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Postpartum Psychologic Complications

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... work exceeded 1 year, up to 18 months. POSTPARTUM DEPRESSION: ... FEELING 'SPEEDED UP', DECREASED NEED TO SLEEP, DISTRACTIBILTY, IRRITABILITY, EXCITABILITY ... – PowerPoint PPT presentation

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Title: Postpartum Psychologic Complications


1
Postpartum Psychologic Complications
  • see pages in text 952

2
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

3
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

4
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

5
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

6
WHO IS AT RISK?
  • INFANT DISABILITIES/PREMATURITY
  • LIFE STRESSES
  • SINGLE PARENTHOOD
  • DOUBTS ABOUT HAVING A BABY
  • PMS/HORMONAL RISKS
  • LOW SOCIOECONOMIC STATUS

7
CAUSES OF POSTPARTUM DEPRESSION
  • BIOCHEMICAL CHANGES
  • ESTROGEN/PROGESTERONE
  • CORTISOL
  • THYROID HORMONES
  • NEUROHORMONES

8
CAUSES OF POSTPARTUM DEPRESSION
  • LIFE FACTORS
  • SEE PREVIOUSLY LISTED AT RISK FACTORS….ALSO
  • ROLE / JOB CHANGES
  • INCREASED WORK LOAD
  • SELF-IMAGE CHANGES
  • IDEALISTIC EXPECTATIONS

9
BABY BLUES
  • PREVALENCE- 50-80 OF ALL WOMEN
  • TIMEFRAME- 2-3 DAYS POST DELIVERY

10
BABY BLUES SYMPTOMS
  • CRYING
  • IRRITABILITY
  • ANGER
  • INSOMNIA
  • EXHAUSTION
  • TENSION
  • ANXIETY
  • RESTLESSNESS

11
POSTPARTUM DEPRESSION
  • PREVALENCE- APPROXIMATELY 20 OF ALL WOMEN
  • TIMEFRAME- 7-365 DAYS POST DELIVERY
  • Murrays work exceeded 1 year, up to 18 months

12
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

13
POSTPARTUM DEPRESSION
  • TYPES
  • POSTPARTUM PANIC
  • ANXIETY, PANIC ATTACKS, DIZZINESS, SHAKING,
    DIFFICULTY BREATHING
  • POSTPARTUM MANIA
  • FEELING SPEEDED UP, DECREASED NEED TO SLEEP,
    DISTRACTIBILTY, IRRITABILITY, EXCITABILITY

14
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)

15
POSTPARTUM PSYCHOSIS
  • PREVALENCE- 1-2 WOMEN PER 1000
  • TIMEFRAME- 3-21 DAYS POST DELIVERY

16
POSTPARTUM DEPRESSION
  • SYMPTOMS
  • CONFUSION
  • HALLUCINATIONS
  • DELUSIONS

17
GET HELP WHEN DIFFICULTY WITH DAILY LIVING
BECOMES DIFFICULT
18
WHO CAN HELP?
  • SELF-HELP PLAN (BOOKS)
  • SUPPORT GROUPS/ TALKING OUT WITH FRIENDS AND
    FAMILY
  • THERAPY AS NEEDED
  • MEDICATIONS AS NEEDED
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