Hormonal changes and other causes
Due to hormonal changes, up to 50-80% of mothers get into a short-term mood depression after giving birth. The rapid decline of the hormones estrogen and progesterone leads to changes in mental balance. In postpartum mothers, checking the hormone status can reveal the cause. The hormone test can last a full day to detect the most sensitive hormone fluctuations. Eventually a substitution will be considered.
Howling days and baby blues: risk groups
The risk of depression mainly affects women who suffered from mental health problems before pregnancy, who denied or suppressed the pregnancy and had to deal with a possibly unwanted pregnancy. Shock experiences, extreme insecurity, partnership problems (single mothers left by the child's father) or overburdening with the new social role of the mother are equally important.
Early detection of postpartum diseases
Early detection is crucial to initiate effective treatment. It often happens that suicidal thoughts occur after birth, whereby the child can also become a victim (so-called extended suicide). Mothers often do not express their tormenting feelings after birth spontaneously and directly. They usually share the environment and the family only indirectly and encounter incomprehension, which aggravates the situation. Therefore, spouses and relatives should listen and pay attention to extreme mood swings.
Here, the treating gynecologist must be consulted to counter the risk of postpartum depression. After all, it's not just a temporary baby blues, it's a dangerous disease.
Ways out of depression
Depending on the severity of the mental illness, drugs are often indispensable. There are now those that are even compatible with the breast-feeding wish. Antidepressants do not make you dependent on tranquilizers and sleep aids.
Whether a behavioral, conversation, family or system therapy is required as an adjunctive measure, decide gynecologist / gynecologist with the patient or relatives. Sometimes a hospital stay must also be considered.
The affected mothers need care, patient listening, understanding and security. In many cases, applying for financial support helps to effectively counter everyday worries. Also, a medically prescribed home help can be claimed. Advice on nutrition, encouragement for physical exercise in the fresh air, the visit of a self-help group and the awareness of being allowed to create free space as a mother are the basis of the counseling session.
The doctors of the professional association of gynecologists emphasize that the prognosis of most mental illnesses after birth with appropriate treatment is good. They support the affected women with help and advice.