How long postpartum depression last


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Postpartum depression

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At least one in 10 mothers suffers from postpartum depression. It is one of the most frequent postpartum complications and occurs in 10-13% of women in labor. As a rule, in such cases it is not always possible to make a correct diagnosis, because mothers are reluctant to seek medical help. Psychotic states in the postpartum period occur in no more than 0.1-0.3% of cases. That is, out of every thousand women who give birth, from 1 to 3 suffer from an even more severe form of depression - postpartum psychosis, in which a woman develops delusions or hallucinations, often accompanied by an obsession with harming herself or the child. The psychotic state significantly impairs the woman's ability to function naturally in family and social life, and also poses a significant risk of committing a suicide attempt. In most cases, the postpartum psychotic state requires urgent hospitalization of the patient. Early postpartum depression develops in the first days or weeks after childbirth, and usually lasts from a week to a month. Late postpartum depression usually develops several months after pregnancy. Its duration can be different, but more often it lasts more than a month. nine0003

Most often, depression appears 30-35 days after birth and in some cases can last up to 1.5-2 years. However, in most cases, a depressive episode ends spontaneously safely 3-6 months after birth. Symptoms of postpartum depression meet the diagnostic criteria for depressive disorder. The patient has a deterioration in mood, a decrease in energy, activity, the ability to rejoice, have fun, a decrease in interests and difficulty in long-term concentration of attention. Severe fatigue is common, even after minimal effort. As a rule, sleep is disturbed and appetite worsens. Self-esteem and self-confidence are almost always reduced, even in mild forms of the disease. Often there are thoughts of one's own guilt and uselessness. Low mood, which varies little from day to day, does not depend on circumstances and may be accompanied by symptoms such as loss of interest in the environment and the loss of sensations that give pleasure. Typical is awakening in the morning several hours earlier than usual, increased depression in the morning, severe psychomotor retardation, anxiety, loss of appetite, weight loss and decreased libido. nine0003

In most cases, postpartum depression remains unrecognized in the initial period. The most typical example is the prevailing idea of ​​the "natural whims" or character flaws of a woman in labor who turns to her relatives for help instead of actively caring for the child. Loss of initiative and energy or fear of being judged and discussed by others often prevents a woman from seeking medical help. However, even when contacting a doctor, the disease often remains unrecognized, since some doctors tend to consider this condition as a temporary and natural reaction to the stress that childbirth is, especially for primiparas. At the same time, depression can increase over several months, and the treatment of this condition is delayed until there is an indication for emergency hospitalization. nine0003

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How long does postpartum depression last?

In this article, we will talk in detail about postpartum depression. How long does it last? What are the signs, symptoms? Read and comment on the article on the site!

The article was written by Marina Ilyina , a staff psychologist at the Eleps company, which sells medical equipment (for example, hysteroscopes, EHF devices, endoscopic cameras). nine0003

One of the most exciting moments in the life of every person is the birth of a child. However, this event is often overshadowed by the onset of postpartum depression in the mother.

Unfortunately, in our country the word “depression” is greatly devalued, or ridiculed to such an extent that a person suffering from this disease simply cannot go to the doctor for help.

It's the same with postpartum depression. Often, due to different prejudices and mentality, no one notices alarm bells in a patient either during pregnancy or during the formation of depression. nine0003

Causes

Postpartum depression is a mental disorder that develops in women in labor within 3-6 weeks after the birth of a child. The reasons for the formation of the disorder are very different:

  • Heredity - often the formation of a large number of mental disorders is influenced by the characteristics of the nervous system, which are inherited.
  • Hormonal changes. After childbirth, the production of many hormones is reduced, which negatively affects the nervous system. This adversely affects emotional stability. nine0050
  • The role of mother. As a rule, a new social status inspires only some types of personalities and gives a lot of new energy. For most people, the stress associated with a new position in society is sometimes depressing. And here is not just the post of CEO of a multi-billion dollar company, but the role of a mother who every second worries about the safety of her child, his health and well-being.
  • Problems in marital relations. Often the catalyst for depression is the lack of attention of the spouse, domestic quarrels and scandals. In addition, a woman's sexual desire after childbirth, due to health, drops to a minimum, and this already begins coldness in relationships, etc. nine0050
  • Difficulties in housekeeping. As a rule, a woman is engaged in housekeeping, and from the moment the child is born, in addition to the usual duties like cleaning, washing and cooking, she still has to take care of the child: bathing, feeding, putting to bed, while regular trips to the doctor and everything else. Exhaustion, the inability to relieve moral and physical stress often cause depression and depression in mothers.

Symptoms

Among the pronounced symptoms in those suffering from depression, depression of mood is manifested, an excessive desire to eat (up to gluttony) or loss of appetite, sleep disturbance (may manifest itself in insomnia, or vice versa in drowsiness), variability of emotions, tearfulness, thoughts about one’s own worthlessness, loss of feeling autonomy and the destruction of one's own opinion. Also, constant anxiety for the well-being of the baby with a neurotic version of postpartum depression. In melancholic depression with a delusional component, there is a sense of guilt and lethargy. With the most common form of depression - prolonged - patients are sure that everything is fine with them. They're just tired and blues. This type of depression develops in a latent form, so a small number of patients turn to specialists. Those who have not done this experience tearfulness, constant fatigue, and it is a burden for them to get up at night for feeding. nine0003

Duration.

Postpartum depression is a long illness and it never goes away by itself. On average, postpartum depression can last from 2 to 6 months, and in some cases, it can last up to 2 years.

Sometimes the patient's condition improves when the causes of depression begin to be eliminated - the patient is given a rest, some household duties are taken, an idyll begins in married life. Yes, when the cause is eliminated, the condition can even out, but if the patient abruptly returns to the previous rhythm of life after a while, then the condition can become much worse than before. nine0003

Treatment

Postpartum depression can be treated in a variety of ways and with varying degrees of severity. For example, if the patient has a mild form, then it is enough to consult a psychologist, with moderate ones, it is advised to undergo a course of psychotherapy and appropriate medications as prescribed by a doctor, with severe symptoms of depression, hospitalization of the patient is necessary, psychotherapy and drug treatment are mandatory. Among the medical support provided to patients, the following actions can be distinguished:

  • Psychologist's consultation - the very first one to determine the degree of neglect of the disease. With a mild form, the patient is offered to change the situation, shift part of the affairs to the spouse or parents, go in for sports or a favorite thing.
  • Psychotherapy. With this option, a different approach is used to patients, but all of them are aimed at identifying internal conflicts, the patient's moral values, his feelings for the child and reassessment of values ​​are traced.
  • Medical treatment. Among the drugs that are prescribed to the patient, there are antidepressants and hormonal drugs. The former normalize the general condition, eliminate anxiety and depressive mood. Hormonal drugs are prescribed individually, before prescribing drugs, it is required to pass the necessary tests. nine0050
  • Social support. After treatment, the victim of depression is advised to continue psychotherapy in an informal setting.
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