Is the incidence of postpartum depression high?

Written by Du Rui Xia
Obstetrics
Updated on September 20, 2024
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The incidence of postpartum depression is around 15%-30%, and it is a common psychiatric disorder among women after childbirth. This condition arises due to the change in social roles for women postpartum, as well as changes in hormones, psychological stress, emotional levels, and attention from family members, bringing a series of physical, emotional, and psychological changes. Typically, postpartum depression occurs within six weeks of childbirth and can last throughout the entire postpartum period, with some cases lasting even longer, up until the child starts school.

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Written by Yue Hua
Obstetrics and Gynecology
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What are the symptoms of postpartum depression?

The primary clinical manifestation of postpartum depression is depression, which typically develops within two weeks after childbirth. The symptoms are most pronounced between four to six weeks postpartum. Affected women may display suppressed moods, apathy, reluctance to interact with others, and even estrangement from their husbands. Some may show a lack of confidence in life and family, decreased initiative, and express weariness of life. Additionally, they might have poor concentration, significantly reduced appetite and libido, and some individuals may also experience headaches and dizziness, among other symptoms.

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Written by Du Rui Xia
Obstetrics
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Can postpartum depression recur?

Postpartum depression has a certain recurrence rate and typically manifests within six weeks after childbirth. It can resolve within six months postpartum, but severe cases may persist for one to two years. The causes of postpartum depression are complex, primarily occurring in women who have had previous mental health disorders. The condition can be exacerbated by physical discomfort, excessive fatigue, and sleep disturbances following childbirth. Depression is an emotional issue; generally, if women receive careful support from family members after delivery, the occurrence of postpartum depression can be reduced.

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Written by Yue Hua
Obstetrics and Gynecology
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Can postpartum depression have a second child?

Postpartum depression does not preclude having a second child, as most patients generally recover within a year after childbirth. However, there is a 50% chance of recurrence if one decides to have another child. Therefore, for such pregnant women, certain preparations should be made during pregnancy, such as educating them about childbirth and pregnancy knowledge. Once equipped with this knowledge, the expectant mothers can better manage their self-care. Additionally, during childbirth, it is essential to provide the patient with ample love and patience, especially for those who experience longer labor and greater psychological stress, requiring patient explanations of the childbirth process.

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Written by Du Rui Xia
Obstetrics
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What are the symptoms of postpartum depression?

Women often experience emotional changes after childbirth, which may be related to mental tension, stress, and physical fatigue postpartum. Clinically, this is mainly manifested as a decline in psychological function or impairment in social functions, presenting as negative emotional states with prolonged duration. Symptoms primarily include feeling low, frequent crying, insomnia, loss of appetite, depression, and intense guilt and feelings of inferiority towards the baby. These are all symptoms of postpartum depression.

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Written by Yue Hua
Obstetrics and Gynecology
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What causes postpartum depression?

The causes of postpartum depression are still unclear, but the following people are prone to develop postpartum depression. Those who have had multiple children or have gone through numerous pregnancies before conceiving, as well as those with a poor reproductive history and teenage mothers, and mothers who had premature births. Additionally, individuals with pregnancy complications, such as pregnancy-induced hypertension or gestational diabetes, are also likely to develop postpartum depression. Moreover, family relationships play a significant role; those in discordant family relations or where the newborn's gender does not meet their expectations are also susceptible.