Presentation on theme: "IMPACT of UNTREATED POSTPARTUM DEPRESSION"— Presentation transcript:
1 IMPACT of UNTREATED POSTPARTUM DEPRESSION Dr Violet Okech- HeluDepartment of Mental Health, KNH
2 Postpartum Depression: The Facts Depression is one of the commonest, treatable yet undiagnosed mental health disorders with a HUGE impact on bio-psycho-social functioning.Approximately 10% of mothers experiencepostpartum depression.Numbers could be higher due to under-diagnosis.Left untreated can severely affect the mother,baby,father, siblings and wider society.
4 Baby blues or Postpartum depression? Many women experience the "baby blues" after childbirth.SymptomsMood swingsCrying easily,Poor concentrationIrritabilitySadnessResolve within 1-2 weeksDue to hormonal changes& physiological changesPostpartum DepressionMore severe symptomsLast longer than 2 weeksInterfere with Mom’s ability to care for:BabyHerselfFamilyDaily tasksIn postpartum psychosishallucinations may pose harm to the baby or MomInsert picture of can I call u back after 5 years
5 Postpartum depression(PPD) Loss of appetiteInsomniaIntense irritability and angerOverwhelming fatigueLoss of interest in sexLack of joy in lifeFeelings of shame, guilt or inadequacySevere mood swingsDifficulty bonding with your babyWithdrawal from family and friendsThoughts of harming yourself or your babyNB:PPD is not a sign of weakness nor mom’s fault. It’s a disease.
6 Postpartum psychosis Symptoms Confusion and disorientation Hallucinations and delusionsParanoiaAttempts to harm yourself or your babyAn EMERGENCY!Mom’s should seek help if..Symptoms last more than two weeksAre getting worseDifficulty in baby careDifficulty in completing everyday tasksHave thoughts of harming self or your baby
7 Risks for postpartum depression Previous depression, either during pregnancy or at other timesPrevious postpartum depressionRecent stressful events.. complicated pregnancyillness, job loss.Bipolar mood disorderUnplanned or unwanted pregnancyFinancial difficultiesYoung, unwed motherProblems with spouse or baby’s dad/familyWeak social support systemPlease Screen for these risks actively…
8 Edinburgh Postnatal Depression Scale The Edinburgh Postnatal Depression Scale (EDPS) was developed in 1987 to help doctors determine whether a mother may be suffering from postpartum depression.The scale has since been validated and confirmed to be both reliable and sensitive in detecting depression.During the postpartum period, 10 to 15% of women develop significant symptoms of depression or anxiety.Unfortunately, many moms are never treated, and although they may be coping, their enjoyment of life and family dynamics may be seriously affected.
9 Edinburgh Postnatal Depression Scale In the past 7 days:1. I have been able to laugh and see the funny side of things -a. As much as I always could b. Not quite so much now c. Definitely not so much now d. Not at all2. I have looked forward with enjoyment to things -a. As much as I ever did b. Rather less than I used to c. Definitely less than I used to d. Hardly at all3. I have blamed myself unnecessarily when things went wrong -a. Yes, most of the time b. Yes, some of the time c. Not very often d. No, never4. I have been anxious or worried for no good reason -a. No, not at all b. Hardly ever c. Yes, sometimes d. Yes, very often
10 Edinburgh Postnatal Depression Scale 5. I have felt scared or panicky for no good reason -a. Yes, quite a lot b. Yes, sometimesc. No, not much d. No, not at all6. Things have been getting on top of me -a. Yes, most of the time I haven’t been able to cope at all b. Yes, sometimes I haven’t been coping as well as usual c. No, most of the time I have coped quite well d. No, I have been coping as well as ever7. I have been so unhappy that I have had difficulty sleeping -a. Yes, most of the time b. Yes, some of the time c. Not very often d. No, not at all8. I have felt sad or miserable -9. I have been so unhappy that I have been crying -a. Yes, most of the time b. Yes, quite often c. Only occasionally d. No, never10. The thought of harming myself has occurred to me -a. Yes, quite often b. Sometimes c. Hardly ever d. Never
11 Impact on baby Difficulty in attachment and breastfeeding Difficulty in regulating emotionReduced cognitive abilityPoor social skills and the ability to from successful relationshipsIncreased fussiness and irritabilityIncreased risk of mental illness in later life-elevated cortisol, reduced dopamine and serotoninBecause mother not attention or is very withdrawn or is overly intrusive. Inconsistent parenting
12 Impact on baby Difficulty in matching facial expression to emotion Reduced ability to show empathy-conduct disorder, later development of psychopathic behaviour?...Increased impulsivityIncreased social withdrawalDecreased access to healthcare options, immunization etc..
13 Impact on mother/father/family Decreased use of postpartum care for Mum and childReduced chances or time for breastfeedingInconsistent parenting leading to reduced ability of children to listen to and obey instructionsIncreased likelihood of marital conflict over sex and family rolesMaternal withdrawal or over-intrusivenessPossible harm to baby in psychotic episodes
14 Managing Postpartum depression Early detectionMedicationPsychotherapy-personal and coupleDestigmatization of PPDIncreasing social supportMom “me” time/selfcarePromoting adherence to treatment
15 Aint Mama happy, aint nobody happy…Happy mama, happy n healthy families coz mothers set the emotional tone of the family and home.