Diferencias entre la depresión postparto, la psicosis postparto y la tristeza postparto / Differences between postpartum depression, postpartum psychosis and maternity blues

Los trastornos del estado de ánimo del puerperio: tristeza postparto, depresión postparto y psicosis postparto tienen una alta prevalencia, tanto en nuestro país como en otras partes del mundo. Éstos afectan directamente la salud física y emocional de la madre, al igual que la del recién nacido y la pareja, produciendo inestabilidad en el entorno familiar y social de quien la padece. Por lo mismo, se han convertido actualmente en la primera complicación perinatal, así como en un problema de salud pública. El presente artículo muestra una revisión de la literatura e investigaciones más recientes sobre estos padecimientos, con la intención de ayudar al profesional de la salud a detectarlos, diagnosticarlos y, en su caso, tratarlos o canalizar a la mujer con un especialista.

Postpartum mood disorders, like maternity blues, postpartum depression and postpartum psychosis, have a high worldwide prevalence. They have a direct impact on the physical and emotional wellbeing of the mother, the couple and the newborn, and may affect the family and the social environment of the women as well. Therefore, these conditions are currently the most common perinatal complication, and have also become a public health problem. The present article is a detailed review of recent literature and research regarding the afore mentioned mood disorders. Its objective is to assist the health care professional in the detection and diagnosis to these illness, and if needed, treating them or referring the patient to a specialist.

Ante partum depression and husband’s mental problem increased risk maternity blues.

Maternity blues disorder (MB) is common, and it is usually undiagnosed. This study to identify several risk factors related to MB. Subjects were pregnant women who had antenatal and delivery at the Persahabatan Hospital (RSP) Jakarta from 1 November 1999 to 15 August 2001. Consecutive sampling and was followed-up until two-week postpartum. Those who ever had psychiatric disorders (schizophrenia or other psychotic disorders) were excluded. MB and ante partum depression (APD) detected by using Edinburgh Postnatal Depression Scale (EPDS). Husband’s mental status based on Symptom Check List-90 (SCL-90) respectively. Among 580 subjects, 25% suffering from MB. Compared with those who did not have APD, those who experienced it had more than three-fold increased risk to be MB [adjusted hazard ratio (aHR) = 3.57; 95% confidence interval (CI) = 2.54;5.03]. Those who had not healthy baby on the first 5 days afterbirth than who had healthy baby had twice increased risk to be MB (aHR = 2.21; 95% CI = 1.34 ; 3.66). Who had husband with problem in mental health had 1.9 increased risk to be MB (aHR = 1.91; 95% CI = 1.36 ; 2.68). Stress during pregnancy had 1.6 increased risk to be MB (aHR = 1.59; 95% CI = 1.14 ; 2.25). To control MB, special attention should be paid to women who had APD history, who had unhealthy baby on 5 first days afterbirth, who had husbands’ mental health problems, and who had stress during pregnancy.

Effect of Maternity Blues on Lactigenous and the Bleeding after Delivery / 中国心理卫生杂志

Objective:To explore the effect of maternity blues on lactigenous and the bleeding after delivery Method:According to the results of SDS (self-rating depression scale, cut-off point=41), 309 parturients were divided into maternity blue group (n=126) and control group (n=183) Lactigenous index and the bleeding after delivery were recorded Result:Compared to control group, lactigenous in the maternity blue group was delayed, only 13 cases lactated with 24 hours of delivery, and only 9 had enough lactating with 72 hours of delivery Parturients with maternity blues had more bleeding after delivery than the control group Conclusion:Maternity blues had negative effects on lactigenous and the bleeding after delivery It is necessary to prevent maternity blues