Wednesday, June 15, 2011

Postpartum Depression

In the postpartum period to 80% of women experience a type of behavioral disorder.For most women the symptoms are transient and relatively mild, though they charge 15% of a more severe form of postpartum depression and psychosis 1%.
Called postpartum depression and postpartum depression is a form of clinical depression which can affect women and men less after birth. Studies report prevalences of 5-25% among women and men 1, 2 to 25%. Postpartum depression occurs in women after they bore a child, usually in the first month. Symptoms include sadness, fatigue, insomnia, appetite changes, decreased libido, episodes of crying, anxiety and irritability. It is thought that postpartum depression is caused by lack of vitamins, but studies tend to show significant changes as causes of women's hormonal balance during pregnancy. On the other hand, hormonal treatment has not helped in postpartum depression.
Postpartum psychiatric illness was initially conceptualized as a specific group of disorders related to pregnancy and childbirth, as distinct from other types considered diagnostic of psychiatric disorders. More recent data suggest that postpartum psychiatric illness are undifferentiated from psychiatric disorders that occur in other periods during a woman's life.
Although pharmacological and pharmacological treatments are available, patients overlook postpartum depression. Postpartum mood disorders put mother and baby at risk and are associated with significant effects on infant development luyng term so screening, prompt recognition and treatment of depression are essential to both mother and child.
Risk factors:While not all cases of depression are known, a number of factors have been identified as predictors:Breastfeeding by artificial-formula milk isotric depression-Smoking, decreased self-esteem, concern for the child-Parental anxiety, decreased social supportMarital relationship, poor, single parent, socioeconomic status deifictar-Pregnancy.
Causes:Evolutionary psychological hypothesis:Human child requires extraordinary care. Lack of support from fathers and other family members will increase the cost of birth mother, while child rights will reduce the evolutionary benefits. If ancestral mothers did not receive enough support from fathers and other family members no longer afford child care without hurting other children already or injure themselves. .For mothers suffering inadequate social support or other stressful circumstances, negative emotions are directed towards children. Mothers with postpartum depression may experience fewer positive emotions and unconscious more negative towards the child, are less caring and less sensitive to the suffering child, less emotionally available or even have thoughts of hurting her own child.Thus mothers are not mentally ill but can not allow to take care of a new baby without social support.
Signs and symptomsPostpartum Exhaustion:It is caused by sleep deprivation coupled with hormonal changes a woman's body immediately after birth. It can be mild or severe. most cases are noted in women who have children with severe colic, which disrupt sleep. The condition is different from postpartum depression but may be classified as postpartum depression, even if caused by extreme fatigue. Medical treatment is minimal. It can take anywhere from 0 days to 20 days and respond to the resumption of adequate sleep.Postpartum blues:Up to 85% of women experience postpartum affective instability. Rapidly fluctuating mood, irritability, episodes of crying and anxiety are common symptoms. Symptoms reach a maximum at day 5 after birth and persist for several days, but generally time-limited and resolve spontaneously within 2 weeks postpartum. Symptoms do not interfere with the mother's ability to care for her and the baby. Women with symptoms more severe or persists more than two weeks should be evaluated for postpartum depression.Depression after pregnancy:Postpartum depression occurs in 15% of women in the general population. Occurs more frequently in the first 4 months after birth, but can occur anytime within the first year. Depression is not different from common. Postpartum period for a woman is more vulnerable. Women who have suffered an episode of major depression after childbirth are at risk of recurrence by about 25%.
Women with high risk are those with personal history of depression, previous episodes of depression or postpartum depression during pregnancy. In addition, a stressful life, child care, lack of social support, uncertainty and unwanted pregnancy are risk factors.Postpartum depression typically develops insidiously in the first 3 months after birth, although it can also present a faster onset. Postpartum depression is more persistent and debilitating than postpartum blues.
Signs and symptoms of postpartum depression are undifferentiated clinical major depression occurring in women in other times. Symptoms of major depression can include low emotionality, anhedonia, insomnia, fatigue, appetite disturbance, suicidal thoughts and recurrent thoughts of death. During postpartum depression is characterized by intense sadness, anxiety or despair. They interfere with the ability to run the risk of mother to child hurt itself.Anxiety comprising prominent child health worries or obsessions. The mother may have ambivalent or negative feelings towards the child.Postpartum psychosis:Postpartum psychosis is the most severe form of postpartum psychiatric illness. The condition is rare and occurs in 1-2 per 1000 women after childbirth. A high risk women have a history of bipolar disorder or postpartum psychotic episode anthers. It has a dramatic debut, at 48-72 hours after birth. In the majority of women develop symptoms within the first two weeks postpartum. The condition involves episodes of rapid development of symptoms such as anxiety and anger, insomnia, irritability and disorganized behavior. The mother may have delusions related to the child (child is damaged, dying, is the devil or God) or auditory hallucinations may have an urge to harm the child. The risk of suicide or infanticide is higher among the women treated.

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