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
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