Postpartum depression is moderate to serious depression inside a woman after she has given birth. It may possibly happen soon after delivery or as much as a year later. A lot of the time, it occurs within the very first four weeks right after delivery.
Many new moms expertise the infant blues immediately after childbirth, which generally consist of mood swings and crying spells and fade quickly. But some new moms expertise a more severe, long-lasting form of depression called postpartum depression. Seldom, an extreme kind of postpartum depression referred to as postpartum psychosis develops following childbirth.
Women commonly have mood alterations during pregnancy. They may be induced by changes in hormone levels. A lot of mood modifications are typical as well as expected, given that having a infant can lead to a number of lifestyle alterations. Support from your household and pals might help.
More than half of ladies may possibly have depression for a brief time following pregnancy. These are feelings of anxiety, irritation, tearfulness, and restlessness that happen to be usually referred to as “the postpartum blues.” This typically occurs in the 1st couple of weeks immediately after pregnancy and goes away soon, without the want for treatment.
Postpartum depression is actually a far more critical condition that impacts between 8 - 20% of females following pregnancy, particularly the first 4 weeks. It's essential to seek medical attention to treat postpartum depression.
During pregnancy, these factors might enhance a woman's possibility of depression:
- History of depression or substance abuse
- Household history of mental illness
- Little help from family and friends
- Anxiousness about the fetus
- Problems with previous pregnancy or birth
- Marital or financial problems
- Young age (of mother)
Depression right after pregnancy is called postpartum depression or peripartum depression. After pregnancy, hormonal changes inside a woman's body may trigger symptoms of depression. In the course of pregnancy, the amount of two female hormones, estrogen and progesterone, inside a woman's body increases greatly. Inside the first 24 hours after childbirth, the amount of these hormones rapidly drops back down to their standard non-pregnant levels. Researchers think the fast change in hormone levels might lead to depression, just as smaller alterations in hormones can affect a woman's moods before she gets her menstrual period.
Occasionally, levels of thyroid hormones could also drop right after giving birth. The thyroid can be a small gland within the neck that helps to regulate your metabolism (how your body uses and stores energy from food). Low thyroid levels can cause symptoms of depression including depressed mood, decreased interest in things, irritability, fatigue, difficulty concentrating, sleep problems, and weight gain. A simple blood test can tell if this condition is causing a woman's depression. If so, thyroid medicine can be prescribed by a doctor.
You may possibly have a higher likelihood of postpartum depression if you:
- Are under age 20
- Currently abuse alcohol, take illegal substances, or smoke (these are also critical medical health risks for the child)
- Did not plan the pregnancy or do not want the pregnancy
- Had a mood or anxiousness disorder prior to pregnancy, including depression with a previous pregnancy
- Had something stressful happened to you in the course of the pregnancy, including illness, death or illness of a loved one, a difficult or emergency delivery, premature delivery, or illness or abnormality in the baby
- Have a close family member who has had depression or anxiety
- Have a poor relationship with your husband, boyfriend, or significant other or are unmarried
- Have financial problems (low income, poor housing)
- Have little assistance from family members, buddies, and a significant other
- Previously attempted suicide
- Received poor help from your parents in childhood
Women who experience postpartum depression can suffer from a myriad of different symptoms such as sadness, tearfulness, thoughts of suicide as well as anger or rage. The thing about postpartum depression is that it can present itself in a lot of different ways depending upon the woman. It truly is generally thought of as being a chemical imbalance that may have been brought on by the hormonal alterations associated right after delivery.
In addition to depressed mood, you might have the following symptoms nearly every day:
- Agitation and irritability
- Decreased appetite
- Difficulty concentrating or thinking
- Feelings of worthlessness or guilt
- Feeling withdrawn, socially isolated, or unconnected
- Lack of pleasure in all or most activities
- Loss of energy experienced
- Negative feelings toward the baby
- Thoughts of death or suicide
- Trouble sleeping
Postpartum psychosis is a rare, but extremely serious disorder that can develop following childbirth. It truly is characterized by loss of contact with reality. Postpartum psychosis should be considered a medical emergency. Because from the high risk for suicide or infanticide, hospitalization is usually required to keep the mother and the baby safe.
Postpartum psychosis develops suddenly, usually within the very first two weeks after delivery, and sometimes within 48 hours. Symptoms include:
- Hallucinations (seeing things that aren’t real or hearing voices)
- Delusions (paranoid and irrational beliefs)
- Extreme agitation and anxiety
- Confusion and disorientation
- Rapid mood swings
- Bizarre behavior
- Inability or refusal to eat or sleep
- Suicidal thoughts or actions
- Thoughts of harming or killing the baby
Early warning signs of postpartum psychosis incorporate an inability to sleep for many nights, agitation, euphoria or irritability, and avoidance in the baby. ?Women with a history of bipolar disorder are at an increased risk of developing postpartum psychosis. In fact, postpartum psychosis resembles a manic episode. Ladies who have previously had postpartum psychosis are also highly likely to develop it again if they have another child.
Postpartum depression is frequently treated with counseling and medication.
- Psychotherapy - Individual therapy or group therapy can be very effective within the treatment of postpartum depression. Psychotherapy is usually the treatment of choice because of concerns over taking medication while breastfeeding. Interpersonal therapy (IPT), which focuses on interpersonal relationships and issues, is believed to be particularly effective for postpartum depression.
- Hormone therapy - Estrogen replacement therapy sometimes helps with postpartum depression. Estrogen is usually used in combination with an antidepressant. There are risks that go along with hormone therapy, so be sure to talk to your doctor about what is best-and safest-for you.
- Marriage counseling - If you are experiencing martial difficulties or are feeling unsupported at home, marriage counseling could be very beneficial.
- Antidepressants - For severe cases of postpartum depression where the mother is unable to care for herself or her infant, antidepressants could be an option. However, medication use should be accompanied by therapy, as well as close monitoring by a physician.
With appropriate treatment, postpartum depression usually goes away inside a couple of months. In some cases, postpartum depression lasts up to a year. It's important to continue treatment right after you begin to feel better, however. Stopping treatment too early may only result in a relapse.