Postpartum Blue (Postnatal Disease Condition )

Obstetric And Gynecological Nursing
Medical Surgical Nursing
Mental Health Nursing

1. Postpartum blue Subject – obgy . Presented by – Harshika .s. tembhurne

2. INTRODUCTION Baby blues are feelings of sadness a woman may have in the first few days after having a baby. Baby blues are also called postpartum blues. Postpartum means after giving birth. About 4 in 5 new moms (80 percent) have baby blues.

3. DEFINITION “ Maternity blues, also known as baby blues and postpartum blues, is a transient condition that 75-80% of mothers could experience shortly after childbirth with a wide variety of symptoms which generally involve mood liability, tearfulness, and some mild anxiety and depressive symptoms. Baby blues is not postpartum depression, unless it is abnormally severe .”

4. EPIDEMIOLOGY I) Among the 130 women screened, 123 mothers fulfilled the inclusion criteria and were recruited in this study . II) Of the 123 women screened, 72 were diagnosed to have PPB, accounting for 58.5% prevalence rate.

5. EPIDEMIOLOGY III) Most of the mothers were literate (91%) and housewives (77%). IV) About 9% of the mothers had previous history of miscarriage and 8% had a history of psychiatric illness. V) Two mothers had marked suicidal tendency.

6. CAUSES / RISK FACTORS Self or family history of mental illness or substance abuse. Maternal or financial stresses. Birth complication. Lack of self-confidence as a parent. Hormone shifts and chemical imbalance. E xtreme weariness. Physical exertion of the birth. The baby. Health problem of baby such as jaundice or feeding difficulties.

7. Emotional symptoms Cry for no particular reason. They may find that it is impossible to cheer up. Some mothers feel very anxious and tense. Being worried about being a mother. Being irritable or nervous.

8. Behavioral symptoms - Irritability. Lack of interest in the baby. Social withdrawal and isolation. Feel very tired and lethargic most of the time. Lack of concentration. Mild mood swings.

9. Physical symptoms - Pains for which there is no medical cause or there is no medical cause or they may fell unwell but without any particular symptoms. Difficulty in sleeping. Exhaustion. Fatigue. Appetite changes.

10. Treatment - Talk with someone that you trust about how you are feeling . Maintain a well balanced diet. Having a new baby may cause you not to eat correctly, and too many simple carbohydrates can make mood swings more pronounced . Get outside to enjoy fresh air and life outside the confines of diapers , feedings, and spit up. Sometimes just a different view for a few moments can make a huge difference.

11. Treatment - IV ) Keep a journal of all your thoughts and feelings. Ask for help–help with meals, other children, getting into a “routine”, or any help that allows you to focus on the joy of having a new baby and not just the pressure of juggling it all. Don’t expect perfection in the first few weeks. Give yourself time to heal from birth, to adjust to your new “job,” and for feeding and sleeping routines to settle in.

12. Nurses responsibility Ensure effective communication and understand detail of the client specially including the both antenatal and postnatal. Ensure about adequate antenatal check up and cares are provided.

13. Nurses responsibility - Nurse should be recognize the symptoms for the spectrum of postpartum psychiatric disorders ranging from baby blues” to life – threatening postpartum psychoses and being knowledgeable about the range of treatment options available for the variety of postpartum psychiatric disorders. Nurse should assess the women thoughts and ensure the safety of mother and her child and delusions , compounded with feelings of irritability and difficulty in controlling emotions psychiatric disorders . Nurse must be alert for signs of dysfunction and be prepared to help promote attachment between mother and baby, referral of the mother and family for support services and counseling and assisting the family prioritizing and performing necessary family functions

14. Nurses responsibility – VI) Assist the mother in breast feeding techniques. VII) Maintain a therapeutic relationship and a community. Maintain a detail and comprehensive understanding of the depth, types and breadth of the postpartum psychiatric disorders . An open discussion should be concerns with using pharmacotherapy and the benefits and risks of treatment when breastfeeding. Nurse should educate the mothers about available services if symptoms services if symptoms develop and of the serious consequences of untreated illness. Proper education given regarding postpartum period and follow up care.

15. Summary - PostPartum Blue – Is relatively common. O nset usually in first week to 10 days post pregnancy. S ymptoms can be distressing. C an be treated successfully.

16. Conclusion - Postpartum blue has a significant adverse impact, not just on the affected woman, but on her partner and the family as a whole. This is of special importance to the infant who is so dependent on the mother for its care. It is of great concern that follow-up studies of the children of mothers who have experienced postpartum depression reveal an enduring adverse impact on the child's socio-emotional development. It appears that these adverse child outcomes are driven by disturbances in the mother-child relationship which begin in the early postpartum period. This highlights the importance of early detection and treatment by the primary care health team.

17. Bibliography - D.C.Dutta’s . Textbook of Gynecology, seventh edition, Jaypee Brothers Publication : New Delhi,2016. Page no. – 378 to 384. Annamma Jacob. A Comprehensive TEXTBOOK OF Midwifery and Gynecological Nursing, fourth edition, Jaypee BROTHERS publication : New Delhi,2015. Page No. – 955,925,478,432. R Sreevani . A Guide To Mental Health & Psychiatric Nursing, Jaypee Brothers Publication : New Delhi,2016. www.postpartum.net . https:// www.adclinic.com/postpartum-blues . https:// en.wikipedia.org/wiki/Maternity_blues .

18. thank you