Postpartum Depression

Postpartum Depression

1. RISK FACTORS: 1. Hormonal changes with a rapid decline in estrogen and progesterone levels. 2. Pospartum physical discomfort and/or pain. 3. Individual socioecomonic factors. 4. Decreased social support system. 5. Anxiety about assuming new role as a mother. 6. Unplanned or unwanted pregnancy. 7. History of previous depressive episode. 8. Low self-esteem. 9. History of domestic violence.

2. SUBJECTIVE DATA: 1. Feelings of guilt and inadequacies. 2. Irritability and intense mood swings. 3. Anxiety. 4. Persisting feeling of fatigue and sadness. 5. Feeling of loss. 6. Lack of appetite. 7. Sleep disturbances.

3. OBJECTIVE DATA: 1. Crying 2. Weight loss. 3.Flat affect

4. NURSING CARE INTERVENTIONS: 1. Monitor interactions between the mother and the baby. Encourage bonding activities. 2. MONITOR client's mood and affect. 3. REINFORCE with the client feeling down in postpartum period is normal and self-limiting. Encourage to notify primary health provider i f the condition persists. 4. ENCOURAGE to communicate feelings, validate and address personal conflicts, and reinforce personal power an autonomy. 5. REINFORCE the importance of compliance with any prescribed antidepressant medication regimen. 6. CONTACT a community resource to schedule a follow-up visit after discharge for women who are a high risk for postpartum depression.

5. CARE AFTER DISCHARGE: 1. ADVISE the client to get plenty of rest and nap when the infant sleeps. . 2. REINFORCE the importance of the client taking time out for herself. 3. Schedule a follow-up visit prior to the traditional 6-week postpartum visit for client who are at risk for developing postpartum depression. 4. Provide information about community resources such as La Leche League or community mental health centers. 5. Encourage the client to seek counseling and make referrals to social agencies as indicated.

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