...Postpartum Depression Anai Pineda March 10, 2014 I. Introduction In this report it is my intention to provide the reader with a better understanding of postpartum depression. To start off, it is necessary to understand that postpartum depression can be divided into three categories: postpartum blues, postpartum depression, and postpartum psychosis. A comparison of these three disorders can be seen in figure 2. Some of the characteristics of postpartum depression include a change in appetite, feeling unable to love the baby, or even anger towards the baby. Cases of postpartum depression date back as far as the Middle Ages when “women who exhibited melancholy during or after childbirth were thought to be witches or victims of witchcraft (Sparks).” In today’s modern world we have learned to see past outdated beliefs in witchcraft and that is why “there is a growing movement to integrate mental health screening into routine primary care for pregnant and postpartum women and to follow up this screening with treatment or referral and with follow-up care (O’Hara and McCabe).” II. Disorder and Symptoms Baby blues encompasses the most common symptoms that new mothers may have after the arrival of their baby. These symptoms last only a few days to a couple of weeks and include mood swings, anxiety, sadness, irritability, crying, decreased concentration, and trouble sleeping. Postpartum depression “may appear to be the baby blues at first, but the signs and symptoms are more intense...
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...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
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...considerable complexity that may manifest itself as a postpartum psychiatric disorder. Many physical and emotional changes can occur to a woman during the time of her pregnancy as well as following the birth of her child. These particular changes can leave a new mother feeling sad, anxious, afraid and confused (Nami.org). For many women, these feelings; which are known as baby blues, go away fairly quickly. But when they do not go away or rather they get worse, a woman may be experiencing the effects of postpartum depression (PPD). This is a serious condition that describes a range of physical and emotional changes and that requires prompt treatment from a health care provider. According to Mauthner, (1999) postpartum depression occurs when women are unable to experience, express and validate their feelings and needs within supportive, accepting and non-judgmental interpersonal relationships and cultural contexts. Postpartum depression is defined as a mild to moderate mood disturbance occurring between birth and six months post birth, rather than the less frequent, more severe postpartum psychosis, or the more prevalent but transient blues (Crokenberg & Leerkes, 2003). The postpartum period is unique in the development of mental illness. As stated by O'hara & Zekoski (1988), approximately 10% to 30% of mothers report clinical levels of depression during the postpartum period. Although the current literature divides the spectrum of postpartum mood disorders into three distinct categories...
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...Informative Outline Topic: “Postpartum Depression” General Purpose: To inform Specific Purpose: To inform the audience about Postpartum Depression 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. Attention Getter: Imagine a bright sunny morning, lite clouds low chances of rain which is a great example of a perfect day. You receive a call from someone who is about to have a baby. Who can believe an already perfect day can get any better. The mother is in labor and the baby is due any second now. The most joyous, exciting, life-changing and memorable moment in anyone’s life is about to happen. With no time to waste, you rush to the hospital to meet the new bundle of joy. While at the hospital it does not take much time for an individual to notice that the mother seems sad, irritable, and would not touch the baby. A few weeks later it is as if her condition has not improved. The mother seems to be experiencing what is known as postpartum depression. Preview of Main Points: 1. First, I will explain what is postpartum depression 2. Secondly, I will discuss the symptoms 3. Finally, I will discuss the treatments that are...
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...Traci Thompson Postpartum Depression Postpartum Depression can be a moderate to severe form of depression that begins within three months following childbirth. (Coone and Mitterer, 2013, Ch.14 pg.493) This form of depression can have lasting effects on the family and child. A depressed mother can seriously retard her child’s rate of development (Cooper and Murray 2001). How does postpartum depression differ from “the baby blues”? What are the signs, symptoms, and treatment associated with postpartum depression? What are some of the lasting effects of this disorder? Roughly 13 percent of all women who give birth develop postpartum depression (Coone and Mitterer 2013 Ch. 14 pg. 493). How will this disorder affect the bonding and attachment necessary in the development of the newborn into childhood? The “baby blues” is a condition that is usually experienced by an estimated 25 – 50 percent of all women, (Coone and Mitterer 2013). It is a milder form that lasts 1 – 2 days following childbirth. Signs and symptoms of “baby blues” are similar to that of postpartum depression, such as irritability, difficulty with sleeping, loss of appetite, and trouble concentrating. These can be attributed to natural hormonal changes that occur following childbirth. However, postpartum depression can set in soon after childbirth, or develop gradually over a period of months, and can last longer and symptoms are more severe, in severe cases a mother can become suicidal and...
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...Postpartum Depression I always thought that Postpartum Depression was not a real condition, until I had my second son, and it hit me like a ton of bricks. It was so overwhelming to suddenly realize that this was a very real condition and that it was happening to me. Postpartum Depression is a depressive disorder that can occur any time after your baby is born, up until one year after the birth. It can vary from mild symptoms, to severe symptoms, to suicidal thoughts and actions. It can affect women and men from all walks of life. Postpartum Depression is a very serious condition and should be treated as such. Postpartum Depression can be defined as; postpartum: occurring in or being the period following parturition. Parturition: the action of or process of giving birth to offspring. Depression: a psychoneurotic or psychotic disorder marked esp. by sadness, inactivity, difficulty with thinking and concentration, a significant increase or decrease in appetite and time spent sleeping, feelings of dejection and hopelessness, and sometimes suicidal thoughts or an attempt to commit suicide (Merriam-Webster’s, Merriam-Webster’s Medical Desk Dictionary, Springfield, Massachusetts, Merriam-Webster, Incorporated, 2005). There are other terms associated with Postpartum Depression. Some people think that Postpartum is the same thing as having the “Baby Blues”, which it is not. The baby blues commonly only last a few days to a few weeks, at most, and are very mild symptoms of crying,...
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...when they do not go away or rather they get worse, a woman may be experiencing the effects of postpartum depression (PPD). Abrupt hormone withdrawal is the most obvious change in immediate postpartum, but clues to the mood disturbance may lie in the deregulation of neuroendocrine systems, including how hormones affect neurotransmitters and their actions within the brain. The baby blues are common for numerous reasons. The baby’s crying and the mother’s interrupted sleep and breast-feeding are enough to make any woman feel irritable if not overwhelmed. The onset of postpartum depression, on the other hand, is believed to be caused by chemical imbalances in the brain; specifically shifts in hormone levels. According to postpartum Support International (PSI), the theory to date suggests that a sharp drop in estrogen and progesterone following delivery is the culprit.1 Ovarian steroids play an important regulatory role in a women’s general sense of wellbeing. Studies have found significant positive correlations between the onset of PPD and postpartum withdrawal of estrogen and progesterone levels.2 Aside from estrogen’s many roles in our developmental health, it is also known to be a neuro-stimulant with anti-depressive effects. High levels of estrogen produce an imbalance in the system that aggravates symptoms of anxiety. On the other hand, low levels of estrogen can lead to episodes of depression.3 A...
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...Postpartum depression, also known as PPD, affects approximately 12 to 20% of women worldwide (Papalia and Feldmen, 219). PPD is described as moderate to severe depression in a female after she has given birth. It may occur soon after delivery or up to a year later, but it usually occurs within the first four months after delivery. People who are most likely to report postpartum depressive symptoms are poorly educated women, young women, women who smoke and/or abuse alcohol and drugs, and unmarried women. There are numerous causes for postpartum depression. It may be bought on by the extreme changes new mothers face when assuming responsibility for a newborn. Another cause may be the high levels of certain hormones in a female’s body that can help prepare her for the stress of childbirth. Diabetic women with a low income are also known to suffer from PPD. Depressed mothers negatively affect children in many ways as well. Thankfully, there are ways of treating postpartum depression, such as medication and therapy. The exact causes of postpartum depression are unknown, but there are plenty of theories. PPD may be bought on by the intense lifestyle and emotional chances women deal with when there is a newborn to take care of. Some females just simply aren’t ready to take care of another human being besides themselves. This fact especially applies to first-time mothers and young women. Hormone levels have been known to change during and after pregnancy, which can affect a woman’s...
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...Birth Healing from a traumatic birthing experiences could be achieved through reflection. A traumatic birth experience can be described differently by all demographics of women and cover a wide range of reasons for labeling the birth as traumatic. According to Katherine Stone of Postpartum Progress (1) One of the leading causes of post-partum post-traumatic stress disorder is when a women’s reflection of her birth includes some recollection of feeling as if either her life of that of her child was in danger. In some instances depending on if a mother was predisposed to depression or other mental illness, either by prior diagnosis or genetics this recollection of trauma may be very minor in comparison to another experience. We must be open minded when discussing something as a trauma, what might be considered traumatic to one person may have been no issue for another. Katherine Stone of Postpartum Progress describes this as “The actual experience, and how the mother feels about her experience, both matter.” Trauma is defined by Webster dictionary as “Any physical damage to the body causes by violence or accident or fracture etc.” as well as, ”an emotional wound or shock often having long lasting effect.” Synonyms: Psychic trauma. So how do we learn from a traumatic birth? First we must learn to ask the tough questions. We can’t be afraid to ask our healthcare providers for clarification on what events led to the traumatic experience. To heal from a trauma it helps to have a...
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...Depression in Pregnancy and the Effects of SSRI’s Depression is a condition that is very common and is talked about more openly today than it once was. It is especially common in child bearing age and women are more likely to be affected. Depression is also very prevalent in pregnancy and the postpartum period. It has been reported that as many as 10% of women experience more than just the “blues” during pregnancy and in the postpartum period (Fleschler and Peskin, 2008). According to Mosby’s Dictionary (2009), depression is defined as: “an abnormal emotional state characterized by exaggerated feelings of sadness, melancholy, dejections, worthlessness, emptiness, and hopelessness that are inappropriate and out of proportion to reality”. Although depression can be precipitated by a traumatic event, a person with depression will often not be able to explain their feelings and might seem to have a lack of motivation, inability to concentrate, suffer from insomnia, and have a loss of interest or joy in activities they once enjoyed. Treatment for depression is especially important in pregnancy. Woman who do not receive treatment may not get regular prenatal care, are at a higher risk for an increase in substance abuse, preterm delivery and low birth weight infant’s (Fleschler and Peskin, 2008). Non-pharmacological treatment of depression includes: exercise, yoga, relaxation techniques, and participation in support groups or cognitive behavioral therapy. When these options...
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...The article I picked focuses on different types of treatments, for women suffering from Postpartum Depression. Postpartum Depression (PPD) is a major public health problem. Postpartum depression is defined as an episode of non-psychotic depression according to standardized diagnostic criteria with onset within 4 weeks to 12 months of childbirth (Fitelson, 2011).Some of the causes of postpartum depression after few weeks after delivery of the baby include being a single mother, childcare stress with new mothers, maternal neuroticism, and difficult infant temperament when the infant cries, low self-esteem because the new mother is not organized or well prepared, and anxiety. Medically there are obstetric and pregnancy complications that can...
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...Kate Schneider NURS 490 W2A - Capstone Experience Annotated Bibliography Godderis, R., Adair, C., & Brager, N. (2009). Applying new techniques to an old ally: A qualitative validation study of the Edinburgh Postnatal Depression Scale. Women and Birth. 22(1). DOI: 10.1016/j.wombi.2008.10.002 The purpose of this article was to present the results of a study using cognitive interviewing techniques. The techniques were utilized to interview pregnant and postpartum women about their experience of completing the Edinburgh Postnatal Depression Scale (EPDS). The study was qualitative and in-depth. The study consisted of nine pregnant and postpartum women who were recommended for follow-up psychiatric care. The nine pregnant and postpartum women completed the EPDS and following completion were questioned about their experiences. A technique known as cognitive interviewing techniques was utilized for further understanding of how the women interpreted the questions. The outcome of the participant's opinion was that the EPDS was precise, easy to follow, and overall easy to answer. It is important to note that eight of the nine participants had completed some college education. Six out of the ten EPDS scale were identified as potential concerns and variations in interpretation of the questions. Overall, the results indicated that it might be useful for the EPDS to be administered. Further questioning regarding details surrounding the woman’s responses is necessary in...
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...Postpartum depression (PPD) is a common complication of childbearing estimated at affecting women cross-culturally ranging from 7-20% (Donaldson-Myles, 2011; Fitelson, Kim, Baker, & Leight, 2011). There are many risk factors attributed to the development of PPD such as history of depression during pregnancy, history of anxiety during pregnancy, stressful life events, lack of social or partner support, low socioeconomic status, low oxytocin levels, as well as the use of formula for infant feeding (Donaldson-Myles, 2011; Stuebe, Grewen, & Meltzer-Brody, 2013; Fitelson et al., 2011). As PPD is a major public health concern for women and infant well-being research has found a wide range of treatment options ensuring individualized care. Postpartum...
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...Baby Yellows “The Yellow Wallpaper”, a short story by Charlotte Perkins Gilman is an unnerving tale about a woman and her spiral into psychosis. Mirroring the author’s actual experiences with depression and the “resting cure”, the story criticizes medical care that ignores patient concerns and deprives them of emotional outlets that could have been beneficiary towards a healthy mind. Set in the late nineteenth century, “The Yellow Wallpaper” illustrates the psychological effects of the popular “resting cure” and how the narrator is influcenced by it. While the illness the narrator has is never actually said, it is very heavily implied that she is suffering from postpartum depression. Eventually, her husband’s reliance on the “resting cure” and denying her healthy mental activities is what causes her depression to grow into postpartum psychosis. Postpartum depression is a form of depression typically affecting women after childbirth. Symptoms of postpartum depression include hallucinations and delusions, extreme agitation or anxiety, overwhelming fatigue, bizarre behavior, mood swings, inability or refusal to eat or sleep, and over worrying about the infant. The narrator showcases all of these symptoms, leading to the heavy assumption that she is suffering from postpartum depression. The narrator regularly experiences hallucinations, seeing a woman trapped behind bars in the pattern of the wallpaper. Gilman writes, “The front pattern does move- and no wonder! The woman behind...
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...Depression (major depressive disorder or clinical depression) is a common but serious mood disorder. It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. To be diagnosed with depression, the symptoms must be present for at least two weeks. Some forms of depression are slightly different, or they may develop under unique circumstances, such as: Persistent depressive disorder (also called dysthymia) is a depressed mood that lasts for at least two years. A person diagnosed with persistent depressive disorder may have episodes of major depression along with periods of less severe symptoms, but symptoms must last for two years to be considered persistent depressive disorder....
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