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Postpartum Depression Risk Factors by Gynecologists in Islamabad

Postpartum Depression (PPD) is a complicated mix of physical, mental, and behavioral changes. Some women experience this after having a baby. PPD is a type of serious depression that occurs within four weeks following birth. According to the DSM-5, a guidebook to identify mental disorders. The intensity of the depression, and the amount of time between birth and beginning, helps to diagnose PPD. This article lays down all the details of PPD according to gynecologists in Islamabad. Also their effect on the health of the women and the baby.

PPD relates to the biological, social, and psychological changes that occur after having a baby. Many new mothers go through a variety of physical and emotional changes as a result of their pregnancy. Medication and counseling can treat PPD.

Postpartum Depression according to Gynecologists

The term “postpartum” refers to the period following childbirth. Within a few days of giving birth, most mothers experience the “baby blues,” or a sense of sadness or emptiness. The newborn blues usually pass in 3 to 5 days for most mothers. You may have postpartum depression if your baby blues don’t go away or you feel gloomy, hopeless, or empty for more than two weeks. It is not normal or expected for a mother to feel despondent or empty after giving birth.

After birth, the chemical changes include a rapid reduction in hormones. The precise relationship between this decline and depression is still unknown. During pregnancy, the levels of estrogen and progesterone increase tenfold. Then, following birth, they plummet. By 3 days after a woman gives birth, the levels of these hormones drop back to what they were before pregnancy.

  • Postpartum Depression Signs and Symptoms by Gynecologists

    Symptoms of postpartum depression can be hard to detect. According to the best gynecologists in Islamabad, many women have these symptoms following childbirth:

    • Trouble sleeping 
    • Appetite changes 
    • Severe fatigue 
    • Lower libido 
    • Frequent mood changes

    With PPD, these come along with other symptoms of major depression, which aren’t typical after childbirth, and may include: 

    • Being uninterested in your baby or feeling like you’re not bonding with them
    • Crying all the time, often for no reason
    • Depressed mood 
    • Severe anger and crankiness
    • Loss of pleasure 
    • Feelings of worthlessness, hopelessness, and helplessness 
    • Thoughts of death or suicide 
    • Thoughts of hurting someone else
    • Trouble concentrating or making decisions

    New obsessive-compulsive disorder (OCD) symptoms are uncommon in the postpartum period. Obsessions relate to worries about the baby’s health or unrealistic fears of injuring the child. Panic disorder is also a possibility. You can have both of these illnesses and depression.

    Postpartum Risk Factors according to Gynecologists

    It’s not because you have done something wrong that you have PPD. Experts believe it occurs for a variety of causes, which vary from person to person. Some factors that can contribute to postpartum depression include:

    • A history of depression prior to becoming pregnant, or during pregnancy
    • Age at time of pregnancy (the younger you are, the higher the chances)
    • Ambivalence about the pregnancy
    • Children (the more you have, the more likely you are to be depressed in later pregnancy)
    • Family history of mood disorders
    • Going through an extremely stressful event, like a job loss or health crisis
    • Having a child with special needs or health problems
    • Having twins or triplets
    • With a history of depression or premenstrual dysphoric disorder (PMDD)
    • Limited social support
    • Living alone
    • Marital conflict

    There’s no one cause of postpartum depression, but these physical and emotional issues may contribute:

    Hormones:  The dramatic drop in estrogen and progesterone after you give birth may play a role. Other hormones produced by your thyroid gland also may drop sharply and make you feel tired, sluggish, and depressed.

    Lack of sleep:  When you’re sleep-deprived and overwhelmed, you may have trouble handling even minor problems. 

    Anxiety: You may be anxious about your ability to care for a newborn. 

    Self-image: You may feel less attractive, struggle with your sense of identity, or feel that you’ve lost control over your life. Any of these issues can contribute to postpartum depression.

    How Gynecologists Treat Postpartum Depression

    According to gynecologists the most common types of treatment for postpartum depression are:

    Therapy

    During therapy, you talk to a therapist, psychologist, or social worker about how to change the way you think, feel, and act when you’re depressed.

    Medicine

    There are different types of medicines for postpartum depression. Your doctor or nurse must prescribe them. The most common type is antidepressants. Antidepressants can help relieve symptoms of depression. You can also take some while you’re breastfeeding. Antidepressants may take several weeks to start working.

    The Food and Drug Administration (FDA) has also approved brexanolone as a treatment for adult women suffering from PPD. Use this medicine only in a clinic or office when you are under the care of a doctor or nurse because of the potential of side effects. It’s possible that using brexanolone while pregnant or breastfeeding isn’t a good idea.

    Esketamine is a type of drug used to treat depression. Administered as a nasal (nose) spray in a doctor’s office or clinic. Esketamine has the potential to harm an unborn child. If you are pregnant or breastfeeding, you should avoid using esketamine.

    Electroconvulsive Therapy (ECT)

    This can treat postpartum depression in extreme circumstances.

    You can use these treatments separately or in combination. Consult your doctor about the pros & cons of taking antidepressant medication while pregnant or nursing.

    Depression can have an impact on your child. It is critical that you and your baby receive therapy. Taking antidepressants or attending counseling does not make you a horrible mother or a failure. Obtaining help is a display of strength.

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