Postpartum Period
The Maternal Postpartum Period
- Emotional fluctuations are common and expected, and may persist for several weeks. However, it can also evolve to PPMAD
- Postpartum depression: involves a more major depressive episode, typically about four or more weeks after delivery.
- **Women of every culture, age, income level, and race can develop PMADs. **
- Therapeutic intervention is considered effective treatment, and for many, potentially coupled with medication when indicated.
PPD Effects and Treatment
- Postpartum depression has numerous effects:
- Mother-infant interaction.
- Risk of additional medical and psychological disorders.
- Child(ren)’s physical health and cognitive development.
- Support of the partner can help lower the incidence of postpartum depression.
- Treatable and Temporary with correct therapeutic intervention, education, med consult, support
- Plan - Pre-empt issues and concerns; especially if known risks or prior history of mental illness
The Partners
- Dads, non-birthing mothers, or partners, and other helpers also need support and connection.
- As many as 1 in 10 report depressive symptoms
- PPD can be harder to diagnose in males. Male postpartum depression symptoms may also include:
- Sadness, irritability, agitation, and/or anger
- Feelings of worthlessness
- Loss of interest in sex or activities that used to bring them joy
- Engagement in risky behaviors like abusing alcohol or drugs, gambling
- Shortness of breath
- Heart palpitations
- “Overworking”, distracting self with work related tasks
- Father’s postpartum reaction is likely improved if he has taken childbirth classes and is an active participant in caring for the baby.
LGBTQ Families
- Non-gestational parents
- At mercy of health care provider
- Attachment concerns
- Desire for social recognition
- Identity issues
- Lack of support groups
- Postpartum depression
- Data mixed.
- Some added protective factors (higher life satisfaction among gay men, less gender-role conforming postpartum); additional risk factors (biases during prenatal and postnatal care, parental leave)
- Community support critical, Doula support, legal support for adoption and surrogacy