The subjects in Records's study described how their past abuse experiences affected their thoughts and view of their labor, delivery, and postpartum experiences (Records pp). Records revealed that "all of the subjects felt that the combined recall of trauma events and the labor and delivery experience provided the foundation for the PPD...perceived negative labor and delivery experience as the basis for their PPD" (Records pp).
In the May 01, 2002 issue of OB GYN News, Erik L. Goldman cites Dr. Diana Dell's press briefing sponsored by the American College of Obstetricians and Gynecologists. According to Dell, women are under tremendous pressure to "make perfect babies and to be perfect mothers and perfect wives...and she's got huge expectations about what it will be like," and reality is less like a Gerber baby food commercial and more like Marine boot camp than most new mothers expect (Goldman pp). Being a new mother means that there is an incessant demand, the woman must obey every order, and there is "no rest, no mercy and no concern" for her feelings (Goldman pp). Yet this does not mean that false expectations cause postpartum depression, however in a woman with a history of depression or other risk factors, the "discord between longstanding expectations and the realities of early parenthood can trigger episodes of depression which can sometimes tailspin very quickly" (Goldman pp). Dell estimates that up to 70% of all pregnant women experience some symptoms of depression during their pregnancy or in the postpartum periods, but only 10-16% of them meet the criteria for major depression (Goldman pp). Up to 20% will have an episode of major depression before the end of the first year, and the numbers are even higher, up to 25%, for first time adolescent mothers (Goldman pp). Dell advised being especially concerned about women with bipolar disorder or schizophrenia, and although psychosis is very rare among the general female population, it has a prevalence of 25-35% among women with these conditions (Goldman pp).
In the April 15, 1999 issue of American Family Physician, C. Neill Epperson reports that postpartum major depression, PMD, occurs in approximately 10% of childbearing women, and may begin anywhere from 24 hours to several months after delivery. Epperson cautions that before a definitive diagnosis of PMD is made,...
Coping Skills: Postpartum Depression One of the most useful coping strategies for individuals suffering from depression is to take active steps to reduce the stressors responsible for triggering the depression in the first place (Orzechowska, Zajaczkowska, Talarowska, & Galecki 2013). For patients diagnosed with postpartum depression, this may include reducing the sleep deprivation and constant demands of caring for a newborn. Ensuring that the patient has support from her partner, relatives,
If that is indeed the case, again her societal position afforded her this opportunity although it was in no way an intervention. She voiced some concern through tears in the quiet of the night. However, Scott points out that this submissive positioning exemplified in the story only served to support the diminished position of women during the time. Ecological adaptation equates to diminished female capacity for Scott and any
, 2009, 239). When women begin to feel depressed, they often do not go find help or understand that this is an event that is more common than one would think. They tend to isolate their depression, which accelerates it even more. Advanced nurse practitioners and other nursing and clinical staff can help better provide for women by being accepting of their depression, rather than questioning it. Nursing staff can
Postpartum depression is a serious problem among women. Once thought of as a relatively minor phase within the postpartum cycle, it is now known that it can seriously impair the individual woman's ability to function under the stress of new parenthood and can seriously erode the family, at a point of foundational transition. Over the last twenty years doctors and the general public have demonstrated greater knowledge of the problem
RESPONSE (EVIDENCE)Response (Evidence)EricAccording to Freed et al. (2018), implementation of technology in supporting telemedicine improves patient outcomes. Despite the fact that technology improves healthcare outcomes, there is need for its effectiveness to be evaluated before it is implemented. The said need has been restated by my colleague. One of the approaches towards the determination of the effectiveness of telemedicine, as highlighted by my colleague, happens to be the use of
Long before the term postpartum depression became part of the vernacular, Charlotte Perkins Gilman deftly and sensitively describes the complex condition in her short story “The Yellow Wallpaper.” The story describes the prevailing attitudes towards women and their narrowly defined roles in society. White, upper middle class women like the narrator of “The Yellow Wallpaper” could not easily express discontent with their position as wife and mother. The narrator’s husband—a
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