When depression occurs after pregnancy it is called postpartum depression, peripartum depression and sometimes is more commonly known as "baby blues" After pregnancy, the many hormonal changes occurring within a woman's body may trigger symptoms of depression.
What Causes Postpartum Depression?
While pregnant, the amount of the hormones progesterone and estrogen increase greatly in a mother's body. And within the first day after the birth of her child that amount decreases very rapidly back to the normal level of both of these female hormones. It is believed that the rapid return to normal, pre-pregnancy hormonal levels may lead to depression.
It is also possible that levels of thyroid hormones may drop after giving birth. The thyroid assists in regulating the body's rate of metabolism. For some, low thyroid function can cause noticeable symptoms of depression including changes in mood, decreased interest in activities, irritability, fatigue, difficulty concentrating, sleep problems, and weight gain. A simple blood test can help determine if low thyroid function may be causing symptoms of depression.
What Factors Contribute to Postpartum Depression?
After having a baby you may feel tired, have broken sleep patterns and just not feel well rested. It is also very easy to feel overwhelmed with a new baby to care for as well as, the worry and stress that you may not be doing everything perfectly.
For some there is a strong feeling of loss including the loss of your own personal identity, loss of your pre-pregnancy figure and not feeling as attractive. In addition having less free time for yourself, your partner or spouse and social time with your friends can all contribute to feelings of depression.
What are the symptoms of Postpartum Depression?
If you feel restless or irritable, sad, hopeless or overwhelmed, find that you are crying very often, have little energy or motivation, have trouble concentrating, remembering or making decisions, you may be experiencing depression. Other symptoms of depression include eating too little or too much and sleeping too little or too much. Also feelings of guilt or being worthless, withdrawal from friends and family or loss of interest in fun activities are signals that you may be experiencing the baby blues. If any of these symptoms last for a period longer than two weeks you should seek some medical advice. For some new moms, signs of postpartum depression may also include being afraid of hurting their baby or not having any interest in their new little one.
What Should I do if I think I am experiencing Postpartum Depression?
First, don't feel embarrassed. Many women don't tell anyone about their symptoms because they feel shamed or guilty. The baby blues can happen to anyone. It does not mean that you've done anything wrong. You and your baby do not need to suffer through the symptoms you are experiencing. First speak to your physician to inquire if your symptoms may be associated with depression. You have many options available to help treat your symptoms.
Some doctors will quickly prescribe various medical treatments, which may include the use of antidepressant medication. This is not always the best first choice. Mothers who are breastfeeding should seek the advice of their physician regarding any risks associated with the use of antidepressant medications. For many women meeting with a support group and talking about their symptoms with other moms and a licensed clinical social worker can provide enormous help and support. There has also been quite a body of research that supports bodywork and massage therapy as an effective treatment for depression.
A growing body of research indicates that massage therapy helps to increase the level of Oxytocin (feel good hormone) in our bodies and decrease levels of Cortisol (hormone which causes stress).
Research conducted by the Touch Research Institute in Miami shows that mothers who received massage therapy were less depressed and less anxious both by their own report and based on behavior observations. In addition, their Cortisol levels were lower and their serotonin levels were higher, indicating they were less stressed and less depressed.
And not only does touch therapy benefit mothers who experience depression, babies benefit too! Infants of depressed mothers showed more eye contact when adults, who were smiling and cooing, also touched them as compared to infants who received smiling and cooing without touch, and the infant's positive attentiveness increased through the use of this loving touch.
Some other helpful tips to help eliminate depressive symptoms:
* Try to get as much rest as possible.
* Don't be shy about asking for help with the household chores.
* Talk to others about how you are feeling.
* Try not to spend time alone. Go out and take a walk or spend time with friends or family.
*Find and join a support group for women with depression. Talk with other mothers, so you can share your experience and learn from theirs as well.
Depression not only affects the mother but the entire family. Researchers believe that postpartum depression can affect the baby by contributing to delays in their language development, problems with emotional bonding to others, behavioral problems, lower activity levels and sleep problems.
If you are experiencing symptoms of depression, don't suffer alone, tell someone and seek the help you need as soon as possible.
Copyright (c) 2007 Liddle Kidz? Infant and Children's Pediatric Massage
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The standard forms of treatment include non-steroidal anti-inflammatory drugs (NSAIDS), topical analgesics (eg., ?rubs?), injections of glucocorticoids (?cortisone?), injections of viscosupplements (lubricants), and bracing. Arthroscopic treatment ? going into the joint with a small telescope and cleaning out the knee- is occasionally helpful. For advanced cases, surgery with joint replacement is needed.
However, there are other approaches that have been used that are non-invasive and can provide short term relief. These are termed ?physical modalities?. These physical measures such as electrical stimulation, electroacupuncture, and low level laser (?cold laser?) therapies have been reported to be helpful as an adjunctive approach to pain relief for patients with OA of the knee.
Recent evidence has surfaced supporting the role of physical modalities. A recent study (Bjordal M, et al BMC Musculoskeletal Disorders 2007; 8) reviewed a total of 33 randomized, placebo-controlled studies where OA of the knee was treated using different modalities.
Treatments used in these studies included transcutaneous electrical nerve stimulation (TENS), a low level type of electrical stimulation, electroacupuncture (EA), where electrical impulses are delivered at specific points near and around the joint, low level laser therapy (LLLT) - also know as ?cold laser?, pulsed electromagnetic fields, manual acupuncture, static magnets, and ultrasound.
There was no clinically significant improvement after manual acupuncture, static magnets, and ultrasound therapies, and minimal improvement with pulsed electromagnetic fields.
In contrast, there was significant clinical improvement following treatment with TENS, EA, and LLLT. The improvements were about the same for all three treatments.
From the data, the pain relieving effects of TENS was still present at 2-4 weeks following treatment and that of EA was retained for 8 weeks after the end of treatment. LLLT also appeared to give slight pain relief up to 8 weeks after treatment was discontinued.
The authors noted that while the sample sizes were small, the results seen with these physical modalities compared favorably with results seen with drug treatment for knee osteoarthritis.
Also, electrical stimulation and low-level laser therapy had potentially fewer and less severe side-effects than that associated with NSAID therapy.
In addition, the beneficial effects of the physical modalities seemed to last longer after discontinuation which is also different than that occurring with NSAID, where the beneficial effects wear off once the drug is discontinued.
The bottom line is that physical modalities offer another potential option for patients suffering from the pain of OA of the knees. It is important to remember that many patients with OA of the knees may have co-morbid conditions- other medical problems- that may prohibit them from receiving oral medicines for their osteoarthritis. Physical modalities may provide a solution to pain relief.
Both Tina Allen, Lmt, Ciit, Cimi & Nathan Wei are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Tina Allen, Lmt, Ciit, Cimi has sinced written about articles on various topics from Constipation Causes, Fitness and Family. Looking for expert advice, tips and tools to help improve your child's health? Find answers to all your questions about infant massage instruct. Tina Allen, Lmt, Ciit, Cimi's top article generates over 550000 views. Bookmark Tina Allen, Lmt, Ciit, Cimi to your Favourites.
Nathan Wei has sinced written about articles on various topics from Arthritis Pain, Health and Arthritis Signs. Nathan Wei, MD FACP FACR is a rheumatologist and Director of the Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine. For more info:. Nathan Wei's top article generates over 550000 views. Bookmark Nathan Wei to your Favourites.
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