Some mothers are in a bad mood after giving birth to their babies.
A new mother, Zhong Xia (a pseudonym), often feels a little impatient when she sees her three-week-old baby. Every time she heard the baby crying, she became more excited and angry. Zhong Xia said, "I haven't slept for a day since the baby was born. I can't eat, and I can't go anywhere ... In order to feed my baby scientifically, I have been quarreling with my mother-in-law, and my baby is a little uncomfortable. I cry and make trouble like crazy, and I have to take my children to the hospital myself ... I suspect that I have postpartum depression. "
"After my daughter was born, I forbid anyone to touch her. Except myself, I would be extremely unhappy if someone reached out and touched her face. I watch my daughter 24 hours a day and don't even sleep ... "Among the mothers, the netizen" Tong Tong is the only one for me "discussed with new mothers whether they were depressed after childbirth.
Among the mothers, the reporter randomly asked a dozen new mothers if there would be a period of depression within six months after giving birth to a baby. Nearly half of the mothers said they would feel helpless, unwilling to talk, fidgety, insomnia or overwhelmed, but these symptoms gradually disappeared.
In the interview, the reporter learned that excessive attention to children, excessive dependence on husbands, concerns about whether to return to the workplace, and concerns about postpartum appearance and body changes may all lead to postpartum depression. Some women worry that their jobs may be affected or even lost because of postpartum childbirth, and some mothers cannot breastfeed because of insufficient milk. They feel that children are born without the best nutrition, and they will definitely be inferior to others in the future, so they fall into self-blame and anxiety. There are still many mothers who are upset at the thought of their children's future education ... The tension and fear brought by these psychological pressures also increase the incidence of postpartum depression.
Why is the new mother unhappy?
According to experts, postpartum depression is caused by physiological and psychological factors after giving birth to a child. Symptoms include nervousness, doubt, guilt and fear. A few serious people will have thoughts and behaviors of despair, running away from home, hurting children or committing suicide. Mothers and their families should know something about postpartum psychological problems. Postpartum psychological problems are a period that most mothers will experience. They are normal reactions caused by hormonal changes in the body, so there is no need to be afraid.
Generally speaking, the psychological changes of postpartum women can be divided into three types: First, postpartum depression, with a high incidence. More than 50% of pregnant women have postpartum depression within 3 to 6 days after delivery. The main symptoms include: emotional instability, insomnia, crying secretly, depression, inattention, anxiety and so on. Secondly, some pregnant women will have the following serious symptoms: depression, loss of appetite, listlessness, and even crying for no reason or feeling hopeless about the future. What's more, they will feel guilty and lose their desire to survive. This is severe postpartum depression. The most serious symptoms of postpartum depression are depression, hallucination, delusion, suicide or infanticide, but the incidence is low, only below 1%.
"Older women and' baby' ('baby' refers to babies born in hospital intensive care because the' problem' couples are too poor to get pregnant or even if they are pregnant) are more likely to have postpartum psychological problems. Older women tend to worry too much about accidents caused by old age. The older they are, the more likely they are to feel nervous, fearful, depressed and anxious. Coupled with factors such as worrying about their poor health, they have greatly increased their psychological burden. Baby' women cherish the hard-won baby more, because the process of pregnancy and childbirth is harder than that of ordinary women. Since the baby was born, I immediately regarded the baby as my whole life, for fear of making a mistake, which led to my extreme anxiety and postpartum depression. "
How to prevent postpartum psychological problems
Experts say that expectant mothers should make full preparations before giving birth, pay attention to physical exercise during pregnancy, and improve their physical fitness, especially many women who often sit in offices. They should also participate in some appropriate aerobic exercises every day to exercise their cardiopulmonary function, so that their bodies can recover as soon as possible after giving birth and adapt to the busy mother role. Expectant mothers should have a certain understanding of parenting knowledge and prepare necessary expenses, clothes, bedding, diapers and so on. For the birth of the baby, so as not to be in a hurry after the baby is born. You can also go to the "pregnant school" in major hospitals to study. Through listening to lectures, observing and practicing hands, we can learn how to master the method of feeding, how to bathe the baby and how to hold the baby correctly. At the same time, we should also understand the prevention and treatment methods of some common diseases in children and be psychologically prepared for some unexpected situations.
"Postpartum room conditions, delicious meals and self-regulation of pregnant women are the key to relieve depression. There should be plenty of sunshine in the room. Open the window every day to ventilate, change the dirty indoor air and keep the indoor air fresh. When it is ventilated, mother and son can stay in another room for a while. It is best to sit in your own home, and both your mother-in-law and mother can take care of your mother. Due to different eating habits, some pregnant women are not used to the meals cooked by their mother-in-law. At this time, we should communicate with our families and try our best to let them eat delicious meals. Children crying in the middle of the night often affects their mothers' rest. At noon the next day, the family tried to take the child away from the mother and let the mother take a normal lunch break. Good sleep can make people emotionally stable. Family members can't complain and criticize the birth of children, both boys and girls are their own flesh and blood. They should accept children happily and create a good and harmonious family environment for the parturient. Nowadays, young people adopt scientific feeding, and they often have differences with the older generation in taking care of their children. The older generation should understand and communicate more to make pregnant women happy.
Precautions before treatment of postpartum depression?
1, 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.
2. Physical therapy. By increasing the secretion of 5-HT, it can 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.
3. Electroshock 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.
4. Psychotherapy. Psychotherapy plays an important role in the treatment of this disease, but it is usually combined with drug therapy and physical therapy.
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