Physical and emotional changes that may occur in mothers after childbirth.
Every woman has a completely individual and personal experience of his own birth, but most after birth has a similar developments. After the initial excitement subsides for the final encounter with the baby, first-time mothers begin to experience a series of confusing and contradictory emotions (so-called baby blues) that are actually completely normal reaction to a new life.
But there are cases when serious problems occur, and emotional instability (Postpartum Depression), a very extraordinary extreme pathological conditions (Postpartum psychosis).
Baby blues is experiencing 90% of women
The Postpartum baby blues or sadness occurs 2 to 5 days after birth, lasting up to a month and it sees 90% of women. They are mostly to blame hormones and fatigue, pain and stress of childbirth.
In fact, during pregnancy, the levels of two female hormones, estrogen and progesterone is rapidly growing. In the first 24 hours after delivery, levels of these hormones rapidly drops and returns to its original state.Scientists believe it is this sudden change in hormones "trigger" for grief and depression, just as smaller changes in hormone levels can affect mood swings during menstrual cycle. Also, the declining levels of thyroid hormones that help regulate metabolism affects the rapid development of depression.
The main characteristics of postpartum sadness lack of energy, weakness, vulnerability, mood swings, tearfulness, confusion. Most mothers feel that the baby was too big responsibility for them, mourn the loss of their freedom or are convinced that no one likes them and can not love. Some women have severe symptoms, who gave birth by Caesarean section or single mothers.
Baby blues goes away on its own, it takes only few days rest and a great support and help the environment.
Postpartum depression is more severe symptoms
Postpartum depression begins to emerge in the first 4 to 8 weeks after birth, although it can occur later, during the first year of a child's life. It takes much longer than the "baby blues", up to a year, and also led to more serious symptoms - the feeling of helplessness and hopelessness, lack of energy and motivation, eating and sleeping disorders, lack of interest in sex, inability to carry a sense of the requirements environment, irritability, tearfulness. It is also very characteristic of anxiety is manifested in the lack of commitment to the baby, and feeling guilty about it.
Postpartum depression is experiencing 10% to 16% mom, and treatment consists mainly of adequate psychotherapy and antidepressants possible, while with mild symptoms sometimes enough and counseling psychologists.
Make sure you have each day during the holidays. Forget for a while, eight-hour night's sleep, but precisely because it is very important to rest when the baby sleeps. To get out of depression do not neglect your habits and hobbies, and keep time for yourself every day. Hang out with people you love, walk, or write a diary. If you should ignore for a while and housework.
The main difference between postpartum depression and baby blues is that time of sadness for mothers aware that this is a temporary condition, while those who are depressed feel that they no longer help, and that will never come to.
Postpartum psychosis and hypothyroidism
Another option disorders that can be confused with Postpartum depression is hipotireza. In fact, every fifteenth postpartum women feel symptoms of fatigue, sadness, and difficulty in losing weight as a consequence of disturbed thyroid gland.
Since the thyroid gland during pregnancy is working, so some women after childbirth and it has normalized.Therefore, before the diagnosis of postpartum depression, and especially before you start taking antidepressants, it advisable to do a blood test for thyroid hormone that is not really working on postporođajnoj hypothyroidism. This disorder usually passes by itself in the first 3 months after birth, and if it lasts longer and can be taken hormonal therapy.
In 0.1% to 0.2% of women in the first 4 weeks after birth may be a very serious and critical condition of postpartum psychosis. It is characterized by mood swings, paranoia, hallucinations and directed to the idea that a child is evil, demonic, and the like. My mother often thinks about the child's death and is very prone to wounding and injuring themselves, other babies or people in their neighborhood. Of course, in these cases need urgent medical care and hospitalization. Such cases occur most frequently and which usually suffer from severe mental illness.