Post Partum Depression - PowerPoint

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       Training Objectives
 Define  Baby Blues
 Identify causes and symptoms of Baby
 Recognize ways mothers can cope with
  Baby Blues
 Define Postpartum Depression
 Identify causes and symptoms of
  Postpartum Depression
 Identify the differences between Baby
  Blues and Postpartum Depression
   Identify the risk factors of Postpartum
   Identify the symptoms of Postpartum
   Identify the forms of treatment for women
    with Postpartum Depression and Postpartum
   Identify ways women with Postpartum
    Depression can help themselves
   Identify ways loved ones can help women
    who have Postpartum Depression
   Identify Preventative Steps women can take
Depression and New Mothers
 Having  a baby can be both an exciting
  and thrilling time for any mother.
  However, it can also be a time when
  many new mothers feel overwhelmed.
 Nearly 10 percent of new mothers
  experience a distress known as
  postpartum depression.
              Baby Blues
 According to Kids Health, “Baby Blues”
 are feelings of sadness and surges of
 emotions that may occur in the first few
 days after child birth. A woman may
 feel happy one minute and then tearful
 the next. Baby Blues normally only last
 a few days, but can last up to two
    Signs and Symptoms of
          Baby Blues
•Mood swings
•Trouble sleeping
•Difficulty concentrating
                            (Mayo Clinic)
      Causes of Baby Blues
 Baby Blues are believed to be caused by
  hormonal changes.
 Levels of estrogen and progesterone that
  have increased during pregnancy drop
  suddenly after delivery, and this can
  affect mood.
 These female hormones return to their
  pre-pregnancy levels within a week or so.
  Baby Blues usually resolve on their own
  without medical treatment.
                                (Kids Health)
    Coping with Baby Blues
 According to Kids Health, new moms should
  try to accept help from family and friends in
  the first few weeks after labor and delivery.
  Family members can run errands, prepare
  meals, or watch the baby.
 Good nutrition and plenty of rest is
 Talking to other new moms or family and
  friends can help a new mom feel supported.
 If baby blues last longer than a week or two,
  a new mom should call her doctor to rule out
  postpartum depression.
    Postpartum Depression
 According the Mayo Clinic, Postpartum
  Depression may seem like Baby Blues at
  first; however, the symptoms are more
  intense and longer lasting, eventually
  impacting a mother’s ability to care for her
 Women experiencing Postpartum Depression
  often feel much pain during a time that
  should be joyful. Many are reluctant to tell
  someone when they feel this way.
  Postpartum depression is a medical
  condition that requires attention and
    Signs and Symptoms of
    Postpartum Depression
▪Overwhelming fatigue
▪Intense anger and irritability
▪Severe mood swings
▪Difficulty bonding with baby
▪Lack of joy in life
▪Loss of appetite
▪Feelings of shame, guilt, or
▪Withdrawal from family and
▪Loss of interest in sex
▪Thoughts of harming self or baby
                         (Mayo Clinic)
       Causes of Postpartum
 According to the Mayo Clinic, there may be a
  number of causes of Postpartum Depression.
 One such cause are physical changes. After
  childbirth, a dramatic drop in estrogen and
  progesterone may contribute to postpartum
  depression. The hormones produced by the
  thyroid gland may also drop sharply
  resulting in tired and depressed feelings.
  Changes in blood volume, blood pressure,
  immune systems and metabolism can lead to
  fatigue and mood swings.
 Emotional  changes can also cause
 Postpartum Depression. Many new
 moms are sleep deprived and
 overwhelmed, and may have trouble
 handling even minor problems. Moms
 may be anxious about their ability to
 care for a newborn. They may feel less
 attractive and feel they have lost
 control over their life. Any of these
 factors can contribute to postpartum
 Lifestyleinfluences can also be a cause
 of Postpartum Depression. These
 •A demanding baby
 •Older siblings
 •Difficulty breast-feeding
 •Financial problems
 •A lack of support from loved ones
   Risk Factors of Postpartum
 Postpartum   Depression can occur after
  the second or third child, not just the
  first. A woman may experience
  Postpartum Depression after the birth
  of each child.
 According to the Mayo Clinic, the
  following may be risk factors:
  •A history of depression, either during
  pregnancy or at other times
•Postpartum Depression has been
experienced after a previous pregnancy
•Marital problems
•Lack of a support system
•Stressful events have occurred in the
past year, including illnesses, a difficult
pregnancy, or loss of a job
•The pregnancy was unplanned or
     Postpartum Psychosis
 According  to the Mayo Clinic, some
  women can develop a rare condition
  that develops within two weeks of
  delivery called Postpartum Psychosis.
 According to Kids Health, Postpartum
  Psychosis affects 1 in 1,000 women
  who give birth. It occurs within the first
  month after labor and delivery.
     Signs and Symptoms of
     Postpartum Psychosis
 Hallucinations and delusions
 Confusion and disorientation
 Paranoia
 Attempts to harm self and the baby
 The risk for Postpartum Psychosis is
  higher for those women with Bipolar
                               (Mayo Clinic)
When to Seek Medical Advice
 If signs and symptoms of depression
  do not fade after a couple weeks, it is
  important for women to tell their
  doctors. If the depression is impeding
  them from doing every day tasks, it is
  very important to alert a physician.
 If a woman thinks she is developing
  Postpartum Psychosis, she must call a
  doctor immediately. This can lead to
  life-threatening behaviors or thoughts.
                                (Mayo Clinic)
    The Importance of Seeking
 Without medical treatment, Postpartum
  Depression can interfere with mother and
  child bonding, as well as lead to family
 According to the Mayo Clinic, children of
  mothers who have untreated Postpartum
  Depression are more likely to have
  behavioral problems, such as sleeping and
  eating difficulties, temper tantrums and
  hyperactivity. Another common problem are
  delays in language development.
 Untreated    Postpartum Depression can
  last for a year or longer. If left
  untreated, it can some times become a
  chronic depressive disorder.
 Even when Postpartum Depression is
  treated, it increases a woman’s
  chances of having future episodes of
  major depression.
     Treatment for Postpartum
 According to the Mayo Clinic, Postpartum
  Depression is often treated with
  medication and counseling.
 Counseling can provide better ways to
  cope with feelings, solve problems, and
  set realistic goals. Talking to a
  psychiatrist, psychologist or other mental
  health professional can be helpful. Family
  or marital therapy may also be helpful.
 Anti-depressants are a proven treatment for
  Postpartum Depression. Some anti-
  depressants can be taken with little risk of
  side effects to the baby if a mother is
  breastfeeding. A doctor can give the mother
  potential risks and benefits of specific anti-
 Hormone therapy may be used to treat
  Postpartum Depression as well. Estrogen
  replacement may help counteract the rapid
  drop in estrogen that accompanies
  childbirth. This may ease the signs and
  symptoms of postpartum depression in
  some women.
    Treatment for Postpartum
 Treatment  for Postpartum Psychosis
  must be immediate and often done in a
 According to the Mayo Clinic, when
  safety is assured, a combination of
  medications, including
  antidepressants, antipsychotic
  medications and mood stabilizers may
  be used to control signs and
 The Mayo Clinic lists electroconvulsive
 therapy (ECT) as being recommended
 as well. During ECT, a small amount of
 electrical current is applied to the brain
 to produce brain waves similar to those
 that occur during a seizure. The
 chemical changes triggered by the
 electrical currents can reduce the
 symptoms of depression, especially
 when other treatments have failed or
 when immediate results are needed.
A mother’s ability to breast-feed can be
 challenged while being treated for
 Postpartum Psychosis. Mothers are
 separated from their babies and some
 medications used to treat postpartum
 psychosis are not recommended for
 women who are breast-feeding.
 However, a team of health care
 providers will help a mother work
 through these challenges.
        Helping Yourself
 According  to Kids Health, there are
 small things women can do along with
 getting medical treatment for
 Postpartum Depression. These
 activities can include:
 ▪Read something uplifting and positive
 that can be read a bit at a time.
 ▪Focus on things to look forward to
 during the day such as a hot shower,
 relaxing bath, or a visit with a friend.
▪Schedule a babysitter so that moms
can have some planned time for
▪Indulge in simple pleasures such as
reading a magazine, sipping a cup of
tea, etc.
▪Spend time with family and friends for
comfort and company.
▪Ask for help whether it is for emotional
support or help in caring for the baby.
▪Accept help when it is offered.
▪Rest when the baby sleeps.
▪Be optimistic and think of things to be
grateful for.
▪Be patient as it will take time to feel
▪Join a support group. Doctors and
women’s centers should be able to put
moms in touch with groups in their
▪A daily walk can help to lift moods, but
any new exercise program should be
approved by a doctor.
     Helping Someone with
     Postpartum Depression
 Kids Health lists ways people can help
 their loved ones affected by
 Postpartum Depression. These
 activities can include:
 •Offer to go with her to the doctor, if
 she wants you to.
 •Listen to her when she wants to talk.
 •Check in with her regularly to see how
 she’s doing.
•Give her some breaks from child care
and household responsibilities.
•Let her nap or take a relaxing bath,
while you care for the baby.
•Make her a nutritious meal.
•Go on a walk with her.
•Be patient and believe in her. She will
need to be reminded of her strengths
and good qualities.
          Preventative Steps
   According to the Mayo Clinic, women with
    a history of depression, especially
    postpartum depression, should mention it
    to their doctor as soon as they find out
    they are pregnant. Doctors will monitor
    closely for signs and symptoms of
    depression. Sometimes mild depression
    can be managed with support groups,
    counseling or other therapies. In other
    cases, antidepressants are recommended
    (even during pregnancy).
      a baby is born, doctors may
 After
 recommend an early postpartum
 checkup to screen for signs and
 symptoms of postpartum depression.
 The earlier postpartum depression is
 detected, the earlier treatment can
 begin. If there is a history of
 postpartum depression, a woman’s
 doctor may recommend antidepressant
 treatment immediately after delivery.
For More Information, Visit these
 Kids Health,
 The Mayo Clinic,
 Medicine Net,
 Family Doctor,
Missouri Department of Social Services
   State Technical Assistance Team
                      PO Box 208
                     Jefferson City, MO
                     (573) 751-5980
                     (800) 487-1626
                     (8 a.m. to 5 p.m. CST,
                     Monday – Friday)