Mental illness during the pregnancy in the first trimester will be higher than in the second and third trimester.
Those women suffering from severe psychiatric illness symptoms are not taking proper care of before and during pregnancy. The result of that there may be a chance of fetal distress, low birth weight baby, and growth retardation.
Read this post to learn more about Mental illness in Pregnancy: All About Mental health in Pregnancy
Table of Contents
Puerperal mental Disorder
- As many as 16 % of mothers develop a mental illness, puerperium is more significant than others.
- Many factors lead to puerperal mental illness, such as the lack of confiding relationships and support, marital tension, socio-economic problem, and previous psychiatric history.
The common puerperal mental disorder is:
- Postnatal blues is a limiting condition after childbirth and lasting up to two weeks with no known severe after-effects.
- In postnatal blues, the mother is having anxiety, mood swings, and irritability.
- Most of the women recover from the blues within the third and tenth postnatal days.
- It is considered a normal reaction to childbirth and affects about 70 to 80% of all postnatal mothers.
Causes of postnatal blues:
- Lake of love, care, and affection from the family
- Marital conflicts
- Emotional problem
- Stress factors
- Societal pressure
- Financial problems
- Too much possessiveness about caring for a child
Signs and symptoms of postnatal blues:
- The women experiencing unfamiliar episodes of crying
- emotional liability
- feeling separate
- distant from the baby
- Poor concentration.
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- Provide support, counseling, reassurance, and information communicated in a caring, intelligible way.
- If it is a substantial risk of relapse if the women’s medication is withdrawn, this risk must be weighed against that of drugs having a teratogenic effect on the fetus.
- Encourage adequate sleep.
- To avoid alcohol, substance abuse.
- Seek help from family and peers, do not take over the burden.
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- Postnatal depression is the most frequent neurotic disorder during the postnatal period.
- It is more intense than the postpartum blues
- The onset is within the first postpartum month, often returning home and usually between day three and 14.
Causes of postpartum depression
- After delivery, there are hormonal changes in progesterone and estrogen that can lead to depression.
- The thyroid can also cause mental irritability, exhaustion, and depression.
- Emotional issues like more concern about baby’s care, labile mood
- Struggle for that own identity
- More concern about the body’s shape and figure.
Signs and symptoms of postpartum depression
- Feelings of guilt
- Inability to cope
- Tiredness, irritability
- Anxiety loss of energy
- lack of interest in usual activities
- Social withdrawal
- Cognitive therapy
- Antidepressants like amitryptiline and tricyclic drugs
- Good supervision and support
- Puerperal psychosis affects approximately 1-2 per 1000 births. Unmarried status, first-time pregnant, history of schizophrenia may predispose to puerperal psychoses.
- In that patient is having fear, anxiety, and mood swing with psychotic symptoms, which is dangerous for the patient.
Signs and symptoms of puerperal psychosis
- Insomnia and early morning waking
- Labiality of mood, sudden tearfulness, or inappropriate laughter
- Abnormal behavior such as restlessness, excitement, or premature withdrawal
- Suspiciousness and fear
- Auditory hallucination
- Break the touch with reality
- Violent behavior
- Suicidal thought
- Puerperal psychosis is one of the psychiatric emergencies. Admission to the hospital is always required due to the baby’s potential danger and difficulty dealing with the mother’s behavior at home.
- Electroconvulsive therapy
- Antipsychotic medications, e.g., risperidone, olanzapine
- Mood stabilizer drugs, e.g., lithium, carbamazepine
- Supportive psychotherapy
- If the women have suicidal ideation, then immediately take help from a doctor.
- If the mother is taking antipsychotic drugs and giving breastfeeding to the baby, then contact the doctor because it may cause a dangerous effect on the baby.
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