Pregnancy period is considered risky especially for the development of mental disorders. According to experts, 70-85 percent of women in this period may develop various mental symptoms and disorders.
Emphasizing that it is an important process to inform expectant mothers about the factors that increase the risk of pregnancy and postpartum depression and about psychological, physiological and social changes, Psychiatry Specialist Dr. Sevilay Kantekin warned.
THE FIRST 1 YEAR AFTER BIRTH IS CRITICAL!
Stating that in many studies in the literature, the postpartum period of 6-12 months is accepted as the ‘postpartum period’, Psychiatrist Dr. Sevilay Kantekin says, “Postpartum depression can start gradually or suddenly after the second or third week after birth and can last up to one or even two years after birth. In addition, it is noteworthy that there is a significant increase in hospital admissions for psychiatric reasons in women in the first two years following birth.
ATTENTION IF YOU HAVE DEPRESSION IN PREGNANCY!
Noting that in many recent studies, it has been shown that approximately 10 percent of pregnant women have gestational depression. Dr. Sevilay Kantekin said, “The risk of postpartum depression is on average 6.5 times higher in women who have had gestational depression compared to women who did not have depression during pregnancy. In studies conducted in our country, the incidence of postpartum depression is reported to be between 14 and 40.4 percent.
exp. Dr. Sevilay Kantekin stated that psychiatric disorders that occur after birth are generally examined in three parts: postpartum blues, postpartum depression (PPD) and postpartum psychosis (PPP).
SYMPTOMS OF POST BIRTH MESS CAN LAST 2 WEEKS
Stating that the most common psychiatric disorders that occur after birth, between 15 and 84 percent, postpartum sadness is seen. Dr. Sevilay Kantekin shared the following information;
“Postpartum sadness usually starts on the 3rd or 4th day after birth, the symptoms are temporary and can last from 1-2 days to 1-2 weeks. In many women, symptoms such as anxiety, mild depression, fatigue, hypersensitivity to criticism, crying, restlessness, volatility in affect, concentration problems, poor memory, sleep disorders, loss of appetite, loss of sexual interest, general feeling of boredom about birth and baby can be seen in many women. These symptoms are mild and transient and resolve spontaneously; It does not affect women’s functioning and care for their babies.”
WHEN TO TAKE PSYCHOTHERAPY?
Emphasizing that postpartum sadness was found to be associated with premenstrual dysphoria, dysphoric mood during pregnancy, and a history of depression in the past and family, Uzm. Dr. Sevilay Kantekin said, “It is claimed that 20 percent of cases of postpartum sadness may develop major depression in the first year postpartum. In cases where the symptoms of postpartum sadness do not resolve within the expected period and the severity of the symptoms gradually increases, care should be taken in terms of the risk of the picture turning into depression. Supportive psychotherapy approaches that inform pregnant women and their families about the symptoms of postpartum sadness that can be seen in the antenatal period and that these symptoms can improve within 2 weeks without the need for special treatment may be beneficial.
IF THERE IS NO DIAGNOSIS AND TREATMENT ON TIME…
Underlining that it is important to detect postpartum depression as soon as possible and start treatment, Uzm. Dr. Sevilay Kantekin explained the aims of early treatment as follows;
“Through early diagnosis and treatment, mothers with depressive symptoms should save themselves from the consequences of this negative process, and prevent the negative effects of the development of the child and the consequences that can lead to suicide, accidental injury to the child, or even killing the child, although rarely if not treated. Deficiencies in the evaluation of psychiatric diseases associated with postpartum depression are one of the factors that can delay the treatment process. Determining the factors that are important and continuing in the etiology of pregnancy and postpartum depression can provide an accurate diagnosis and increase the effectiveness of treatment.
SPIRIT AND FAMILY SUPPORT IS VERY IMPORTANT
Noting that spousal and family support is important in the treatment of postpartum depression, Uzm. Dr. Sevilay Kantekin shared the following information;
“A wife who can spend enough time together, shows her love with words or actions, shares her feelings, loves her spouse with her changing body, can understand her fatigue, and can share responsibilities at home will have a positive psychological impact on the mother-to-be. A woman who feels loved and appreciated emotionally comes out of pregnancy psychology more easily. Thus, the relationship will be protected from the negative vicious circle that many couples fall into with the birth of the baby. Not staying away from critical feedback that increases the mother’s sense of inadequacy will negatively affect the mood of the mother who questions herself and feels worthless. If a man who has accurate and sufficient information about the mental state of the new mother can give his wife the necessary support, he can protect the relationship from many dangers of this period. Calling more often during the day, talking about how she is, how she feels, sharing her feelings about their sexual life, not forgetting that they are husband and wife as well as being a parent will positively affect the relationship.”
CHANGES CAN BE MADE IN MOTHER’S DAILY ROUTINE
Stating that the changes that the mother will make in her daily life can also contribute to the improvement of her mood and treatment, Uzm. Dr. Sevilay Kantekin listed the things to be considered for the prevention of post-pregnancy depression as follows;
• Exercising regularly during the day and trying to consume healthy and balanced foods will make you feel more vigorous.
• Create realistic expectations. There is no such thing as a ‘perfect mother’. Trying to make everything perfect can have unintended consequences. Do as much work as you can and rest. Get help from those around you and don’t take all responsibility without trying to do everything yourself. Try to do the best you can. The mother, who strengthens the secure attachment area with her love and compassion, meets the most important need of the baby.
• Create your own private space. Pay attention to personal needs, make time for personal care, make plans with your spouse, see your friends even from a distance. Do not hesitate to ask your relatives for help to take time for yourself.
• Sharing your feelings and not being isolated from social life allows you not to feel alone.
• Be aware that some days will be good and some days will be tired and accept your feelings.
• Unwind with a bath. All your muscles will be relaxed and refreshed during the 15-minute bath you will set aside for yourself. Start your day with a shower.