Health

Postpartum depression pushes a woman to the end


Thoa stopped studying when she was a third year student, to have a baby. Two weeks after giving birth, she felt tired, talked less with people, did not eat well, or sat alone sad and crying, thinking pessimistic. She only sleeps 3-4 hours a day, often wakes up in the middle of the night, gets up early in the morning. Thoa also does not care about taking care of or showing affection for her child, feeling uncomfortable when she hears her crying. Once she used a knife to sacrifice her life, her family took her to Cuba’s Quang Binh Hospital for first aid and then transferred to the Psychiatry Department for monitoring.

After 20 days of treatment, the symptoms of the disease improved, and Thoa was able to go home, but began to scream, get angry, and refuse to take the medicine. Fearing that the long-term condition would affect her health, her family took Thoa to the Mental Health Institute, Bach Mai Hospital, where the doctor was diagnosed with severe postpartum depression.

Also falling into depression after giving birth to a daughter, the 35-year-old Ngan is always stressed because her mother-in-law has the idea of ​​”respecting men and disrespecting women”, not liking her granddaughter, or even letting her husband hold her daughter. Three months after giving birth, she lost sleep and was stressed because she was taking care of children and doing housework without receiving any sharing from her husband. Pressure makes her depressed, or think negatively.

Answer VnExpress On July 8, Dr. Vu Thy Cam – Head of Clinical Psychology Department, Institute of Mental Health, Bach Mai Hospital said that the two sisters above are both cases of severe mental and behavioral disorders caused by post-traumatic stress disorder. birth, causing patients not to control their behavior, some people appear to have hallucinatory sounds like hearing a voice in their head, leading to self-harm. Two lucky patients were discovered, treated according to the combination of family care regimen, so their health gradually stabilized. However, about 50% of women with postpartum depression are not diagnosed by a medical professional, many cases are mild or not shared.

The World Health Organization (WHO) estimates that around 340 million people worldwide suffer from depression, and at least 15% of the population experience significant depression at some stage in life, especially postpartum. . According to research by Ramadas (2015), the rate of depression in postpartum women is from 10 to 20% worldwide. Depression begins soon after childbirth and lasts up to a year. The rate of depression is three times higher in the first 5 weeks postpartum and highest in the first 12 weeks postpartum; recurrence rate of 25-68%.

In Asia, rates of postpartum depression ranged from 3.5% to more than 63%. In particular, Pakistan has the highest rate of postpartum depression and Malaysia has the lowest rate.

In Vietnam, in a study at some maternity hospitals, the rate of postpartum depression ranges from 11% to 33% and usually starts within the first 4 weeks after giving birth. Particularly, Bach Mai Hospital, according to Assoc. Dr. Nguyen Van Tuan, Director of Mental Health, the number of postpartum depression patients visiting about 20-30% of the total number of cases every day.

Doctor Nguyen Thi Ai Van, Institute of Mental Health, Bach Mai Hospital examines patients with postpartum depression. Image: Thuy An

According to Dr. Cam, all women are at risk for postpartum depression, especially those at high risk (who have had depression in the past, have a family history of depression or other mental illnesses, or have other mental health problems). other psychology).

The cause of depression can be due to changes in hormone levels, psychological and emotional changes, along with the pressure of fatigue lasting from pregnancy, childbirth and responsibilities after giving birth. Many people after giving birth lack the attention and help of their husbands, families and relatives, conflict in child care is also prone to depression. People with a history of depression, experiencing stressful events before giving birth such as illness, infertility, stillbirth, miscarriage or long-term anxiety disorder are also more likely to fall into depression and fatigue. , negative, even suicide…

At an early stage, women are prone to emotional changes, sadness, irritability, crying easily, decreased interests, decreased family relationships. Many cases of sleep disorders, eating disorders, frequent headaches, abdominal pain, chest pain …

In the full-blown stage, women are often pessimistic, depressed, sad, guilty, inferior, guilty, miserable, do not want to communicate with people. Depressed mothers often find it difficult to care for their children, do not even want to be close to their children, have thoughts of harming themselves and their children, delusions, hallucinations, etc. Patients may experience physical symptoms. , autonomic or behavioral disorders, restlessness, restlessness.

Depression, if not treated in time, can become chronic. Patients with reduced ability to take care of themselves, often think about death. Patients can also endanger others by their negative thoughts, suicidal ideation.

“80% of women with postpartum depression will fully recover with proper care,” says Dr. In which, family factors, sympathy shared from husbands and relatives help reduce depression effectively. The mother should not force herself to do too much work, should not expect too much to become a perfect mother, take time to relax and unwind. You should get enough sleep, take advantage of rest while your child is sleeping, spend time taking care of yourself, meeting friends.

Improve diet, supplement vitamins, increase immune system function. Exercising, traveling, listening to relaxing music… helps to keep the mood happy and stable.

Postpartum depression can be treated with psychotherapy, hormonal therapy, and electroconvulsive therapy (for cases that do not respond to antidepressants, are at risk of suicide, or harm the newborn). , major depression with psychotic symptoms), or pharmacotherapy (use of antidepressants, anxiolytics). When there are signs of depression, pregnant women need prompt treatment.

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