Postpartum depression is a depressive symptoms, lasting and> 2 weeks after the birth of activities of daily living impaired.
Postpartum depression is a depressive symptoms, lasting and> 2 weeks after the birth of activities of daily living impaired. (Depressive disorders.) In 10-15% of women occurs after delivery to postpartum depression. Although every woman is at risk, is located in the following situations at increased risk before: Baby Blues (eg rapid mood swings, irritability, anxiety, decreased concentration, insomnia, crying spells.) Previous stages of postnatal depression foregoing diagnosis of depression Depression in the family history Major stressors (eg. as marital conflicts, stressful events last year, unemployment partner, Partnerlosigkeit, partners with depression) Lack of support from partners or family members (eg. as financial support or help with child care) mood swings in history, the in connection with the menstrual cycle or the use of oral contraceptives are Previous or current negative pregnancy experience (z. B. miscarriage, child with congenital anomaly) previous or existing ambiguity with regard to the current pregnancy (eg. B. because it was unplanned or discontinuation was considered) The exact etiology is unknown; However, pre-existing depression carries the greatest risk, and hormonal changes in confinement, sleep deprivation and genetic susceptibility can help. In the first week after birth often occurs a temporary depression (baby blues, postpartum depression). Baby blues differs from a postpartum depression that baby blues lasts usually 2-3 days (up to 2 weeks) and is relatively weak; however, a postpartum depression lasts> 2 weeks and is disabling and affects the activities of daily living. Symptoms and signs Symptoms of postnatal depression, which are similar to those of depression may include: Extreme sadness guilt Uncontrollable crying insomnia or increased sleep loss of appetite or overeating irritability and anger headache and body aches and pains Extreme fatigue Unrealistic worries about the baby or disinterest the baby feel not being able to adequately care for the baby or not a good mother to be afraid of the baby to harm suicidal thoughts anxiety or panic attacks Typically, the symptoms develop insidiously over 3 months, but the onset may be rather abrupt. A postpartum depression affects the ability of women to care for themselves and the baby. A psychosis rarely develops, but a postpartum depression increases the risk of suicide and infanticide, which are the most serious complications. Women can not establish a bond with their child, which causes emotional, social and cognitive problems in children later. Fathers have an increased risk of depression, and there is increased stress in the marriage. Without treatment, postpartum depression can regress spontaneously or develop into chronic depression. The risk of relapse is approximately 1 to 3-4. Diagnosis Clinical Investigation Occasional formal depression scales improve Early diagnosis and treatment decisively the course for women and her child. Postpartum depression (or other serious mental disorders) should be adopted when the women meet the following criteria: symptoms for> 2 weeks symptoms daily activities affect thoughts of suicide or murder (women should be specifically asked for such thoughts) hallucinations, delusions or psychotic behavior due to cultural and social factors could women do not admit to the symptoms of depression, so physicians should ask for such symptoms before and after birth. In addition, women should be taught to recognize symptoms of depression, which may be similar to the normal effects of fresh maternity (concentration disorders such. As fatigue,). Women can to a postpartum depression with the help of different depression scales during an office visit after delivery. Such instruments, including the Edinburgh Postnatal Depression Scale and postpartum depression screening scale are available from MedEdPPD. Treatment Antidepressants Psychotherapy Treatment of postpartum depression include antidepressants and psychotherapy. Movement therapy, light therapy, massage therapy, acupuncture and ?-3 fatty acid supplements have shown some benefit in small trials. Women after childbirth must have a psychosis are admitted to hospital, preferably to stay on a monitored station that allows the child to them. Antipsychotics can also be used as antidepressants. Summary baby blues is very common in the first weeks after childbirth before he takes (up to 2 weeks) is usually 2-3 days and is relatively weak. Postpartum depression occurs in 10-15% of women and lasts> 2 weeks and is prejudicial (unlike the baby blues). The symptoms may be similar to the Great Depression, and can also worries and fears about a mother. Postpartum depression typically also affects other family members, often leading to marital stress, depression in the father and the subsequent problems in the child. Teach all women to recognize the symptoms of postpartum depression, and ask them about the symptoms of depression before and after childbirth. For best results, to identify and treat postpartum depression as early as possible.