For the affected women their own reaction is usually completely incomprehensible: Instead of mother happiness they feel after delivery, inner emptiness and deep sadness, despair, fear of failure and even panic attacks.
Even Hippocrates, the forefather of Western medicine, has described "weekly or childbed depression". Hopelessness and feelings of guilt can lead to a vicious circle of obsessions and thoughts of suicide in postpartum depression (PPS).
Postpartum disease pictures
The moods of women after the birth of a child are roughly divided into three different categories:
- Postpartum Depression (Baby Blues),
- the postpartum depression and
- the postpartum psychosis (puerperal psychosis).
These are not isolated from each other, but often flow into each other fluently, so that, for example, can develop from the baby blues depression. A baby blues is usually short-lived and occurs in the first days after delivery in 50-80% of all mothers. The signs are: sadness, frequent crying, mood swings, fatigue and fatigue, anxiety and irritability.
Since the baby blues is a temporary phenomenon, it is considered relatively harmless. It would be wrong, however, to pay no further attention to it. If the sadness persists for more than two weeks, it can develop into permanent depression. It affects about 10-20% of all mothers.
Postpartum depression can occur at any time in the first year after the birth of the child. Gradual gradations are easy to hard to distinguish and typical is a gradual development. In addition to the signs of baby blues, there is general disinterest in the postpartum depression, concentration, appetite and sleep disorders as well as ambivalent feelings towards the child, which may even be associated with suicidal thoughts.
Postpartum psychosis develops mainly in the first weeks after childbirth and can develop due to depression. It is considered the most severe form of a postnatal crisis and occurs in one to three out of a thousand mothers.
The spectrum of the disease varies between euphoria and motor restlessness over drive weakness up to complete apathy. Hallucinations and delusions represent danger to mother and child. They can be religious in nature.
Postpartum fears as an independent disease
Anxiety disorders are not necessarily related to depression. The symptoms of anxiety usually appear in the first two to three weeks after birth and become apparent only after several weeks have elapsed. Typical are fears and worries about the baby's well-being (I can not love my child, I'm not a good mother). Postpartum seizures of extreme anxiety with obsessive-compulsive thoughts, images and images of anxiety are referred to as severe forms of postpartum anxiety reactions.