Postpartum psychosis and postpartum depression - these are conditions that manifest in a woman as the consequences of complications that occur during childbirth. It is imperative that young mothers who are diagnosed with postpartum psychosis be sure to seek the help of a qualified professional and receive the necessary treatment.
This point should be taken into account due to the fact that most young mothers do not even suspect that they are already suffering from manifestations of postpartum psychosis. Sometimes such manifestations are not perceived as a serious disease by the woman’s close people.
The concepts of postpartum psychosis and postpartum depression should be distinguished. Both of these ailments are very severe psychotic conditions that require immediate medical treatment. But the approach to the treatment of these diseases is different: the treatment of postpartum depression is using antidepressants, and postpartum psychosis therapy is carried out using antipsychotic drugs. Compared with the manifestations of postpartum depression, postpartum psychosis occurs less frequently in women. It is necessary to clearly distinguish between postpartum psychosis and postpartum spleen, which in most young mothers occurs in the first weeks after birth. In most cases, such a spleen resolves on its own. However, it happens that the protracted spleen becomes a state of postpartum depression. This condition must be treated with the help of qualified specialists.
Causes of Postpartum Psychosis
Postpartum psychosis is a serious psychotic condition. During the period of pregnancy in a woman who later suffers from postpartum psychosis, there are no noticeable deviations from the norm. However, those who are prone to psychosis in the postpartum period, as a rule, have previously suffered from severe emotional fluctuations in the period before menstruation
Until today, there is no information about the clear reasons for the manifestation of a similar condition in women after childbirth. There are some suggestions that the change in the psyche of a woman who has recently given birth to a child is associated with fluctuations hormonal balance in her body.
A high risk of developing postpartum psychosis exists in women who have a history of a variety of mental illnesses and disorders. So, postpartum psychosis is more prone to young mothers suffering from schizophrenia and bipolar disorders. Significantly increases the risk of developing postpartum psychosis in those who have previously abused a variety of drugs.
However, postpartum psychosis can also develop in healthy women who have experienced severe emotional stress due to the birth of a baby.
Symptoms of postpartum psychosis
As a rule, postpartum psychosis manifests itself on the 3-6th day after childbirth. When characterizing the characteristics of postpartum psychosis, it is often a question of losing the patient’s connections with reality. With the progression of postpartum psychosis, higher nervous activity is disturbed. In women, immediately after birth, it manifests itself as lightso heavy a form of postpartum psychosis. If its course is especially severe, then the young mother may completely lose the ability to take care of the newborn.
In the process of developing postpartum psychosis, a number of different symptoms can occur. A woman sometimes has certain manic manifestations, which are expressed by an increased level of arousal, the emergence of obsessions that are not related to reality.
Another very common manifestation of postpartum psychosis in women is hallucinations, mostly auditory ones. A young mother gradually develops personality changes, her thinking becomes abnormal. Subject to postpartum psychosis, it becomes difficult for a woman to formulate her thoughts out loud and organize them. Accordingly, a woman can conduct incoherent conversations, express thoughts without intelligible content.
The patient can not give adequate self-esteem, correctly determining their own condition. Convincing the young mother that she needs to seek qualified help, her relatives and relatives should make significant efforts to achieve what they want. Over time, after a complete cure, a woman, as a rule, realizes the fallacy of her own beliefs.
Another symptom of postpartum psychosis is an appetite disorder: a young mother often cannot eat properly.
A woman in a state of severe postpartum psychosis is often haunted by ideas about a possible suicide or murder. A similar symptom indicates that the patient's condition is extremely serious, and she needs the help of specialists.
Diagnosis of postpartum psychosis
When a woman goes to the doctor with complaints about the manifestation of the symptoms described above, the doctor should conduct the most comprehensive examination of her health condition. Identification of organic ailments, blood tests and other studies help explain the causes of postpartum psychosis. In addition, it is necessary to bring a neurological examination, as well as to study the results of computed tomography.
Postpartum Psychosis Treatment
Treatment of postpartum psychosis has been practiced for a long time. Currently, both oral and intravenous and intramuscular administration of drugs are used. But any drugs should be used as soon as possible, since the treatment of postpartum psychosis should be carried out as soon as possible. The success of such therapy directly depends on this. Accordingly, the effectiveness of treatment may decrease if you start it later.
If no immediate medical intervention has occurred, then with postpartum psychosis, a woman's condition can dramatically worsen. And this directly threatens the health of the child and mother.
Postpartum depression can occur in every woman who has recently given birth. A similar condition also manifests itself in those women who gave birth to a dead child or after a miscarriage. Postpartum depression is manifested by changes in the psychological state of a woman. She may suffer from a constant manifestation of a feeling of sadness, pessimism, hopelessness. A young mother ceases to feel the joy of life, the pleasure of caring for a child. Sometimes a young mother feels that it is too difficult for her to take care of her baby everyday. To date, there is evidence that the prevalence of postpartum depression reaches up to 15%. It is very important to take into account the fact that postpartum depression in the mother can affect the health of the child in the future.
If you evaluate the condition of a young mother immediately after the birth of a child, then almost every woman has a state of fatigue, weakness and exhaustion. In the first few weeks after childbirth, a young mother may suffer from insomnia, weakness. All these sensations in most young mothers are manifested in parallel with a state of joy and great satisfaction from the fact that a child was born. But in a normal state, after a few weeks, a woman feels that her condition is becoming more stable and that unpleasant manifestations disappear without treatment.
Causes of Postpartum Depression
There is an opinion that the cause of postpartum depression is a sharp hormonal imbalance in the body of a woman, which manifests itself immediately after the birth of the baby. In the process of pregnancy, significant changes occur in the woman’s body psychological, somatic and endocrine character. Mental dysfunction in the postpartum period, according to doctors, is associated with a sharp decrease in the amount of gonadotropic hormoneat.
But there are some factors that provoke an increased risk of postpartum depression. First of all, it is important to consider that postpartum depression is more often manifested in those women who have previously suffered from such a disease at birth. Particularly often, postpartum depression occurs in this category of women at birth after 35 years. However, there is evidence that postpartum depression is much more likely to occur in women at the birth of their first child.
In addition, the risk of manifesting this condition significantly increases the lack of adequate support for the young mother, which should be provided by relatives and friends. Postpartum depression is more likely to occur in women who have had severe stress. It can be provoked by health problems in the newborn, regular colic in the child, the presence of other family or psychological problems.
If a woman was susceptible to depression even during the period of bearing a child, then in 75% of cases a depressive state manifests itself in her even after childbirth. Also increases the chances of depression depressive conditions either to bipolar disorder.
Symptoms of Postpartum Depression
Since the birth of a child is a serious stress for a woman, the development of depression in the postpartum period occurs quite often.
The most typical symptom of postpartum depression is the young mother's denial of the need for skilled care. A woman who has just given birth to a child feels that it is very difficult for her to cope with new responsibilities, and at the same time feels guilty. A woman suffers from severe anxiety, while she becomes very slow and focuses with great difficulty. Sometimes a woman completely rejects all social contacts and is completely immersed in the chores of the child. In other cases, postpartum depression causes the mother to completely abandon the care of the child. Often postpartum depression turns into a chronic form and for a long time negatively affects the condition of the child and mother.
Very often, a young mother suffers from the fact that she does not receive confirmation of the theory that her maternal instincts will help to bear all the difficulties of the period of adaptation to the child quickly enough. But in fact, in order for such a connection between the mother and the baby to appear and strengthen, it takes several months. Consequently, frustration from failures can provoke an aggravation of a depressive state. In addition, very often the mother is convinced that she alone is responsible for the child.
Thus, a feeling of sadness, emotional emptiness and constant anxiety can haunt a woman for a long time. Gradually, she loses the ability to enjoy everyday pleasant things. Symptoms of postpartum depression are also often loss of appetite, a sharp decrease in weight in a young mother. A woman may also suffer from insomnia.
The symptoms described above can occur in a woman both in the first week after childbirth, and after a few troubled weeks. Postpartum depression can continue in a young mother for about three to four months.
Types of Postpartum Depression
In medical practice, a certain classification of postpartum depression has been adopted. At neurotic depression a woman aggravates those disorders that occurred during pregnancy. She is discouraged, often cries, and gradually reaches an extreme degree nervous exhaustion.
Traumatic neurosis, as a rule, manifests itself after a very difficult process of childbirth. In women who survived the hardest birth, the state of anxiety and obsessive fears gradually increase before the next birth of the child.
At melancholy, which is accompanied by delusional inclusions, a woman’s condition is characterized by severe inhibition, a feeling of guilt, as well as thoughts about her own failure. A woman may not recognize people close to her, suffer from the constant manifestation of unpleasant hallucinations. Very often, this condition precedes the manifestation manic-depressive psychosis.
With postpartum depression with a neurotic component, a woman may have hypochondriacal symptoms, as well as insomnia and a manifestation of a feeling of impotence. A mother is constantly afraid of something to harm her child.
Most often, young mothers have a prolonged course of postpartum depression. Moreover, a similar condition often occurs in a woman who is not diagnosed, although approximately 20% of young mothers suffer from it. As symptoms of this condition, there is a constant feeling of fatigue, despondency, exhaustion. It is very difficult for the mother to endure the baby’s crying, she becomes irritable, and at the same time she constantly feels guilty for such behavior.
Diagnosis of Postpartum Depression
Diagnosis of postpartum mental disorders is carried out by conducting a medical examination, as well as a detailed survey of the patient. It is imperative that the woman tells the doctor as detailed as possible about her own feelings, thoughts and emotions that prevail after her birth. During treatment, the doctor must monitor the patient and monitor her psychological condition. It is important that there is a doctor’s attentive attitude to the woman’s complaints, as mental disorders sometimes go unnoticed.
Postpartum Depression Treatment
Treatment of postpartum depression and postpartum psychosis involves the mandatory consultation of a psychologist and the use of medications. With postpartum depression, a woman is prescribed treatment antidepressant drugs. But if the patient has a mild postpartum depression, then medications can be dispensed with in some cases. Today, the use of modern antidepressant drugs allows you not to refuse to breast-feed a baby, since they do not have a negative effect on the baby. But it is very important that such funds are prescribed exclusively by a specialist.
However, the treatment of postpartum depression also involves proper nutrition, a certain physical activity, a sufficient number of hours of daily sleep. In addition, a woman needs to recognize the incorrectness of her own behavior and be sure to seek help from her relatives.
Prevention of Postpartum Mental Disorders
It should be understood that the prevention of postpartum depression and postpartum psychosis must be taken care of long before the baby is born. The expectant mother should always be in a comfortable environment, feeling care and support. It is especially important to provide such conditions to women who are at increased risk of manifestation of mental disorders. In this case, the attitude to the woman of her partner is extremely important.
Both the husband and the wife should understand before the birth that every woman has a risk of developing postpartum depression, therefore it is important to recognize this condition in time and ensure its adequate treatment.