Postpartum Depression

During pregnancy, expectant mothers experience very strong hormonal, physiological and psychological changes. At the end of this period, which the mothers experience during the 40-week pregnancy, they enter the 6-week puerperium period.

While most of the mothers get through this process without any problems, some have problems. During the puerperium period, mothers experience two different emotional states.

  • Postpartum blues

  • Postpartum depression

These two situations are very different from each other. Being a mother is a very beautiful and sacred event to bring individuals to the family and society.

In the first 2 weeks after the mother’s birth

Sadness

inner distress

Crying and seizures

The situations of experiencing negative anxieties are called puerperal sadness. If these symptoms are prolonged for more than 2 weeks for 2 years, the diagnosis of puerperal depression is diagnosed. Postpartum sadness disappears within 2 weeks after birth.

One out of every 5 expectant mothers in the world experiences postpartum depression. Turkey ranks 65th among 179 countries. While the rate of women with puerperal depression is 15%, it is around 40% in our country.

Causes of depression

Decrease in estrogen and progesterone hormones, which increase during pregnancy

Negative worries from the past

Pregnancy before full recovery of mental problems such as depression, trauma

personal predisposition

Problems between spouses and families

Change in mother’s sleep pattern with birth, change in physical and social life

Shortening the time spent with the spouse

Lack of awareness and information about pregnancy, birth, puerperium, baby care and postpartum relations with the environment

Changes in the mother during this period

Inability to bond with the baby

Worried about harming your baby

I won’t be able to look at him

He thinks that he cannot change his diaper, touch, breastfeed. The mother cannot do these things or she feels that it will be very difficult.

She blames her baby for the radical changes in her life. She blames herself for thinking about it. She thinks she is not a good mother. Her physical changes and appearance push the mother very hard, she does not like herself.

She thinks that she is not a good mother and wife because she cannot meet the expectations of her husband and the environment.

He misses his old days. He wants to go back to those days. This causes the mother to feel guilty. In addition to these, crying and insomnia are common.

In our culture, motherhood is sacred. This holiness is combined with the responsibility it gives to the mother, and trying to meet the expectation of perfection puts mothers under pressure.

Mothers who are trying to get used to new roles can fall into puerperal depression more easily with the advice or intervention of mother-in-law, mother, relative, friend, neighbor.

At the end of the birth process, mothers set sail for a new process. They try to behave according to the motherhood norms of the society. These norms, which have many limitations and are based on holiness, can exclude the mother from social life. In other words, the mother is positioned in a place where her femininity and existence are ignored only for her baby.

TREATMENT

It is normal to have maternal blues within 2 weeks of giving birth.

During the postpartum period, mothers should be more compassionate.

Everything that is used to pregnancy and puerperium will change. For this reason, information and changes about birth and postpartum should be strengthened by explaining.

Instead of blaming the puerperium for the puerperium of the spouse and relatives, it is necessary to be there to help.

Mothers are taught all the information about motherhood.

Motherhood can be instinctive. But baby care is a learnable process. Prenatal and postnatal support should be sought.

Mothers should go out for half an hour during the day.

Relatives and spouses should share their feelings and ask for support.

The baby should be left to a trusted person from time to time and chat with the spouse or friends and share.

The woman who takes on the role of mother feels all responsibilities as well.

In this case, fathers have great responsibilities.

Supporting the mother and being involved in the baby’s life will strengthen the role of paternity.

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