Wednesday, November 7, 2012

Postpartum depression

Every woman has a completely individual and personal experience of their own labor, but I think we can all agree that this is a great, unique, and extremely stressful and intense experience.

Most fledgling mom, after the initial excitement subsides final encounter with her baby, begins to experience a series of confusing and contradictory emotions (so-called "baby blues") that are actually completely normal reaction to a new and different life situation. Less frequently reported serious problems and emotional instability (postpartum depression), a very extraordinary extreme pathological conditions (postpartum psychosis).

"Baby blues"
Postpartum or baby blues, sadness occurs 2 to 5 days after birth, lasting up to a month, and it is experiencing 80% - 90% of women.
A major impact on this state, other than psychological stress due to childbirth, have hormonal changes that occur during and after birth, lack of sleep and then fatigue, pain due to episiotomy or Caesarean section, mastitis, or any other health problems mothers or babies . Also, after the first few days of mom and baby are less available social support systems raznorazni (husband, if he got a few days off for the birth of a child, one must go back to work, grandmothers and friends to help stop intense ...).
The main characteristics of postpartum sadness lack of energy, weakness, vulnerability, mood swings, tearfulness, confusion. Many women feel that the baby is too much responsibility for them, mourn the loss of their freedom or are convinced that no one likes them and can not love. It should be noted that all of these symptoms increased in women who gave birth by caesarean section, or in women who alone raise their children.
Baby blues will pass by itself, it is only a few days of rest and a lot of support and help the environment.

Postpartum Depression
Postpartum depression begins to emerge in the first 4 to 8 weeks after birth, although it may happen later in the baby's first year.
It takes much longer than the "baby blues," even up to a year, and her symptoms and serious - mostly made similar signs of depression: feelings of helplessness and hopelessness, lack of energy and motivation, sleep and eating disorders, lack of interest in sex , the feeling of inability to carry the demands of the environment, irritability, tearfulness. It is also very characteristic and anxiety that is manifested in the lack of commitment to your baby, and feeling guilty about it.
Postpartum depression is experiencing 10% to 16% mom, and treatment usually consists of adequate psychotherapy and antidepressant potential, while for mild symptoms is sometimes enough and counseling psychologists.

Postpartum thyroiditis
Every fifteen postpartum women feel symptoms of fatigue, sadness and difficulty losing weight as a consequence of disturbed thyroid gland. The thyroid gland is working during pregnancy. In most women, the thyroid is normalized after birth, while some such state of hypothyroidism continue for some time.
Before the diagnosis of postpartum depression, and especially before you start taking antidepressants, it would be advisable to do a blood test for thyroid hormone that is in fact not be a postpartum hypothyroidism. This disorder usually goes by himself in the first 3 months after birth, and if it lasts longer, it can be taken hormonal therapy (there is such a treatment you can take nursing mothers).

Postpartum psychosis
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 the idea that the child is evil, demonic, and the like. The mother often thinks about the child's death and is very prone to wounding and injuring herself, the baby and the other people in their environment.
This shows that the mother needed emergency medical care and hospitalization.
Postpartum psychosis occurs mainly in women and usually suffer from severe mental illness.

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