Depression in or around childbirth: Indicators, Origins, and Solutions
Perinatal depression is a mood disorder that affects many women during pregnancy or within a year after giving birth. This condition can impact thoughts, mood, and physical well-being, and it's essential to recognise the signs and seek help when needed.
Symptoms of perinatal depression are similar to those of major depressive disorder or depression. Mood changes can include feelings of irritability, loss of interest or pleasure in hobbies and activities, persistent anxious, sad, or "empty" mood, difficulty bonding with the new baby, feelings of hopelessness, helplessness, worthlessness, or guilt. Mental changes associated with perinatal depression can include persistent thoughts or doubts about caring for the baby, trouble remembering important things, difficulty concentrating, and issues with decision-making. Physical signs can include abnormal weight changes, appetite, fatigue or decrease in energy, body aches, cramps, digestion issues, headaches, restless behavior, trouble sleeping, or oversleeping.
Thoughts of suicide, death, or harming oneself or the baby are serious symptoms that require immediate help. The 988 Suicide and Crisis Lifeline (988 or 988Lifeline.org) and Crisis Text Line (text HELLO to 741741) offer 24-hour support. Postpartum Support International also provides a free number to call to get help: 1-800-944-4773. You could also text HELP to 800-944-4773 (English) or 971-203-7773 (Spanish).
Possible risk factors for perinatal depression include a history of anxiety or depressive disorders (including family history), hormonal changes, acute stress, sleep deprivation or exhaustion, relationship changes, societal and personal expectation pressure, pre-existing mental illness, lack of social support, and severe partnership conflicts. Risk factors for perinatal depression also include a history of depression, poor social support, poor relationship quality, stressful life events, current or previous abuse, unplanned and unwanted pregnancies, low socioeconomic status, and racial and ethnic differences may also play a role.
Finding support can play an important role in treating perinatal depression. Support groups or a positive support network of friends or family may help. Online support groups that may help include Smart Patient, Postpartum Support International, and What to Expect. A local healthcare professional may have information on local services that may help with perinatal depression. It may be worth asking what services they may recommend.
Treatment for perinatal depression can involve medications, talk therapy, and support from friends, families, or groups. Antidepressant medications may help some people feel better, but they should be discussed with a doctor before starting or using them when pregnant or nursing. Talk therapy, or psychotherapy, involves meeting with a therapist, mental health worker, or other mental health professional to discuss feelings and develop coping strategies.
Researchers note that access to care and screenings in less affluent areas may cause both underreporting and undertreatment of perinatal depression. The Food and Drug Administration (FDA) has approved the use of brexanolone for postpartum depression, but further research is needed to determine its long-term efficacy.
In conclusion, perinatal depression is a serious condition that affects many women. Recognising the signs and seeking help is crucial. There are various treatment options available, including medications, talk therapy, and support groups. If you or someone you know is struggling with perinatal depression, reach out for help today.
Read also:
- Understanding Hemorrhagic Gastroenteritis: Key Facts
- Stopping Osteoporosis Treatment: Timeline Considerations
- Tobacco industry's suggested changes on a legislative modification are disregarded by health journalists
- Expanded Community Health Involvement by CK Birla Hospitals, Jaipur, Maintained Through Consistent Outreach Programs Across Rajasthan
