Mental health care for postpartum depression

I. Postpartum depression Postpartum depression, depression that arises with the birth of a child, is a mixture of physical, emotional and behavioral changes attributable to the chemical, social and psychological changes that accompany the birth of a child. 50-57% of women experience this symptom after giving birth. The symptoms begin in the first week (1-7 days) after delivery. You may experience frequent “loud” and “low” crying, irritability and fatigue, as well as feelings of guilt, anxiety and inability to care for your baby and yourself. Postpartum depression is a highly prevalent and dangerous condition. Postpartum depression not only causes suffering to the mother, but also seriously affects the healthy development of the child, and even serious cases of suicide and extended suicide. Postpartum depression is a common phenomenon that deserves attention. It has been reported that the famous Princess Diana suffered from severe postpartum depressive episodes before she was born. A 25-year-old young woman committed suicide at the Beijing Chegongzhuang subway station, and it was confirmed that the direct “murderer” of this tragedy was postpartum depressive episodes, and the woman’s suicide drew people’s attention to women’s depressive episodes, especially postpartum depressive episodes. Second, the causes of postpartum depression More studies have determined that the rapid decline in hormones after childbirth is related to depression. Levels of estrogen and progesterone (female reproductive hormones) increase 10-fold during pregnancy but drop sharply after delivery. Three days after giving birth, the levels of these hormones drop back to pre-pregnancy levels. In addition, these chemical, social and psychological changes associated with having a baby increase the risk of postpartum depression. A postpartum depressive episode is a classic mental illness or disorder. In terms of internal factors, postpartum depressive episodes are prone to people with fragile personalities, who feel unprecedented pressure and stress about the pregnancy and how they will raise the child in the future, thus predisposing them to depression, which can be considered a normal psychological and physiological reaction. On the other hand, various factors in the external environment also tend to induce postnatal depression. First of all, the family environment is prone to induce depression in women, for example, lack of warmth in the family, bad relationship between husband and wife, mother-in-law and daughter-in-law not getting along, and so on. Some women not only shoulder heavy household chores at home, but also take up heavy responsibilities in the organization. From the beginning of pregnancy until the breastfeeding period to raise children, some career-oriented women feel great aggravation and pressure. This will naturally produce psychological disorders and depression will follow. Third, the performance of post-partum psychological disorders The first is the post-partum bad state of mind, women often feel inexplicable aggrieved after giving birth, and secretly sob, after a period of time will be recovered on their own, about 50% of women after giving birth to a child will be in this situation. Clinical statistics in Japan show that 70% of women suffer from the “three days of boredom” after giving birth. The second type is postpartum depression, which occurs after childbirth for varying periods of time, as short as a few days, with a prevalence rate of 10 percent. Symptoms include bad mood, fatigue, headache and generalized pain. Some very common things in life will become more and more unbearable, sadness and tears, no desire to dress up, do not think about eating, and even do not want to take care of the child. In severe cases, the patient may commit suicide, but of course, a large number of people will recover on their own. The third and most serious condition is called postpartum psychosis. The typical symptoms are delusions, imagining that someone is trying to harm oneself or one’s child, and suicidal tendencies. The proportion of such cases is the least, less than 1%. Fourth, when a new mother should seek the help of psychiatrists, medical psychologists: 1, symptoms last two weeks; 2, normal psychological functioning is impaired, she can not deal with every day daily life; 3, she wants to hurt themselves and the baby; 4, she feels all day severe anxiety, fear and panic; 5, sleep disorders, especially early awakening. V. Treatment and prevention of postpartum depression The treatment of postpartum depression is a combination of medication and psychotherapy. But the most important thing is to do a good job of prevention. Postpartum depression is treated differently depending on the type and severity of the woman’s symptoms. Treatment options include anti-anxiety or anti-depressant medications, psychotherapy and participation in support groups. In postpartum psychotic symptoms, medication is usually added to treat the psychosis. Hospitalization is often necessary as well. The attitude to be adopted regarding the sex of the fetus is to let nature take its course, to have a great love for the fetus, to adapt to married life, to have to get rid of dependence on parents and to develop the ability to live independently. Intimate husband and wife relationship. Grasp emotional factors and emphasize mental health. Manage your marriage and family well, pay attention to family mental health, create a good living and psychological environment for pregnant women, and welcome the arrival of a healthy new family member with a positive and happy mind.