Can postpartum depression recur?

Written by Du Rui Xia
Obstetrics
Updated on September 09, 2024
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Postpartum depression has a certain recurrence rate and typically manifests within six weeks after childbirth. It can resolve within six months postpartum, but severe cases may persist for one to two years. The causes of postpartum depression are complex, primarily occurring in women who have had previous mental health disorders. The condition can be exacerbated by physical discomfort, excessive fatigue, and sleep disturbances following childbirth. Depression is an emotional issue; generally, if women receive careful support from family members after delivery, the occurrence of postpartum depression can be reduced.

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Written by Yue Hua
Obstetrics and Gynecology
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Can postpartum depression have a second child?

Postpartum depression does not preclude having a second child, as most patients generally recover within a year after childbirth. However, there is a 50% chance of recurrence if one decides to have another child. Therefore, for such pregnant women, certain preparations should be made during pregnancy, such as educating them about childbirth and pregnancy knowledge. Once equipped with this knowledge, the expectant mothers can better manage their self-care. Additionally, during childbirth, it is essential to provide the patient with ample love and patience, especially for those who experience longer labor and greater psychological stress, requiring patient explanations of the childbirth process.

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Written by Yue Hua
Obstetrics and Gynecology
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What causes postpartum depression?

The causes of postpartum depression are still unclear, but the following people are prone to develop postpartum depression. Those who have had multiple children or have gone through numerous pregnancies before conceiving, as well as those with a poor reproductive history and teenage mothers, and mothers who had premature births. Additionally, individuals with pregnancy complications, such as pregnancy-induced hypertension or gestational diabetes, are also likely to develop postpartum depression. Moreover, family relationships play a significant role; those in discordant family relations or where the newborn's gender does not meet their expectations are also susceptible.

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Written by Yue Hua
Obstetrics and Gynecology
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Symptoms of postpartum depression

The clinical manifestations of postpartum depression include patients feeling depressed, indifferent, and despondent about two weeks after giving birth. Additionally, patients may be reluctant to communicate with others, and might even avoid speaking to their spouses. Some mothers may also display a lack of confidence in life and family, decreased initiative, fatigue with life, slower reactions to things than usual, and reduced concentration. There is also a notable decrease in appetite, eating very little, and possibly experiencing symptoms like dizziness and headaches.

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Written by Du Rui Xia
Obstetrics
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Is the incidence of postpartum depression high?

The incidence of postpartum depression is around 15%-30%, and it is a common psychiatric disorder among women after childbirth. This condition arises due to the change in social roles for women postpartum, as well as changes in hormones, psychological stress, emotional levels, and attention from family members, bringing a series of physical, emotional, and psychological changes. Typically, postpartum depression occurs within six weeks of childbirth and can last throughout the entire postpartum period, with some cases lasting even longer, up until the child starts school.

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Written by Du Rui Xia
Obstetrics
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Can postpartum depression breastfeed?

Postpartum depression generally does not affect the quality of breast milk. Whether a mother with postpartum depression can continue breastfeeding should be comprehensively judged based on the physical condition of the patient. If the depression is relatively mild, then breastfeeding is completely possible. However, if the symptoms of the mother's depression are severe and she is unable to care for the baby herself, then breastfeeding should not continue, and active treatment should be pursued. The decision to resume breastfeeding should be based on the physical condition of the mother. To prevent postpartum depression, it is essential that family members or husbands provide sufficient care and love.