One day early in the morning, I came to the hospital. Before I stepped into the office, I saw four or five family members in the corridor of the ward complaining loudly around the nurse: I was shocked: What happened in what? It turned out to be a pregnant woman who had cesarean section the day before, I barely slept from last night to this morning, The lying-in woman was exhausted, In a bad mood, I shed tears from time to time, I don’t feel well anywhere. The family is at a loss to accompany the lying-in woman. I always feel that the medical care is not done well, So the family found the nurse and asked. I asked the nurse on duty about the basic condition of the pregnant woman: Bleeding is not much, also has no obvious abdominal distending pain, body temperature 37.5 ℃, blood pressure pulse is normal. I went to ask the doctor who was in charge of the operation the day before and learned that everything went well, but the surgeon told me a detail: the pregnant woman’s first child was dissected and gave birth to a daughter; This dissection was caused by scar uterus, She gave birth to another daughter. When the pregnant woman learned that she was another daughter, He kept silent, The mood seemed very low. After learning about the situation, I tried to communicate with the lying-in woman, but it felt that she seemed afraid of what and didn’t want to tell me more. I had a general idea in my heart. Coming out of the ward, I called my family to the office and roughly talked about my preliminary judgment: the new mother may have [postpartum depression]. What is postpartum depression? Postpartum depressive disorder is not an independent disease, It is mainly caused by depression during this special period of postpartum, Sometimes it also includes depression that lasts until or relapses after delivery. All kinds of symptoms may even appear before delivery. During the delivery process and this stage after delivery, Pregnant women face great pressure, emotions and emotions are easy to change, and even serious mental disorders will occur. About 50% ~ 80% of parturients will experience short-term emotional distress after delivery, also known as [baby blues], manifested as crying, mood swings, anxiety, sadness, sleep difficulties, difficulty in concentration, irritability, etc. If it is not well adjusted or controlled, it may develop into postpartum depression. Although the symptoms of postpartum depression are not as serious as [postpartum psychosis], they are more obvious and last longer than [baby blues]. The manifestations of postpartum depression can be varied, with great differences among each person. The main possible manifestations are: emotional depression; Loss of interest and pleasure; Tiredness increases, activities decrease and energy decreases. Severe anxiety; Lower attention; Decline in self-confidence; Always blame yourself and feel that you are useless. The idea or behavior of committing suicide or hurting the baby occurs. Why does the new mother [postpartum depression]? After a brief contact with the lying-in woman, I found out, In addition to being in a bad mood, She is obviously reluctant to communicate more with people, Especially afraid of touching children-she is very reluctant to carry them to her side. Through these signs, I’m guessing she’s already suffering from postpartum depression. The family is really anxious to hear this, Repeatedly asked me why. The etiology of postpartum depression is more complicated. So far, the exact cause of the disease has not been known, It is generally believed that it is the interaction of many factors. 1. Hormonal changes hormone changes are an important cause of postpartum depression. The rapid withdrawal of estrogen and progesterone after delivery is the cause of depression in some susceptible parturients. 2. The occurrence of family hereditary postpartum depression is closely related to genetic factors. Pregnant women with a family history of depression are more likely to suffer from depression. 3. Personality results in the correlation between maternal personality characteristics and postpartum depression. Women with neurotic personality characteristics are prone to this situation. 4. Family life, marital status and social relations are also related to the physical and mental health of parturients after delivery. Women with unstable marriages, various stressful sex events, economic pressure, occupational pressure, etc. will all increase the possibility of maternal depression. One of the older family members who are easily neglected asked me carefully: Doctor, is she too tired? Is it okay to have a rest? This is a common misunderstanding. It is easy for the lying-in woman or her family to think that these mental and emotional changes of the lying-in woman are due to the hard labor process, which is just a normal phenomenon of fatigue and infirmity. 1. Poor sleep? A considerable number of mothers, After giving birth, I can’t sleep and wake up. Generally speaking, After going through a difficult childbirth process, It’s easy to get tired, Most pregnant women will lack sleep, To take care of and feed babies, Most of them don’t get enough sleep. However, A small number of pregnant women because of changes in sleep rhythm, On the contrary, they cannot fall asleep and have sleep disorders. At this time, through appropriate adjustment, or the family members hold the baby away temporarily and keep the environment quiet, the parturient may be able to sleep more soundly. However, if there is a serious sleep disorder, even if the interference of the baby and the family members is avoided, they still cannot sleep, or even cannot sleep for several days, then they should be careful. 2. Not enough rest? Many parturients feel very tired after giving birth, Ignore the people around you. The lying-in woman has just given birth, Not yet fit, And take care of the baby, Often feel powerless, very tired. But under normal circumstances, with the passage of postpartum recuperation time, the puerpera’s physical strength will slowly recover. If you always feel tired, energy is insufficient, and even ignore people, with the passage of time, these conditions have not improved, but there is a tendency to worsen, you cannot take it lightly. 3. The moon did not sit well? Some parturients have been feeling sick all the time after giving birth. These parturients always complain about their discomfort. Not backache, headache, nausea, vomiting, Is flatulence, don’t want to eat, etc. At this time, The elderly in the family will evaluate with experience: Is the moon did not sit well. They don’t know, the whole body for a long time is not, is also a typical manifestation of postpartum depression. Therefore, medical staff and family members in the process of nursing parturient whenever these suspicious phenomena must be paid attention to, let alone complain to each other, when necessary, need to find a specialist consultation. Postpartum depression how is cured? Diagnosis of postpartum depression, It is often necessary to use professional psychological assessment scales, And the psychiatrist will confirm the diagnosis. On the same day, We called in a psychiatrist, The parturient was diagnosed with postpartum depressive disorder. Fortunately, the state of the parturient was only mild depressive episode. A single psychotherapy may be preferred, For the time being, there is no need for drug treatment. If the symptoms do not improve, drug treatment must be considered. If it is a severe depressive episode, accompanied by psychotic symptoms, when life is unable to take care of itself or even suicide and the idea and behavior of hurting infants, it must be referred to a psychiatric hospital for treatment. Is there any way to prevent postpartum depression? To prevent postpartum depression, It is very important to adjust oneself and help from family members. For pregnant women with high-risk factors, Both medical personnel and families should pay full attention to it, Provide more help, Deal with the difficult problems in life, And help adjust the psychological state of the parturient, Alleviate the psychological pressure that may exist. Other members of the family, It is necessary to help the parturient through this fragile period of mood, and cannot turn a blind eye to the poor state of the parturient, let alone complain to each other, because it is easier to aggravate the illness. It is very important to create a positive, warm and harmonious family life atmosphere, and the support of the family is really crucial to the recovery of the parturient’s body. Responsible editor: Ding Ruoshui
