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Postpartum Depression

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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, sadness, anxiety, and trouble sleeping, just to name a few. Another term associated with Postpartum Depression is Postpartum Psychosis and this condition is very serious and life threatening at times. The symptoms associated with this condition usually include paranoia, confusion, hallucinations, and attempts to harm your baby or yourself. This condition is very serious and should be treated immediately. If you have any of the following symptoms of depression for more than two weeks, you should call your doctor: feeling restless or moody, feeling sad, hopeless, and overwhelmed, crying a lot, having no energy or motivation, eating too little or too much, sleeping too little or too much, having trouble focusing or making decisions, having memory problems, feeling worthless and guilty, losing interest or pleasure in activities you used to enjoy, withdrawing from friends and family, having headaches, aches and pains, or stomach problems that don’t go away (http://www.womenshealth.gov).
Postpartum Depression affects women and men from all walks of life. There is no discrimination between culture, income level, age, or race. Between 10% and 20% of new mothers experience Postpartum Depression (Postpartum Depression and Relationships: Stress After Baby Is Born. http://www.webmd.com/depression/features/postpartum). There is also a 20% to 30% chance of Postpartum Depression reoccurring, if you have experienced it after a previous birth. They say that up to 10% of new fathers also experience this condition. Men show all the classical symptoms of depression, but for them researchers have recognized that men don’t always acknowledge these feelings, so they often go untreated.
The history of Postpartum Depression goes back to the 1850’s when psychiatric professionals first recognized the disorder, although as early as 700 B.C., Hippocrates wrote on the emotional difficulties many women faced in the postpartum period (http://www.itsamomsworld.com/moms_room_health_postpartum_depression.html).

There are both biological and psychological causes of Postpartum Depression. When you are pregnant the levels of estrogen, progesterone, cortisol, and aldosterone are very high in the body and when you deliver the baby these levels drop, which research shows to have an association with Postpartum Depression. They have also shown that thyroid levels falling and insulin levels falling, after birth, have a connection to Postpartum Depression. Another association that has been made is an increase in the prolactin levels. Some psychological factors may include women who didn’t want to get pregnant in the first place, women who have suffered a miscarriage or still birth, personal or family history of Postpartum Depression or other mental illness, poor support system or problems within the family unit, stress about your delivery and recovery, and worry about physical changes to your body.
Certain receptors located on the surface of nerve cells in the brain-specifically, those for the inhibitory neurotransmitter y-aminobutyric acid (GABA)-change during the ovarian cycle and pregnancy. The changes are ovarian hormone-dependent and the malfunction of this process is thought to be the underlying cause of hormonally-linked mood disorders including Postpartum Depression, Premenstrual Dysphoric Disorder, and Premenstrual Syndrome (Mody, Istvan. “Pregnancy, Postpartum Depression and the Brain.” Partners in Discovery, UCLA Department of Neurology, Fall 2009. http://www.neurology.ucla.edu/html/HowtoHelp/PartnersinDiscoveryFall2009.pdf).
The effects on relationships with someone dealing with Postpartum Depression can be crippling. Not only do you not bond with your baby, but this condition can cause other relationships in your life to crumble. Having a baby is stressful enough without having to deal with some form of a mood disorder. There is a very high rate of divorces within the first year of having a baby when Postpartum Depression is involved. One of the best things you can do is to see a doctor as soon as possible if you think you may

be experiencing Postpartum and involve your partner and family. Let them know what you are going through and try to embrace their support. Don’t shut people who care about you out. Some of the most successful treatments for Postpartum Depression are therapy and medication. You should always talk to your doctor if you are breastfeeding to decide what medications can be taken that is safe for the baby. The most common medications are selective serotonin reuptake inhibitors (SSRI’s) and tricyclics, both of which are antidepressants. Hormone replacement therapy may ease the symptoms of Postpartum Depression, but the research on this is limited. Counseling or some type group therapy in combination with the medication is very successful. You should try to create a good support system for yourself and your family, try to take care of each other and be understanding as to what everyone is going through. Make time for yourself and set realistic goals for your return to health. Also it is important to make sure you are all living a healthy lifestyle. Make good choices as far as eating, sleeping, and exercise goes. One of the most important things to realize is that Postpartum Depression is a treatable and temporary condition. How long this process takes varies on the individual case. Things like how severe your depression is, what medications you take and there effect on you, social factors, and your own personal medical history are just a few of the variables that can affect how you recover from this condition. Postpartum Depression is a very real and serious condition and should be treated as such. If you feel that you are having symptoms, you should seek medical advice as soon as possible. Postpartum Depression can affect women and men from all walks of life.

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