typically resolves in 10 days *without the need for intervention or treatment*

*Postpartum depression* manifestations
feelings of guilt and inadequacy
irritability
anxiety
feelings of loss
lack of appetite
persistent feelings of sadness
intense mood swings
sleep pattern disturbances
crying
weight loss
flat affect
rejection of the infant
severe anxiety and panic attack
fatigue persisting beyond a reasonable amount of time

Postpartum Psychosis
Pronounced sadness
disorientation
confusion
paranoia
Hallucinations, delusional thoughts
thoughts of harming self or others

Risk Factors for all
-hormone changes with a rapid decline in estrogen and progesterone levels
-postpartum physical discomfort or pain
-individual socioeconomic factors
-decreased social support system
-anxiety about new role as mother
-unplanned or unwanted pregnancy
-history of depressive episode
-low self esteem
-history of domestic violence
-history of previous postpartum psychosis or bipolar illness
-Family history of mood disorder

Screening for Depression
1. Edinburg Postnatal Depression Scale (EPDS)
2. Postpartum Depression Predictors Inventory (PDPI)
3. Postpartum Depression Screening Scale (PDSS)

Postpartum Depression Treatment
Medications: Zoloft, Paxil or Prozac

cognitive behavioral or interpersonal psychotherapy
Assistance with child care

Postpartum Psychosis treatment
hospitalization
antipsychotic medication, sedatives
electroconvulsive therapy
psychotherapy
removal of the infant, social support

Emotional lability, irritability, and insomnia that typically resolves within 2 weeks (by postpartum day 10); usually self-limiting. Postpartum or Baby Blues Major depressive episode associated with childbirth; symptoms lasting beyond 6 weeks and worsening Postpartum Depression WE WILL WRITE A …

Postpartum Blues (Baby Blues) transient and brief; mild mood swings, irritability*, anxiety, decreased concentration, insomnia, tearfulness, crying spells; occur within 2-3 days pp (peak on 4th or 5th) and resolve within 2 wks; more common and less serious than PPD; …

What cultural characteristics are found where postpartum depression is rare? -Structure of a distinct postpartum period -Protective measures for the presumed vulnerability of the new mother -Social seclusion -Mandated rest -Assistance in tasks from relatives/midwives What do new moms get …

Postpartum period increases the risk of developing mood disorders. Postpartum blues, postpartum depression (PPD) and postpartum psychosis are the different types of mood disorders which are common in postpartum period. PPD has devastating effects on the lives of the mothers …

Studies have found that postpartum mood disorders are prevalent among women especially within the first year after they have given birth. Up to 8% of new mothers experience depression after delivery. However, it is the escalation of baby blues that …

Postpartum Psychosis is a serious mental condition that was first recognized in 1850. According to statistical surveys, the rate of postpartum psychosis has not changed since the 1800s. While about ten percent of women are likely to develop postpartum depression, …

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