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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