INTRODUCTION
Pregnancy and childbirth are significant life events for a woman. Not only are there the Physiological changes but also new Psychological and Social Roles for her to undertake. The majority of women cope with these changes in a positive way and see them as an enhancement of their life. A few. however, may suffer from mental health problems following birth.
FACTORS INFLUENCING MENTAL HEALTH FOLLOWING CHILDBIRTH:¬
Stress of Delivery
Endocrine Changes
Was the Baby Wanted
Experience of Child Rearing and Support Structures
Social Stresses [Bad Marriage, Bad Housing, Financial Problems]
Previous Mental Illness
POST NATAL BLUES:
About 50% of new mothers experience a degree of Post Natal Blues. The Onset is 3-7 Days after birth when the mother becomes tearful. irritable and depressed. The mother has some physical discomfort from the birth. is tired and has to care for the baby. It is. therefore, very difficult for her to regain her balance and cope with her new role. The majority of mothers recover after 10- I 5 days. If there are other stress it may take as long as 6 months to a year. About 25% go on to develop:¬
POST NATAL DEPRESSION:¬
Is a clinical depression and much more severe than the above. The mother becomes Depressed, Irritable and cannot concentrate. S1eep is disturbed and they feel tired all the time with no energy. They feel very Negative about themselves and have a low Self-Esteem. They may also Reject the baby.
They may have SUICIDAL THOUGHTS or IDEAS OF HARMING THE BABY. These MUST be taken seriously to avoid the risk of Suicide or harm to the Baby. A woman with this disorder is not in control of herself and needs Protection until she recovers.
The disorder is treated as a Clinical Depression with Antidepressants but additional support has to be provided to help the mother cope. Some hospitals have Mother and Baby Units so that they are not separated during treatment. but the safety of the baby has to be considered. Also. if the mother is breast-feeding the baby, the possibility of the medication being passed on to the baby has to be considered. If left untreated the Depression may go on for many years. and there is a strong risk of relapse following future childbirth.
PUERPERAL PSYCHOSIS
Is a rare reaction to childbirth [0.3% of live births]. Onset is acute and may occur up to 14 days after birth. The psychosis may present as any of the Functional Psychoses and the treatment is the same. The safety of the Baby, both from the mother and the drugs that the mother is on [Breast Feeding. Dizziness] has to have priority in the care plan.
The majority of the women 3 out of 4 will recover, but some will be left with residual problems. The risk of further problems following future pregnancies is increased.
KEY POINTS:
1. Pregnancy and childbirth are significant life £-'Vents for a woman there are Physiological changes and new Psychological and Social Roles for her to undertake.
2. Influencing Factors include Stress, Endocrine Changes, Experience of Child Rearing, Support Structures, Social Pressures and Previous Mental Illness
3. Post Natal Blues occurs 3-7 Days after birth when the mother becomes tearful, irritable and depressed. Post Natal
4. Depression Is a clinical depression and much more severe than the above. The mother may have SUICIDAL THOUGHTS or IDEAS OF HARMING THE BABY. These MUST be taken serious(v to avoid the risk of Suicide or harm to the Baby.
5. PUERPERAL Psychosis may present as any of the Functional Psychoses and the treatment is the same.
6. The safety of the Baby has to have priority in the care plan.
2 comments:
All mental disorders are cured thanks to the unconscious wisdom and sanctity. People suffering from anxiety disorders may become easily annoyed or angry. They may also have difficulty sleeping or concentrating. Many people feel increased anxiety when they experience a craving or trigger, because they are keenly aware of the temptation to relapse.
Sydney Clinical Psychologist Centre Blog
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