A topical approach to life span development, 6e chapter 3
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The Postpartum Period
Chapter 3
Postpartum Period
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Period after childbirth or delivery
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About 6 weeks
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Or until mothers body has completed its adjustment and returned to a nearly
prepregnant state
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Adjustments are physical, emotional and psychological
Physical Adjustments
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Fatigue
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Can undermine ones sense of well being
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And confidence to cope with a new baby and a new family life
Loss of sleep
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Contributes to stress, marital conflict, and impaired decision making
Poor quality of sleep
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Disrupted, fragmented sleep
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Linked to postpartum depression
Hormone production drops
Emotional and Psychological Adjustments
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Several weeks to long term emotional swings
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Postpartum blues
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70% of new mothers in US
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2-3 days after birth, they feel depressed, anxious, and upset
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May come and go for several months
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Usually go away after one or two weeks
Emotional and Psychological Adjustments
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Postpartum depression
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Major depressive episode
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Typically 4 weeks after delivery
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Strong feelings of sadness, anxiety, or despair
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At least 2 weeks trouble coping with their daily tasks
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Without treatment, can become worse and last for many months
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10-14% of new mothers experience
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Often do not seek help
Emotional and Psychological Adjustments
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Postpartum depression risk factors
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History of depression
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depression and anxiety during pregnancy
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Neuroticism - negative state of fear, anxiety, worry, frustration
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Loss self-esteem
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Postpartum blues
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Poor marital relationship, low levels of social support
Emotional and Psychological Adjustments
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Postpartum depression risk factors
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Perinatal complications
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Infant health and temperament
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Type of delivery
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Humoral changes
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History of physical abuse
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Migrant status
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Postpartum physical complications
Emotional and Psychological Adjustments
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Treatment
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Antidepressant drugs
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Psychotherapy, especially cognitive therapy
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Regular exercise
Emotional and Psychological Adjustments
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Other concerns of postpartum depression
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Interaction with baby difficulties
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Care giving activities (feeding, sleep routines, safety practices)
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Fathers may experience depression, jealousy
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Study: higher support by fathers was related to a lower incidence of
depression in women
Bonding
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The formation of a physical connection between parents and baby... Early on
after birth
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Research is mixed
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Seems to be more beneficial/needed for mother than for baby
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May help with improved integration after leaving the hospital
