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Deal with puerperal syndrome!

Deal with puerperal syndrome!

Having a baby is a happy event. However, the majority of mothers experience a period of sadness after the birth of their baby. When this period prolongs, it is necessary to talk about depression. Dr. Anadolu Health Center Women's Health Department. Contact Birgül directly Describes those who are curious about maternity syndrome.

: What is postpartum depression? What causes it to live?
Dr. Birgül Karakoç: Having a baby is a joyful event, but the mother's life can be stressful and difficult. Many women feel mild sadness and anxiety after becoming a mother, with changes in mood. These symptoms normally resolve spontaneously within 7-10 days. Less common but more severe problems are postpartum depression and psychosis. It begins insidiously within the first 6 weeks after birth and improves within a few months, but may last up to 1-2 years.

The causes can often be grouped under two subheadings.
1-Biological reasons: Sudden decrease in estrogen and progesterone levels during pregnancy has been held responsible for depression. Thyroid disorders may play a role in late-onset postpartum depression. In addition, folate deficiency is thought to be effective in postpartum depression.

2- Psycho-social reasons: Although there are hormonal changes in all women who give birth, the development of psychiatric disorders only in 10-15% of women shows that it is related to social stress, interpersonal relations and social support. Mothers who think that external factors lead their lives rather than themselves are at high risk for postpartum depression. According to psychoanalytic theory, it is the loss of independent self, and the mother has only lost her receiving role and has assumed the nutritious role. End of pregnancy is felt as a loss of intimacy with the fetus and may remind the loss of a loved one.

: Are the reasons for a woman's life to be more dependent on her experiences during pregnancy or the situations she faces after the baby is born?
Dr. Birgül Karakoç: It is effective in both cases. Risk factors for postpartum depression include; Mental problems in the past (depression, anxiety, anxiety), marital problems, family history of mental illness, unmarried, unwanted pregnancy, being unprepared for maternal role, first pregnancy, birth fears, lack of social support.

The changing role definitions (transition from being a couple to a mother and father) and the psychosocial stresses brought about by baby care may trigger the emergence of mental problems. Marital tension and dissatisfaction during pregnancy and unwanted life events are among the reasons suggested. Especially women who cannot get adequate support from their spouses and who have problems in marital relations have a high risk of developing depressive symptoms after birth.

: How does postpartum depression differ from normal depression?
Dr. Birgül Karakoç: The idea of ​​suicide is much less in postpartum depression. Evenings are getting worse. Duration is shorter (6-8 weeks), confusion is greater.

: What are the symptoms?
Dr. Birgül Karakoç:
Severe sadness or emptiness; emotional bluntness or insensitivity
Physical complaints such as excessive fatigue, lack of energy
Stay away from family, friends or other fun activities
Concerns about their infants' lack of love or feeding, sleep, fear of harm to the baby
Concentration Difficulty
Memory weakness
Increased psychomotor mobility, inability to stay in place
Anxiety, irritability, distress, anxiety, spontaneous crying and panic attacks
Anorexia, weight loss, insomnia
• Thoughts about not wanting to take care of the baby and wanting to kill the baby
Loss of guilt, interest and desire for having depressed emotions when they should be happy.

: Which age group usually gives birth to women?
Dr. Birgül Karakoç: Women who are pregnant at an early age (just after the age of puberty) have a 30% greater risk. The risk of postpartum depression in women with a history of depression is 25%. The risk of developing major depression is 85% in women who have had postpartum depression in their previous pregnancy and now have sad symptoms.

: What methods are recommended for the treatment of depression?
Dr. Birgül Karakoç: Although the exact cause of emotional changes after birth is unknown, treatment of this condition is possible. When the sadness of birth occurs, you can relax by resting, sleeping when the baby is sleeping, taking help from family members or friends, taking regular showers every day, dressing and walking, and calling a babysitter at times to relax.

If a more severe depressive condition occurs, medical evaluation should be performed. Medical examinations, investigations and, if necessary, antidepressant or antipsychotic medication may be used to exclude medical conditions that may cause depression. Individual therapy or group therapy, where possible, is given to parents.

: What are the duties of the spouses and families of women suffering from postpartum depression, sometimes resulting in suicide?
Dr. Birgül Karakoç: Good social support is important. Anthropologically, in some cultures, the first 40 days are considered as the time when the mother should be rested. It is a period of rest, health, eating and sleeping. The woman's family prepares the food, does the chores and takes care of the baby. Thus, social support, education, baby care, social perception (motherhood status) is provided. During this period, the mother needs to be supported by the loved ones around her. Of course, the first one to support is Dad. Grandmothers or aunts trusted by the mother in the care of the baby are also people who will help in the passage of this sadness.

: What are the duties of the obstetrician to prevent a woman from being exposed during pregnancy?
Dr. Birgül Karakoç: It is essential to take a detailed history at the first pregnancy visit and question the history of psychiatric disorders and family history of psychiatric disorders. Patients with this type of history should be careful about this issue. It is important to evaluate all the mother's questions and concerns about pregnancy and provide the necessary answers. It is recommended to provide social support to the mother, especially by the father, during pregnancy. It is recommended to support the mother during pregnancy follow-ups and examinations. It is important for the doctor to take all necessary precautions to ensure that labor is not long and difficult.

: Is it necessary to get support from a psychiatrist or psychologist as a precaution from the beginning of pregnancy?
Dr. Birgül Karakoç: This support should be offered to patients who have had any psychiatric illness before pregnancy or who have had depression after their previous birth.

: What are the differences between birth psychosis and puerperal syndrome?
Dr. Birgül Karakoç: Lohusa syndrome (maternity sorrow) begins within a few days after birth and resolves within 7-10 days. Anxiety, distress, irritability, crying, irritability, forgetfulness and distraction are observed. Lohusa syndrome resolves spontaneously and treatment is usually not needed. Postpartum psychosis is a more severe form of postpartum depression. Symptoms include delusions (hallucinations), hallucinations (hearing sounds or seeing something unreal), thoughts of harming the baby, and severe depressive symptoms. This group of patients must be evaluated by a specialist and seek medical attention.

: What are your suggestions for expectant mothers?
Dr. Birgül Karakoç: They should keep in mind that pregnancy is a normal physiological event. Staying alone with a new baby makes her mothers who have just given birth to look after her. The baby she has been waiting for months is next to her but she is another being; tiny, can not speak, can not tell what you want and cries. Breastfeeding him, cleaning, unpacking, removing the gas, such as things are waiting for you. A completely different page was opened. You are taking the first steps of motherhood, learning to live with it, you are trying to recognize it and you are in the period of getting used to each other. In this difficult period, it is absolutely beneficial to receive spousal and family support. In addition, it will be useful to attend a prenatal education group and read the necessary documents in order to overcome this period more easily. They should also share all kinds of physiological and psychological changes that make them anxious and worried with their physicians and not envision them.