P_postpartum1

Do you know what are the reasons behind irritability, anger, sadness weeping spells, negligence about the up bring of neonate and relationship problems with family specially spouse, which a newly mother has to face.

It is frequently observed that the attitude of the society (including initial relation’s circle and other) is critical and none cooperative. It is generally thought that the new mother is hunted with some evil spirits or her complaints are just fake, and she is pretending and in reality she is not facing such things. Actually it is due to lack of knowledge we perceive in this way, in fact it is because of hormonal changes which occurs in new mothers. This period is called postpartum. It is a period that begins immediately after women gives birth and lasts for approximately, six weeks.

During this time quite noticeable changes occur. Postpartum onset includes fluctuations in mood, mood liability and preoccupation with infant’s well-being, the intensity of which may range from over concern to frank delusions (thought problem). The presence of sever ruminations or delusional thoughts about the infant is associated with a significantly increased risk of harm to the infant. There are two common types of postpartum onset, postpartum depression and postpartum psychosis.

POST PARTUM DEPRESSION:
Postpartum depression is moderate to severe depression in a woman after she has given birth. It is a treatable psychiatric illness that affects about 13% of women after giving birth. It can be develop anywhere from a few weeks to a year after delivery but its most common in the first three months of postpartum. It is a very real psychiatric condition that is not caused by weakness or some personal flaw.

Post partum depression can be hard to spot, because the moodiness and other symptoms are similar to the “Baby Blue”. Baby Blue is a short time state that affects up to 70% of new mothers. In baby blues feelings of anxiety, irritation; tearfulness and restlessness are common in a week or two after getting pregnant. These symptoms almost always go away soon without any treatment.

Postpartum depression may occur when the baby blue does not fade away or when signs of depression start within one or more months after childbirth.

Some of the most common sings of postpartum depression include: Sad or low mood, Disturbed sleep and appetite, Agitation or irritability, Feeling guilty and worthless, Lack of pleasure and interest in daily activities, Loss of energy, Weeping spells, Feeling withdrawn or unconnected, Significant anxiety, Suicidal ideation, Negative feeling and thoughts, Avoiding, contact with friends and family and Reduced or absent sex drive. A mother with postpartum depression may also be unable to care for herself or her baby and be afraid to be alone with baby. She also has intense worry about baby but has little interest in the baby. In more serious cases, the new mother may be unable to bond with her baby. She may also have thoughts of harming herself or her new baby.

Postpartum Psychosis:
This is much rare with symptoms typically manifesting within days of childbirth. It’s more common in women with a personal or family history of bipolar disorder or schizophrenia.  Postpartum Psychosis sufferers display the following symptoms: Paranoia, Hallucination, Confusion or disorientation, Delusional beliefs, Irritability & restlessness, Erratic Behavior, Sleep Problems and Lack of contact with reality.

Women with postpartum psychosis are at risk harming herself or her baby. So, it’s important to seek help right away if a new mother is experiencing any of these symptoms.

There is no single test to diagnose postpartum onset. Diagnosis is based on the symptoms you describe to your doctor. Many new mothers feel embarrassed or ashamed and keep it to themselves, but having postpartum depression doesn’t make you a bad mother. Help is available and there no reason to suffer.
Women with postpartum depression should have blood test to screen for medical causes of depression.
The treatment for postpartum onset after birth includes:

Medication and psychotherapy are both important. Medication plays a vital role in postpartum onset’s treatment. Whether or not you are breast feeding will play a role in what medicine your doctor recommends. You may be recommended to a mental health specialist.

Psychological treatment includes: Talk therapy, Cognitive behavioral therapy and Interpersonal therapy
Apart from therapeutic work, the following tips can be helpful:

  • Talk about your feelings with your family, friends and specially spouse.
  • Don’t try to be perfect.
  • Rest as much as you can
  • Match your & your baby’s sleep timing
  • Join support group talk with other mothers
  • Visits friends
  • Accept help from family & friends.
  • Maintain diet & exercise

The biggest challenge a woman will face in her life is ‘Adjusting’ to new motherhood. It’s normal to become upset. But with the right help you can feel better. Be a mother’s very beautiful feelings. So don’t let depression to spoil these feelings.

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