Postpartum Psychologic Complications

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Postpartum Psychologic Complications

• see pages in text 952

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DEPRESSIVE DISORDERS

• EXPERTS SUGGEST THAT UNFAVORABLE HEALTH OUTCOMES
  OF MOTHER AND INFANT ARE ROOTED IN ECONOMIC AND
  SOCIAL PROBLEMS
• DEPRESSION
• VIOLENCE
• SUBSTANCE ABUSE
• LACK OF SOCIAL SUPPORTS

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Depressive Disorders

• PRENATAL DEPRESSION AND POSTNATAL DEPRESSION ARE
  ESSENTIALLY EQUAL IN OCCURRENCE- ABOUT 14
• PRENATAL DEPRESSION A MAJOR INDICATOR AND OFTEN
  PRECURSOR OF POSTNATAL DEPRESSION

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WHO IS AT RISK?

• WOMEN WITH A HISTORY OF DEPRESSION RELATED TO
  PREGANCY
• WOMEN WITH HISTORY OF CHRONIC DEPRESSION,
  INCLUDING FAMILY HISTORY OF DEPRESSION
• WOMEN WITH ANXIETY, PANIC, OBSESSIVE THOUGHTS
  BEHAVIORS, MANIA

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WHO IS AT RISK?

• WOMEN WITH MARITAL CONFLICT AND DISCONTENT
• LESSER FACTORS FOR RISK STATUS
• LOW CONFIDENCE AS A PARENT
• PARENTAL PERSONALITY TRAITS
• INFANT PERSONALITY

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WHO IS AT RISK?

• INFANT DISABILITIES/PREMATURITY
• LIFE STRESSES
• SINGLE PARENTHOOD
• DOUBTS ABOUT HAVING A BABY
• PMS/HORMONAL RISKS
• LOW SOCIOECONOMIC STATUS

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CAUSES OF POSTPARTUM DEPRESSION

• BIOCHEMICAL CHANGES
• ESTROGEN/PROGESTERONE
• CORTISOL
• THYROID HORMONES
• NEUROHORMONES

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CAUSES OF POSTPARTUM DEPRESSION

• LIFE FACTORS
• SEE PREVIOUSLY LISTED AT RISK FACTORS.ALSO
• ROLE / JOB CHANGES
• INCREASED WORK LOAD
• SELF-IMAGE CHANGES
• IDEALISTIC EXPECTATIONS

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BABY BLUES

• PREVALENCE- 50-80 OF ALL WOMEN
• TIMEFRAME- 2-3 DAYS POST DELIVERY

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BABY BLUES SYMPTOMS

• CRYING
• IRRITABILITY
• ANGER
• INSOMNIA
• EXHAUSTION

• TENSION
• ANXIETY
• RESTLESSNESS

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POSTPARTUM DEPRESSION

• PREVALENCE- APPROXIMATELY 20 OF ALL WOMEN
• TIMEFRAME- 7-365 DAYS POST DELIVERY
• Murrays work exceeded 1 year, up to 18 months

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POSTPARTUM DEPRESSION SYMPTOMS

• A WORSENING OF SYMPTOMS
• CONFUSION
• GUILT AND INADEQUACY
• ABRUPT CHANGES IN ACTIVITY LEVEL

• RAPIDLY CHANGING UNPREDICT-ABILITY
• THOUGHTS OF HARM TO SELF AND/OR INFANT

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POSTPARTUM DEPRESSION

• TYPES
• POSTPARTUM PANIC
• ANXIETY, PANIC ATTACKS, DIZZINESS, SHAKING,
  DIFFICULTY BREATHING
• POSTPARTUM MANIA
• FEELING SPEEDED UP, DECREASED NEED TO SLEEP,
  DISTRACTIBILTY, IRRITABILITY, EXCITABILITY

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POSTPARTUM DEPRESSION

• POSTPARTUM OBSESSIVE-COMPULSIVE
• REPETITIVE, INTRUSIVE THOUGHTS, AVOIDANCE COMMON,
  THOUGHTS COME FROM OUT OF THE BLUE
• POSTPARTUM STRESS
• PANIC ATTACKS RELATED TO TRAUMA (PAST OR CURRENT)

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POSTPARTUM PSYCHOSIS

• PREVALENCE- 1-2 WOMEN PER 1000
• TIMEFRAME- 3-21 DAYS POST DELIVERY

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POSTPARTUM DEPRESSION

• SYMPTOMS
• CONFUSION
• HALLUCINATIONS
• DELUSIONS

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GET HELP WHEN DIFFICULTY WITH DAILY LIVING
BECOMES DIFFICULT
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WHO CAN HELP?

• SELF-HELP PLAN (BOOKS)
• SUPPORT GROUPS/ TALKING OUT WITH FRIENDS AND
  FAMILY
• THERAPY AS NEEDED
• MEDICATIONS AS NEEDED