(Related news, image source: zaker)
So, what about postpartum depression?
Postpartum depression is a special emotional disorder. It usually occurs in 2 weeks after delivery, and the symptoms are most obvious in 4~6 weeks. Clinically similar to ordinary depression, there will be uncontrollable depression, insomnia, lethargy, difficulty in concentration, fatigue, loss of appetite and so on. However, postpartum depression has its special features. The cause of the disease and the facts that patients care about are often related to babies and husbands. It may affect the physical and mental health of pregnant women, but it may lead to abnormal emotions, intelligence and behavior of babies, and may even have a tendency to commit suicide or maim babies. [ 1]
(Postpartum depression, picture from the Internet)
There are three facts about postpartum depression that need special attention.
First of all, postpartum depression is not "melodramatic", but a real disease; It is essentially different from transient depression. Although the cause of postpartum depression is not clear, there are many explanations, such as neurotransmitter hypothesis, neuroendocrine hypothesis, immune hypothesis, etc. [2], there are relatively perfect schemes for the diagnosis and treatment of postpartum depression.
(Diagnosis and treatment of postpartum depression)
Secondly, the incidence of postpartum depression is quite high, so we must not take any chances. According to foreign reports, its incidence rate is about 3.5%~33%. Because our country started late, the research is less and incomplete. Based on many papers, the total incidence is between 10%- 15%. [3]
Finally, postpartum depression can be prevented, and intervention measures can also shorten the course of disease and improve the prognosis.
Many studies have confirmed that postpartum depression and prenatal depression are inseparable; Prenatal depression is closely related to the fear of delivery, fetal gender and identity change. Therefore, as long as during pregnancy, couples are given appropriate science popularization, so that they can understand the normal delivery process, reduce their obsession with "having a boy" and master basic communication skills, the occurrence of postpartum depression can be greatly reduced. [4]
Whether the delivery process is smooth or not is also closely related to the incidence of postpartum depression. Therefore, once the delivery is not smooth, as a family member, we should give timely support after delivery to help take care of the children and understand the psychological fluctuations of the parturient; As a maternity, you can evaluate yourself with Edinburgh Postpartum Depression Rating Scale (EPDS). This scale was designed by Scottish Health Center in 1987, and only contains 10 items. It takes short time, is easy to understand, has good sensitivity and specificity, and has good universality for all kinds of parturients. [5]
(EPDS scale, 9 points or less is normal)
After the adoption of the second child policy, many families are talking about having children. But if you don't want to have children, you can have them if you want to ... knowledge storage is as important as material preparation. Here, the author once again reminds all prospective fathers and mothers that they must learn the knowledge of prenatal examination and postpartum care through appropriate channels, which will not only contribute to family harmony and health, but also contribute to the healthy growth of the next generation.
refer to
[1] Chen, He Zhong. Risk factors and prevention of postpartum depression [J]. Foreign Medicine: Nursing, 2004,23 (1):1-4.
[2] Di Zhao. Research progress on the etiology and pathogenesis of postpartum depression [J]. China Journal of Perinatal Medicine, 2005,8 (6): 419–421.
Zhang Xin, Tu Qing, Wei, et al. Incidence and influencing factors of postpartum depression [J]. China Journal of Psychiatry, 200 1, 34(4): 236-238.
[4] Sun Ke, Gao Lingling and Li Yi. Effect of prenatal psychological education on social support and depressive symptoms of primiparas [J]. Journal of Sun Yat-sen University (Medical Edition), 201,32 (1): 90–95.
Peng Tao, Fan Xiaodong. Application of EPDS in screening for postpartum depression [J]. China Journal of Mental Health,1994,8 (1):18–19.
This article is the original Tadpole Staff, and the copyright belongs to Tadpole Staff. Any media, website or individual may not reprint it without authorization, otherwise the relevant legal responsibilities will be investigated. Please send an email to editor@kedo.gov.cn to apply for reprinting authorization or cooperation.