- Can occur at any time but usually within the first few weeks or months postnatally
- Symptoms may continue for > 1yr
- These include:-
- Crying / weepiness
- Low energy
- Irritability
- Unstable mood, panic attacks
- Sleep disturbances, early morning wakening
- Suicidal thoughts
- Fear of harming self or the baby
Prognosis
- Good with early diagnosis & treatment
- > 70% recover within 1 year
Treament
- Provide psychological support & practical help
- If depression is severe consider the use of antidepressants
- Tricyclic antidepressants are often the treatment of choice
- Effects should be seen within the first two weeks
- Treatment should be continued for 6 months following recovery and then gradually reduced
- Medication can be passed through breast milk – therefore careful choice of drugs is needed
- Hospitalisation is rarely required
Bibliography
Campbell S, & Lees C. Obstetrics by Ten Teachers - 17th Edition. Arnold, London, 2000.
World Health Organization. Managing Complications in Childbirth and Pregnancy: A guide for midwives and doctors. WHO - Department of Reproductive Health and Research, Geneva, 2003.
Dr. N Sparrow - February 26th 2006
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