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POSTPARTUM depression related literature review
POSTPARTUM depression related literature review
Postpartum depression research critique
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Postpartum depression affects 8-15% of mothers within a few days or weeks after giving birth. Some mothers experience a mild form of this disorder, while others experience a more rare and intense version. This intensified postpartum depression is known as postpartum psychosis. According to the Journal of the American Academy of Psychiatry and Law, Nau, McNiel, and Binder (2012) express “Postpartum psychosis occurs in 1-2 of 1,000 births and frequently requires hospitalization to stabilize symptoms.” These symptoms include: Hallucinations, restlessness, disturbed sleep, insomnia, drastic mood or behavior change, delusional thinking, thoughts of suicide or death, and extreme depression. In The Journal of Women's Health, Sit, Rothschild, and Wisner described postpartum psychosis as “an overt presentation of bipolar disorder that is timed to coincide with tremendous hormonal shifts after delivery”. Approximately 72%-88% of mothers who experience postpartum psychosis (PP) have bipolar illness, schizo-affective disorder or a family history of either which is why PP is classified as a psychotic disorder by the APAA. Many women who are affected by postpartum psychosis are too afraid or embarrassed to come forward and claim the disorder. This is dangerous for both mother and child(ren) as the disorder has a 5% suicide rate and a 4% infanticide rate. Even if there is no physical harm done to the child there may be emotional harm. The behaviors that are exhibited by the mother to the child may “interfere with the children's emerging cognitive skills...”(Sohr-Preston & Scaramella, 2006). It has been theorized both before and after birth the mothers' health, physical and emotional, may affect the child's cognitive skills later in li... ... middle of paper ... ...omeone do this to their child?”. There have been many similar cases where the mother was found not guilty, so why was Yates found guilty? The answer may come from the website Andrea Yates: Ill or Evil? “In America, there are no clear standards in court for dealing with mentally ill mothers—not even in the same city.” This is a sad, but true statement. People tend to use their own morals and experiences as how they perceive things. Of course what Andrea Yates did was wrong, but she was also seriously ill. Postpartum psychosis is an extremely scary and dangerous disorder. PP is treatable, however there are no guidelines for treatment at this time. Most patients have been treated using a combination of pharmaceuticals and psychotherapy. Even though treatment options are still being evaluated, the sooner any treatment starts the better off mother and child are.
When viewed from a strictly medical, psychological aspect, Andrea Yates medical history indicates that after the birth of her first child, she began to suffer from various forms of depression and suicide attempts. If one only examines the paper trail and doesn’t think beyond what the medical history does or does not indicate, then perhaps, Andrea would be innocent by reason of mental insanity as the 2006 acquittal suggest. However, when viewed form a legal aspect there are several inconstancies that challenge if this former nurse was insane or if she in fact premeditated the murder of her children as well as her acquittal.
The punishment in the State of Texas for committing two capital crimes is life in jail or the death penalty. Andrea’s lawyer tried to show her innocence by protesting that she was insane at the time of the killings. This plea of insanity could have kept her from life in jail or the death penalty. Sure, she would have served a couple years in jail, but she would have been given the opportunity to come out on parole. Now, if this lady was insane like some believe, then how could she know she committed a crime and not know she was doing wrong when actually drowning the children? Mrs. Yates knew exactly that she hurt the innocent children and was awfully aware of what was going on. Mrs. Yates even called the police and her husband to inform them of what she had done. If the death penalty was on her mind while she was drowning the children, then she might have shown some moral awareness before drowning them instead of after they had died. I believe Andrea to be a sane woman, even though she was depressed or had postpartum depression.
Pregnancies are often correlated with the assumption that it will bring happiness to the household and ignite feelings of love between the couple. What remains invisible is how the new responsibilities of caring and communicating with the baby affects the mother; and thus, many women experience a temporary clinical depression after giving birth which is called postpartum depression (commonly known as postnatal depression) (Aktaş & Terzioğlu, 2013).
“Not Guilty” doesn’t mean the person didn’t commit the crime, it just mean that when the person committed the crime he/she could not tell right from wrong. I believe that Andrea profile does not fit the profile of legally insane. Yes, Andrea has major mental issues and suffers from many mental diseases, however, at the time of the murder I believe she was at the right state of mind. Under the definition of law a person can only be declared insane if at the time of the crime the person was unable to understand right from wrong and knew the consequences of his/her actions. She knew that it was legally wrong to kill another human being thus waiting to do it when her husband was not home who was of solid mind. She also planned out which child to kill first because of them alerting the other children and risking them escaping. She was found guilty but ended up having a second trial which she was found not guilty by reason of insanity. According to a juror, during the time of the Yates case, the Insanity Law in the state of Texas stated, "As a result of severe mental disease or defect, did not know that his/her conduct was wrong", this would be changed to, "as a result of a severe mental disease or defect, the defendant was unable to appreciate the nature and
Sit, D., Rothschild, A. J., & Wisner, K. L. (2006). A review of postpartum psychosis. J Womens
Postpartum depression is indeed a major psychological disorder that can affect the relationship between mother and baby. At this time, the cause of postpartum depression is unidentified, although several factors experienced during pregnancy can contribute to this disorder. Fluctuating hormone levels have been traditionally blamed for the onset of postpartum depression. Jennifer Marie Camp (2013), a registered nurse with a personal history of postpartum depression, states in the Intentional Journal of Childbirth Education that “current research demonstrates that PPD may be a compilation of numerous stressors encountered by the family, including biochemical, genetic, psychosocial factors and everyday life stress” (Camp, 2013, p. 1). A previous history of depression, depression during pregnancy, financial difficulties, a dif...
Andrea Yates was also insane because she was not able to reason and feel emotion for others. Andrea Yates brutally killed her kids by drowning them in the bath tub one by one, what kind of person has the mental decency to watch five of her kids struggle under water till they die? Andrea Yates wasn’t able to feel any emotion while killing her kids because at that moment any mother who is mentally sane would not want her kids to suffer especially five of them back to back. Mothers usually have a natural impulse to love and protect their, which is hard-wired into their brain (Parker-Pope, 2008). Andrea Yates clearly didn’t care about how her husband and family members felt about this situation also because she waited till her husband left to commit
The fierce part about the disorder is that women who develop postpartum psychosis have a four percent chance of committing infanticide and a five percent rate of committing suicide. The reason can be explained as a break from reality. The hallucinations feel very real to the sufferer and as such instant treatment is of the essence.
Postpartum depression has always been a hot topic in healthcare due to the factors that impact so many lives. Postpartum depression is characterized by feelings of extreme sadness, stress, loneliness, anxiety, being irritable and agitated, fear, misery, worthlessness, having no interest in your baby and in some cases wanting to harm the baby (NIMH, 2016). Postpartum depression is a very common mental illness which falls in the category of a mood disorder that affects 1 in 7 women after child birth (APA, 2016). Postpartum depression is very important to mental health nursing because the mother and baby are at risk for death. It is important for the nurse to recognize the signs and symptoms of postpartum before something dangerous happens.
Being in a relationship with someone who has depression can be challenging. In this article find some tips on how you can help your partner and be a source of support for them. Inform Yourself Learn all that you can about depression, such as its causes, symptoms, and treatments so you know what your partner is experiencing and going through. There are books, and websites with just about all the information that you need to learn about depression. Know Fact from Fiction As you are researching about depression, learn the facts from fiction. Empathize and try to understand from your partners perspective the misconceptions about what mental illness is, and the best way to deal with the stigma. Don't Neglect Yourself When you are constantly
This is a fairly common side effect of childbirth that comes at the time in her life when the woman is supposed to be happiest and most satisfied. However, with her mind suffering from the effects of her body's frantic attempt to realign its chemical components into a balanced state, the new mother is confronted by moods that are the opposite of what she is told she should be feeling. These expected and experienced emotions can create tremendous guilt in a woman, even a very strong woman. To lessen this guilt, the mind can develop a psychosis, such as delusional disorder. The narrator was very perceptive in looking at her own bout with delusional disorder and its progression into a more severe emotional disorder, even to the point of including her lack of concern for her baby. Classic symptoms of delusional disorder are varying degrees of visual hallucinations (although not normally as prominent as shown in the story) and olfactory hallucinations related to the delusional theme(s) or object(s). Delusional disorder does not markedly impair psychosocial functioning or cause a person to display odd or bizarre behavior when other people are known to be present. Undetected and/or untreated delusional disorder often degenerates into schizophreniform disorder, or even full blown schizophrenia, and the delusions take control over the person's mind (DSM - IV Diagnostic and Statistical Manual of Mental
Although I acknowledged the truth my mom had spoken to me when she came to visit, I hadn’t taken certain necessary steps that I needed to take. I remember one day sitting on my living room couch. Poet was sitting beside me. He was talking to the children. I turned my head and began to cry. I could no longer hold back the hurt, fears, disappointments, and anger. The family noticed after a few seconds that I was crying. Poet tried to talk to me but I didn’t respond. He called my mom this same night. I talked to my mom a little but I mainly just listened. The next day Bri had called me. Poet had contacted her and told her what was going on. She contacted me to tell me about a counselor she knew. I took
The charge nurses, bedside RN’s, OBGYN’s, social workers and PCP’s will be informed of the background of postpartum depression, its effect on mothers, and how they can play an active role in helping prevent PPD in mothers. The NP will begin by providing a 5-10 minute in-service in the postpartum units to both day shift and night shift nurses. The in-service will prepare the healthcare providers to take a thorough social history, encourage bonding of the mother baby, inform mothers signs and symptoms of depression, provide pamphlet, and encourage to perform EPDS screening tool throughout the first
The silent killer that takes lives without warning, punishment, or any sympathy; depression is truly one of the most prominent mental illnesses in the world. Depression is defined as a mental illness inducing a severe and staunch feeling of sadness. The term depressed is coined in English as a temporary sadness that everyone experiences in their life. Despite that depression is more active in women, it is still one of the most common mental illnesses in the world. It affects anybody, regardless of sex, race, ethnicity, or socioeconomic standing. Regardless of all these facts, surprisingly little is known about depression, however, scientists have been able to hypothesize major causes, effects, and treatments for the disability affecting over
The past few months ... actually years ... have been a lesson in weathering trials. As I have stated before, I suffer from anxiety and battled postpartum depression. I was misdiagnosed with bi-polar, but my therapist discovered that it isn't bi-polar, it is simply massive anxiety attacks that I was having.