Longitudinal studies looking at data collected between 2006 and 2011 women who gave birth at the academic medical center in Pittsburgh, Pennsylvania. Women with postpartum depression disorders participated and completed the assessment of the severity of symptoms in 4-8 week (intake), 3 months, 6 months, and 12 months postpartum. A doctor interviewed the women about the severity of their symptoms of depression, medical and psychiatric history, functions, experience of obstetrics, and the status of the baby.
4 the characteristic marker of Postpartum depression
The fourth characteristic is the number of children; Ability to function in public life, at work, and in relationships; Education level--can determine access to resources; and the level of depression in four to eight weeks pascapersalinan.
"At the moment a mother coming to visit six weeks pascapersalinan, we got a potentiality to predict the severity of depresinya over the next 12 months," said Sheehan Fisher, Assistant Professor of Psychiatry and behavioral sciences at Northwestern University Feinberg Medical School.
Identifying these factors in the early postpartum period will allow mothers to seek treatment early and increase their chances for a full recovery.
A mother with depression after childbirth can be in one of three pathways to depression: gradual remission (as time goes on he began to get better); partial improvement (at 12 months postpartum, she headed in a positive direction but continued to have symptoms); and severe chronic (symptoms began at the same level with the second floor, but deteriorated over time).
"This is not just a question of ' Whether the mother was depressed? ' But, ' as far as what level depresinya? ' "Says Fisher, " If depresinya symptoms worsening over time, it should be a proactive treatment. "
Fisher hope these findings will lead to improved measures of care for mothers in the third pathway of depression. It means health care providers can customize the level of care for every woman.
Symptoms and treatment of postpartum
Mothers with postpartum depression usually have difficulty sleeping, feelings of worthlessness or excessive guilt, difficult to overcome negative emotions, have an inability to focus or concentrate, and generally feel a lot of pressure emotional.
Pascapersalinan depression not only affect the mother but also can affect the function and health of her child negatively. This can affect the development of children's emotions and ability to regulate their own emotions and give a higher risk for anxiety and depression.
The longer a woman's depression is left untreated, the harder it is for him to get back on track, said Fisher. It may take a while to find the right medication and get access to the right provider.
"It just undermines if the mother does not start treatment until the future, " says Fisher.
Treatment for women in different chronic group based on the individual. The doctor may ask for the help of the father or other family members to seek a high level of care such as intensive outpatient care for mothers.
Pain after childbirth
The pain of childbirth is also associated with postpartum depression. Summary of new research presented at the annual meeting of Anesthesiology, last year.
Previous research has shown the pain associated with childbirth may increase the risk of depression pascapersalinan, but has yet to determine which parts of the labor that may be the source of the problem. This is the first study that distinguishes the postpartum pains of labor pain/childbirth and identify it as a significant risk factor for postpartum depression.