Running Head: Postpartum Depression
Running Head Postpartum Depression
What do you want to know about Postpartum Depression? How postpartum depression affects the child? The Research Problem Postpartum depression leads to adverse outcomes for mothers, kids, and families (Serenity Wellness, 2018). As a complex phenomenon, the quality of care for a kid declines due to maternal isolation and negative interactions (Repko, Szostak, & Buchberger, 2017).
Thus, the problem contributes to long-term problems to a kid and mother, such as behavioral and emotional problems (McMahon, 2005). New mothers with postpartum depression have low moods and develop feelings of sadness, hopelessness, and worthlessness (Ghaedrahmati, Kazemi, Kheirabadi, Ebrahimi, & Bahrami, 2017). Smorti et al., (Smorti, Ponti, & Pancetti., 2019) states that emotional disturbance that involves dysphoria, trouble sleeping, tearfulness, and irritability undermines a mother's ability to provide the needed child-care, especially within the first few days after childbirth. If the problem is not solved, there will be inadequate maternal care that can decrease a child's cognitive performance because of the lack of interpersonal relationships and the infant's gender.
Due to the potential adverse consequences of postpartum depression for the mother, the infant, and their family, research must delineate the potential risk and protective factors for postpartum depression (Smorti, Ponti, & Pancetti., 2019). Disciplinary Insights Psychology Scope and Magnitude of the Problem McMahon et al., (2005), psychological factors such as past and current relationships, defense styles, and the mediating role of insecure attachment style influence the persistence of postpartum depression. New mothers require high support levels in their new role since prolonged postpartum depression is linked to a lack of social support. The support can be both emotional and household support, including assistance with household duties and childcare.
However, this support lacks among single mothers or for women with few family members nearby. Were other authors used in this section? Causes of the Problem After childbirth, mothers make a complaint of sleeplessness and fatigue issues. Giving birth reduces the strength of a woman, and it takes several weeks before full recovery. For instance, a cesarean delivery that is a major surgery needs more time for recovery (source).
Combined with the spent energy in caring for an infant around for the whole day and doing other crucial tasks, new mothers can invariably experience inadequate rest (Repko, Szostak, & Buchberger, 2017). The resulting fatigue may increase the vulnerability of mothers and make them prone to risk for postpartum depression. The changing role of a mother feeds feelings of inadequacy. An attitude of a mother towards her pregnancy contributes to the risk for peripartum or postpartum depression. It is usual for mothers to feel doubt about their pregnancy, especially for an unplanned one.
A significant incidence of depression is dominant among women who were uncertain about pregnancy. Similarly, the early loss of one's mother or a poor mother-daughter attachment makes a new mother unsure about her new infant. A woman may fear that caring for a child will bring pain, suffering, disappointment, frustration, or loss. On the other hand, weight gain during pregnancy can influence self-esteem and increase the risk of depression, as can breastfeeding challenges. What authors were used in the above paragraph?
Effects of the Problem Women delivered through cesarean are likely to get more depressed, and experience lowered self-esteem than those who had spontaneous vaginal deliveries. Also, women with pre-term infants mostly become depressed. All early birth results are unexpected changes in routine and turn to be an added stressor. A baby with birth deformities makes adjustment even more challenging for a mother. The length of time that a woman spends in the healthcare facility can influence her emotional well-being. For instance, an extended stay in the hospital leads to boredom and can undermine mental well-being. There is evidence that early discharge from the facility increases the risk of developing postpartum depression. The birth of a first kid has always remained a stressful incident for new mothers and seems to cause a more significant relationship to depression than the birth of a second or third child. What authors were used above?
Solutions to the Problem Cross-cultural research show that postpartum depression's incidence is much lower in non-Western cultures. These cultures appear to give the new mother a high level of emotional and physical support that does not exist in Western society. In more traditional cultures, there is a significant recognition of the demands of motherhood. As a result, the new mother gets the assurance that the discomfort she is experiencing is temporary and will pass and that she will not have to face those feelings alone. Psychological disorders such as neurotic are distressful but can allow a mother to reason and function socially. Mothers who are "worrier', "being nervy," or "shy-self-conscious" have an increased rate of developing PPD.
An existing psychiatric disturbance before one's pregnancy and its extension into the postpartum period increases the risk for PPD. What authors were used above? Biology Scope and Magnitude of the Problem The levels of hormones frequently change throughout pregnancy, childbirth, and the postpartum period. Thus, the existing relationship between sudden changes in hormone levels and postpartum depression defines mother-child attachment and other behaviors such as breastfeeding. The thyroid gland's postpartum dysregulation plays a crucial role in regulating various hormones and their production that drops after childbirth. These changes lead to feelings of fatigue among new mothers. (Smorti, Ponti, & Pancetti., 2019) reveal that as a result of these feelings, a mother may have a reduced level of prenatal attachment to a child and declined quality of the romantic relationship that results from the poor interaction. What authors were used above? Causes of the Problem According to (Skalkidou, Hellgren, Comasco, Sylven, & Sundstrom Poromaa, 2012), healthy pregnancy and postpartum period lead to extensive endocrine alterations. This period represents adaptive shifts or changes that prepare a mother for child delivery and nursing. The changes include ovulation's suspension and development and growth of the uterus, fetus, and placenta.
However, some hormones impair a mother's mental health status after childbirth. For instance, serotonin leads to greater mood disturbances after delivery. The mood swings resulting from an increased rate of high hormonal fluctuations occurring during and immediately after childbirth pave the way for postpartum depression. Any other authors used above? Effects of the Problem Postpartum depression (PPD) is also under the influence of estradiol and progesterone hormones.
One of the primary contributing elements for PPD has been the postpartum period's hypoestrogenism. As a result of low regulation of endogenous hormone among mothers with PDD history, the depressive symptoms have increased in at least 60% of the cases (Skalkidou, Hellgren, Comasco, Sylven, & Sundstrom Poromaa, 2012). Some of the mothers having major depression show high levels of estradiol serum concentrations compared to non-depressed women who are in their immediate postpartum period (Skalkidou et al., 2012). However, the treatment of estradiol in high doses reveals improvement of PPD. Any other authors used above?
Solutions to the Problem Regarding oxytocin brings a mood to ameliorate impact. As a result of diminishing oxytocin release, a mother starts to develop pain, anxiety, and stress. Oxytocin's decreased levels are common among nonpregnant depressive individuals during pregnancy in mothers with high levels of postpartum depression (Ystrom, 2012). When a mother discontinues lactating a baby, the implication is underlying PPD. Some of the studies by Ystrom (2012) have shown that mothers with negative early breastfeeding experiences or women who stop breastfeeding early or those who do not are vulnerable to PPD.
Lactation self-efficacy forecasts changes in PPD symptoms. Any other authors used ? Theories Related to this Problem Overt thyroid dysfunction during pregnancy is a risk factor for PPD. Research by Ystrom (2012) disclosed that postpartum thyroxin treatment of mothers with positive thyroid antibodies in their pregnancy period could not lower their depression levels. When there is an increased rate of decline of pregnancy hormones such as progesterone and estrogen, an expectant mother starts to experience mood swings, irritability, and anger.
Oxytocin is renowned as a bonding hormone that increases after childbirth and breastfeeding to maintain a strong mother-child bond or attachment (Serenity Wellness, 2018). However, it influences mother conduct or behavior in which its low levels lead to DDP. (Ghaedrahmati, Kazemi, Kheirabadi, Ebrahimi, & Bahrami, 2017) reveal that the hypothalamic-pituitary-adrenal axis becomes hyperactive during the pregnancy period. Still, its activity becomes blunted after delivery to assist in insulating a developing baby against stress. Its rapid change is attributed to PPD. Postpartum affective disorders' possible etiology has remained a high rate of decline of production hormone levels that take place after childbirth.
After delivery, the fast-falling of progesterone and estrogen return to pregnancy level within three days. These low levels of the two hormones and increased levels of prolactin contribute to PPD. A study by (Hymas & Girard, 2019) reveals that obstetric aspects such as premature contractions, elective cesarean, and preeclampsia lead to a small but critical contribution to mothers' PPD. Also, the cesarean section does not cause PPD among women, as evidenced by (Hymas & Girard, 2019) findings. Education Education Pregnant women's education plays a crucial role in decreasing the likelihood of postpartum depression.
As a result, their unborn develop a healthier brain and show rapid physical, social and cognitive development after birth. The psychoeducational program prevents women from getting at risk of postpartum depression. The education can involve teaching mothers about signals of stress and needs of infants parenting roles that promote healthy mental of both mother and child, and the significance of taking adequate rest and seeking support (Missler, van Straten, Denissen, Donker, & Beijers, 2020). All these teachings will unveil new ways of keeping mothers healthy without risks of becoming depressed after childbirth. Other authors used?
Similarly, the education can involve helping mothers understand babies' crying patterns and different soothing mechanisms. Mothers who lack these skills see it challenging to raise a child and become stressed about how they will handle their babies after delivery. For instance, first-time mothers can benefit a lot from the education since they lack prior experience in childrearing. Also, a mother needs to understand the kid's hunger signals and have proper skills for the baby's feeding arrangements (Missler et al., 2020). For instance, breastfeeding intervals and skills relating to the use of a breast pump, formula feeding.
Most new mothers do not understand the sleeping patterns and arrangements of their infants; thus, they view postpartum as a nightmare and challenging situation. The education covers essential areas such as parental home visits and postnatal phone calls. During the sessions, mothers can get asked to read various materials about the lactating process. This area's fundamental goal is to help a mother discuss the material information and respond to parental questions that may arise. Asking mothers to have a deep thought regarding the program fits their postpartum life (Missler et al., 2020).
All mothers equipped with childrearing truth, this educational support removes barriers to providing new mothers with relevant skills and knowledge for bringing up a child without experiencing stress. Education offers an excellent opportunity for discussing well-being. This including feelings of stress, depression, and anxiety. Through the education program and covered topics, mothers understand how childbirth is a crucial life change that can evoke different emotions and how the new situation's adaption can time. Also, the education sessions provide means by which mothers can overcome problems that make them feel tired, disappointed, or frustrated during the first weeks after childbirth (Missler et al., 2020).
The education encourages mothers to discuss their emotions and needs with their partners and family members and look for more support from their social network or support services. This support makes them not develop risks for postpartum depression. Conflict and Agreement Between Insights The conflict agreement between the insights is that postpartum depression gets presented as to how mothers, especially new mothers, have increased risk levels for developing PPD. Both education and psychology factors appear to be similar in justifying why these mothers develop PPD. For instance, confidence and support are shared-insights that become the central element of ensuring women's good mental health throughout their pregnancy and after childbirth.
In psychology, PPD gets viewed as feeling under the influence of behavioral changes and environmental factors. Still, biology perceives PPD as an outcome of functioning or changes in the production of specific hormones in the body associated with childbirth or pregnancy (source?). As education views PPD due to lack of skills, knowledge, and abilities for handling pregnancy and babies after birth, biology has no such concept. So, PPD, due to increased or decreased hormone production such as serotonin leading to mood disturbances after childbirth, is a protest against education or psychology perspective. Biological insights tend to make PPD vibrant in form, but some mothers are under the influence of environmental, social, and cultural factors that determine their postpartum mental health.
However, psychology and education insights appear to support why women's PPD is dominant and what steps can be taken to eliminate the problem (source?). Biology insights are founded on psychology and education concepts, which determine the development of stress, anxiety, worthlessness, depression, and hopelessness. These factors prompt the increase or decrease of hormones oxytocin, estradiol, and progesterone which make mothers prone to PPD. Generally, the three disciplines have consistently revealed that depression, fatigue, anxiety, stressful recent life situation, poor social support, and history of depression are risk aspects that are strong PPD indicators. Conclusively, PPD lowers child-mother attachment or bonding and undermines cognitive development.
Women suffering from PPD cannot provide adequate maternal care. This inadequacy interferes with a child’s learning and development and sabotages the information processing ability. Since babies interact with their mothers daily, women can have withdrawal or intrusive behavior that disrupts this natural socialization and connection. Similarly, a woman can abruptly distract an infant's activity, which feels intrusive to the kid. This intrusion makes a baby turn away from the mother or internalize an angry and protective coping style, which can cause an adverse impact and make an infant grow to be violent to others.
Therefore, PPD should be eliminated to restore better lives for mother, infant, and family.
Paper For Above instruction
Postpartum depression (PPD) is a significant mental health concern affecting many mothers worldwide, with profound implications for both maternal well-being and child development. This paper explores the multifaceted nature of postpartum depression, examining its causes, effects, and potential solutions through interdisciplinary perspectives including psychological, biological, and educational insights.
Introduction
Postpartum depression is a complex condition characterized by episodes of depression that occur after childbirth, influencing the mother's emotional state, caregiving capacity, and the child's developmental trajectory (Ghaedrahmati et al., 2017). Understanding its underlying causes and effects is crucial for developing effective prevention and intervention strategies that safeguard maternal and child health.
Causes of Postpartum Depression
The etiology of PPD encompasses hormonal fluctuations, psychological factors, social support deficits, and cultural influences. Biological changes during pregnancy and postpartum significantly influence mood regulation. Fluctuations in hormones such as estrogen, progesterone, and oxytocin are tightly linked to depressive symptoms. Skalkidou et al. (2012) identified that hypoestrogenism—low estrogen levels—in the postpartum period is associated with a high risk of depression, with some depressed women exhibiting elevated estrogen levels compared to non-depressed counterparts, indicating the complex role hormones play in mood regulation.
Moreover, dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis during pregnancy and postpartum impacts stress responses, further contributing to depression risk (Ghaedrahmati et al., 2017). Psychological factors such as insecure attachment styles, prior mental health issues, and stressful life circumstances also significantly elevate the risk (McMahon et al., 2015). For example, women with limited social support, especially single mothers or those with few familial contacts, are more susceptible to PPD (Repko, Szostak, & Buchberger, 2017). Psychological distress during pregnancy, fears about motherhood, and unplanned pregnancies are additional psychological causes that heighten vulnerability (Smorti et al., 2019).
Cultural attitudes toward motherhood and social expectations influence psychological well-being. Cross-cultural research suggests that societies with strong communal support and recognition of maternal challenges experience lower postpartum depression rates, emphasizing the protective role of cultural support systems (Missler et al., 2020).
Effects of Postpartum Depression
PPD adversely affects maternal behaviors, impairing a mother's ability to provide consistent and responsive caregiving. This, in turn, hampers infant attachment, emotional development, and cognitive growth (Serenity Wellness, 2018). Mothers with PPD often report feelings of sadness, irritability, and worthlessness, which diminish their engagement and sensitivity toward their infants (Ghaedrahmati et al., 2017). Such emotional disturbances can lead to disrupted mother-infant bonding, which is fundamental for healthy psychological development (McMahon et al., 2015).
Infants of mothers with PPD are at increased risk of behavioral and emotional problems, including attachment issues, developmental delays, and higher incidences of anxiety and aggression (Smorti et al., 2019). Furthermore, the disrupted caregiver-infant relationship may predispose the child to future mental health challenges and social difficulties (Ystrom, 2012). The child's well-being is compromised when maternal mental health issues impair maternal-infant interactions, leading to adverse outcomes that can persist into adolescence and adulthood.
In addition, PPD influences the mother's physical health and can lead to prolonged recovery, reduced self-esteem particularly following cesarean deliveries, and challenges in breastfeeding (Hymas & Girard, 2019). Early discharge from healthcare facilities has been associated with increased depression risk, highlighting the importance of ongoing postpartum support (Repko et al., 2020).
Interdisciplinary Perspectives
Addressing postpartum depression requires a holistic understanding across disciplines. Biological insights reveal that hormonal dysregulation—particularly involving estrogen, progesterone, and oxytocin—plays a pivotal role in mood disturbances. Hypoestrogenism, abrupt declines in pregnancy-related hormones, and dysregulation of the HPA axis create physiological vulnerabilities (Skalkidou et al., 2012). Pharmacological treatments targeting hormonal imbalances