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Alternative names
Depression - postpartumReturn of the definition to the cover
The first month after a delivery (post-partum period) is a time of the important changes for the women. Their hormones and weight are readjusting quickly. It can have new and exhausting changes in relations with other children, the father of the baby, the parents and the in-laws, the colleagues in the work, and the friends. Of course, the new baby needs the almost constant attention and the feeding every two hours, giving by result the deprivation of the dream. All these factors can contribute post-partum to the oscillations of humor.
If moodiness lasts only 2 -3 weeks and later it leaves, commonly the "blue one of the baby" is called. This natural reaction to tensionar is experienced no matter how hard half of new mothers.
Nevertheless, if the sensations of the depression or the anxiety continue more than three weeks, one more a condition more serious call post-partum the depression can exist. Near 10% of women they experience the significant depression after a pregnancy.
The causes, the incidence, and the risk factors return to the cover
You have one more an occasion higher post-partum of the depression if:
The symptoms return to the cover
Most of the symptoms they are equal that in the important depression. In addition to fluctuations of humor, the woman worries with the well-being of the infant. The intensity of this varies -- the preoccupation can get to be delusional. The women press themselves that they can feel distant and not related his baby, and can even feel as if she can be that they damage the baby.
The presence of severe thoughts or delusional on the infant is the symptoms that need the immediate attention. These can be accompanied by "sicopáticas hallucinations of the commando" to kill to the infant or delusions that they have the infant.
The samples and the tests return to the cover
The depression is test no to diagnose post-partum. The pregnancy of following of the depression can be related sometimes to other medical conditions. The hipotiroidismo, for example, cause symptoms such as it tires, irritability, and depression. The women with post-partum the depression must have a blood analysis to defend for hormones of low thyroids. This condition is dealt easily with the suplemental hormone. Another track to this condition can be increase or lack of the weight to lose the weight after the pregnancy, in spite of the breast-feeding of the baby.
Since post-partum the depression is so common, the tests of investigation of the questionnaire are available. The women with nobodies of the risk factors, or with symptoms of the depression, must consider taking from such test to determine if they need the treatment.
Return of the treatment to the cover
The treatment for the depression after the birth often includes the medication, the therapy, or a combination of both. Luckyly, several medications of the antidepressant can be given the breast-feeding mothers.
Once the depression is diagnosed, the woman will need to be followed close by by at least six months.
The aid groups return to the cover
The participation in aid groups can have value, but an addition is due to consider to, not a substitute for, a medication or a formal sicoterapia. Call (800) 4-A-Child to speak with an advisor or to obtain a remission for the local groups of aid. Also, the national association of the services of the care of Postpartum in (800) 45-DOULA can order to him to the local services honorary-based to give a rest him or to remain for above with the baby at night.
The expectations (prognosis) return to the cover
The medication and the therapy are often effective in the reduction or the elimination of symptoms.
Those with underlying hipotiroidismo can be dealed with taking a form from the pill the hormone. Nevertheless, the two conditions -- depression and hipotiroidismo -- can coexist and can both require the treatment.
The complications return to the cover
If he is gone untreated, post-partum the tin of the depression lasts per months or years. The in the long term potential complications are equal that in the important depression.
Calling his supplier of the medical care it returns to the cover
Notify his doctor or pediatra if his moodiness after the pregnancy lasts more than three weeks, specially if you have nobodies of the symptoms post-partum of the depression or you have nobodies of the risks for him.
It is not scared to look for aid immediately if you one feels crushed and it is scared who you can hurt to your baby.
Many women begin to even experience some symptoms post-partum of the depression before the birth. There is no reason of hoping and "she sees if as soon as leaves". Immediately notify to his obstetrician or primary supplier of the care.
Return of the prevention to the cover
To have good social aid of the family, friends, and fellow workers probably helps to reduce to seriousness post-partum of the depression, but it can not prevent it.
To take questionnaires from the investigation appears to be the best method to find the depression early and to treat it.
Those in the high risk must before be and later it gives followed defendant and close by with the investigation repeated, depending on symptoms, for at least four months after the delivery.
Date Of the Update: 10/16/2004 Bring up to date surrounds: Updates to the specific sections done by Jacqueline To Hart, M.D., greater medical editor, A.D.A.M., Inc.. Reviewed previously by Juan Goldenring, M.D., MPH, department of pediatría, hospital of children, San Diego, CA, and Angela Smyth, M.D., department of psychiatry, university of Chicago, Chicago, IL. The revisions provided by the network of VeriMed Healthcare (11/12/2003).
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