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I would just concentrate on three main psychiatric disorders associated with child birth. Postnatal Blues These are very common and can effect as many as 50% of ladies after child birth. These usually start between day 3 and 5 after childbirth. Usual symptoms are tearfulness and confusion. These are usually self limiting and do not lead to post partum depression. Management is reassurence and support from friends & family. Postnatal Depression What Is It Postnatal Depression is depression after having a baby which can last for weeks or months. It usually starts after 4-6 weeks of child birth but may begin as late as 6 months after. What are the symptoms The symptoms are similar to depression How common is it About 10-15% of ladies suffer from PND. Putting it another way, upto 1 in 10 childbirths can result in PND What causes it You are more likely to have PND if you:
However you can still have PND even if none of the statements apply to you. Conversely a lady with all of the above may escape developing PND. Treatment This includes support, counselling and antidepressants. Antidepressants should be used, keeping breastfeeding in mind. Only some antidepressants can be safely given during breastfeeding. The full discussion on this subject is beyond the scope of this website. Older antidepressants like imipramine and fluoxetine appear to be safe. Postpartum Psychosis This is a serious condition, which affects around 1 in 500 women, usually within 2-4 weeks of childbirth. Symptoms are similar to mania. You may have rapid mood swings, strange or bizarre beliefs or hear voices and can behave in odd and unpredictable ways. It requires urgent treatment as both mum and baby can be at risk.
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