Treatment of postpartum depression in Ningbo
There are many hospitals that treat postpartum depression, but the key is to master the methods.
Postpartum depression is the most common type of female mental disorder, which is caused by a series of physiological, emotional and psychological changes caused by postpartum sex hormones, social roles and psychological changes. So do you know the treatment of postpartum depression?
Psychopsychotherapy:
In the process of delivery, nurses should accompany and guide as much as possible, give comfort and encouragement, and teach them how to use relaxation skills during the interval of labor pains to eliminate their helplessness and enhance their confidence in delivery. Allow family to accompany, care and take care of, relieve loneliness and tension. Replenish digestible food and water in time to reduce the consumption of physical strength and energy during labor. Psychological nursing before cesarean section can reduce the fear and worry about the operation.
Give a quiet and comfortable environment after delivery, appropriately limit the visits of relatives and friends, concentrate the nursing work as much as possible, improve efficiency, and let the parturient have enough rest. Give digestible and nutritious food so that the parturient can recover her physical strength as soon as possible. Actively communicate with pregnant women, listen to their thoughts and feelings, give encouragement, help them acquire knowledge and skills of breastfeeding, explain to them that keeping a happy mood can promote the secretion of milk, teach pregnant women and their families the general knowledge and skills of breastfeeding babies, and stimulate their positive psychological reaction. Give important psychological care to the pregnant women who have experienced abnormal pain or poor pregnancy outcome, pay attention to protective medical care and avoid mental stimulation. Prenatal education is also necessary. Give mental health education to the maternal husband, in-laws, parents and other family members, communicate with each other well, establish a warm family atmosphere, give meticulous care to the maternal, care about the psychological feelings of the maternal, and try to avoid sensitive issues that stimulate the maternal mood. If there is a history of perinatal depression, maternal depression is serious, and the baby is irritable, we should pay enough attention to identify psychological problems in time to avoid delaying treatment.
Drug therapy:
At present, tricyclic antidepressants are still used as first-line drugs to treat depression. The second generation atypical antidepressants are second-line drugs. The efficacy of various tricyclic antidepressants is similar, and the clinical choice can be based on the strength of depression and sedation, side effects and patients' tolerance. The sedative effect of imipramine and norimipramine is weak, which is suitable for depressive patients with psychomotor disorder. Amitriptyline and doxepin have strong sedative effects and can be used for patients with anxiety, agitation and insomnia. However, tricyclic drugs have great anticholinergic and cardiovascular side effects, so we should pay attention to their application. There are many kinds of atypical antidepressants in the second generation, among which fluoxetine, paroxetine and sertraline are selective 5-HT reuptake inhibitors, which are widely used, with few side effects and good safety, and can be used for long-term maintenance treatment.
The treatment of bipolar depression is the same as that of unipolar depression, but patients with bipolar disorder may turn into hypomania when taking antidepressants, so antidepressants and lithium carbonate are often used together. For patients with depression accompanied by hallucinations and delusions, antipsychotic drugs such as perphenazine and sulpiride are usually needed.
Physical therapy:
Compared with drugs, physical therapy has the characteristics of no side effects and significant dependence on curative effect. Transcranial microcurrent stimulation therapy is a physical therapy that stimulates the brain through microcurrent, which can directly regulate the brain to secrete a series of neurotransmitters and hormones that are helpful to improve depression. It can improve the secretion of 5-HT, promote the release of norepinephrine and enhance the excitability of nerve cell activities, thus alleviating individual depression. By promoting the secretion of endorphins with sedative effect, patients can maintain a relaxed and comfortable mental state, which is conducive to better alleviating their previous negative and depressed emotional state. In addition, through the improvement of patients' brain waves and various physiological indexes, the physical symptoms of patients with depression can be improved.
Electroconvulsive therapy:
People with depression should beware of self-harm and suicide. For people who have strong suicidal thoughts, electroconvulsive therapy can achieve immediate results, and the drug will be consolidated after the condition is stable.
What about postpartum night sweats?
Many mothers will ask why they are so love sweating after giving birth, and sweat profusely when they move. Postpartum night sweats are mostly related to personal physical fitness. Mothers with weak constitution sweat more and last a long time. What about postpartum night sweats?
1, personal hygiene
It is a woman's nature to love beauty. Many mothers are anxious about whether they can take a bath or wash their hair after giving birth. Take a shower or wash your hair seven days after giving birth. You can only use a shower, but you must not use a bath. Dry your hair and body after washing to avoid catching cold. In addition, wash vulva frequently and wash feet with warm water.
Step 2 Exercise properly
Although you should stay in bed after delivery, you should also do proper exercise. Generally, you can get out of bed 24 hours after delivery, increase the content and scope of activities every day, and do some postpartum gymnastics. The combination of bed rest and postpartum exercise can effectively prolapse the uterus and restore the body shape.
3. Comfortable environment
Postpartum confinement environment is very important, the room must be clean and bright, and the ventilation is fresh. Open more windows for ventilation, but the parturient must have convection wind, which is easy to catch cold. The room must be quiet and not noisy, so as to avoid hard rest for mother and baby, and many people are easy to bring in bacteria, which will affect the health of mother and baby.