Postpartum Contraception Pdf

Postpartum depression Baby. Center. I just had a baby. Why do I feel so down If youre a brand new mom who expected to be full of joy at this point, it can be upsetting and confusing when youre actually feeling the opposite. Rest assured, youre not alone Anywhere from 4. I/51p2JB7xWPL.jpg' alt='Postpartum Contraception Pdf' title='Postpartum Contraception Pdf' />The postpartum period, also known as the puerperium, begins with the delivery of the baby and placenta. The end of the postpartum period is less welldefined, but is. Mirena levonorgestrelreleasing intrauterine system PATIENTS SHOULD BE COUNSELED THAT THIS PRODUCT DOES NOT PROTECT AGAINST HIV INFECTION AIDS AND OTHER. CDCs Response to Zika INCREASING ACCESS TO CONTRACEPTION IN THE CONTEXT OF ZIKA PREPAREDNESS State and Jurisdictionallevel Strategies Helping women who want to. How can I use breastfeeding to prevent pregnancy The Exclusive Breastfeeding method of birth control is also called the Lactational Amenorrhea Method of birth. Strategies and Evidence. Longacting reversible contraception, or LARC, methods provide reliable, longterm, highly effective prevention of pregnancy after onetime. The mission of the WHO Department of Reproductive Health and Research RHR is to help people to lead healthy sexual and reproductive lives. Birth control methods to prevent pregnancy include progestinonly pills and injections combined estrogen and progestin pills, patches, and the vaginal ring long. I/51FGHUISgaL.jpg' alt='Postpartum Contraception Pdf' title='Postpartum Contraception Pdf' />The baby blues typically begin a few days after delivery and go away on their own within a week or two. However, if your feelings seem unusually intense and have lasted longer than two weeks straight, you may be wondering whether you have a more serious condition. It may come as a surprise, but you could have postpartum depression PPD. What is postpartum depression Sometimes it can be hard to tell the difference between clinical depression and the normal stress and exhaustion of new parenthood. But if your feelings of sadness or despair are so powerful that they prevent you from being able to do your daily tasks such as caring for yourself and others you could have PPD. About 1. PPD, but some experts believe the number is even higher because many women dont seek treatment. If youre struggling, see your healthcare provider right away for a mental health screening. According to the American Psychiatric Association, postpartum depression can begin in the weeks after pregnancy or even before. About half of women with PPD have symptoms during pregnancy. If your provider thinks you have depression any time after you give birth, she may refer you to a counselor and prescribe antidepressant medication, if necessary, or refer you to a psychiatrist for treatment. Whether youre diagnosed with depression before, during, or after pregnancy, getting treatment is important. What are the symptoms of postpartum depressionThe symptoms of PPD and depression that occurs before or during pregnancy are the same. You could have PPD if you experience five or more of the following symptoms almost every day, for most of the day, for at least two consecutive weeks Extreme sadness, emptiness, or hopelessness. Crying all the time. Loss of interest or lack of enjoyment in your usual activities and hobbies. Trouble falling sleep at night, or trouble staying awake during the day. Loss of appetite or eating too much, or unintentional weight loss or weight gain. Overwhelming feelings of worthlessness or overpowering guilt. Restlessness or sluggishness. Difficulty concentrating or making decisions. Feeling that life isnt worth living. Other possible signs you might be depressed include Being irritable or angry. Avoiding friends and family. Worrying excessively about your baby. Being uninterested in your baby, or unable to care for her. Feeling so exhausted that youre unable to get out of bed for hours. In rare cases, some women with PPD experience delusional thoughts or hallucinations and may harm their baby. Note If you have thoughts about hurting yourself or your baby, this is an urgent health matter. Contact your provider immediately. What causes depression after childbirthPPD results from a combination of hormonal, environmental, emotional, and genetic factors that are beyond your control. Some women might feel somehow responsible for having PPD, but depression doesnt happen because of something you did or didnt do. You may also be more likely to have PPD if you had depression or anxiety during pregnancy, or if you had the baby blues after delivery. Other factors that contribute to the development of PPD include the physical exhaustion after giving birth, the emotional adjustment of becoming a parent, and sleep deprivation. Whats the difference between PPD and depressionOne difference is the timing Depression is called PPD when it occurs during the period after childbirth. And unlike depression thats not related to pregnancy, PPD is linked to the unique hormonal changes that occur after childbirth. Researchers think that sudden changes in hormone levels after delivering a baby can trigger depression in women who are more sensitive to shifts in estrogen and progesterone. Am I at risk for postpartum depression Every new mom is at risk for PPD, but some women have a higher risk. The strongest predictors of postpartum depression are Other risk factors include Baby blues after delivery. Unplanned or unwanted pregnancy. A baby with birth defects or other medical problems. Multiple babies such as twins or tripletsFamily history of psychiatric problems. Being single. Low socioeconomic status or financial instability. Domestic violence. Unemployment. Many medical appointments during pregnancy. Pregestational or gestational diabetes. Remember that these risk factors dont actually cause PPD. Many women with multiple risk factors never experience clinical depression or anxiety, while others with just one risk factor or even none can end up with a diagnosis of PPD. How is postpartum depression treated The treatment for PPD is the same as the treatment for depression that happens before or during pregnancy. If you have mild symptoms, your provider may recommend watchful waiting with regular check ins. If your symptoms are more severe, your provider may recommend talk therapy, antidepressant medication, or both. Talk therapy, also called counseling or psychotherapy, can be one on one with your therapist or in a group setting with other women going through a similar experience. In family or couples therapy, a therapist works with you and your partner or relatives. Antidepressants balance the brain chemicals that regulate your mood. Talk with your provider about the different types of antidepressants some are combined for best results. Youll probably start to feel better after taking the medicine for three or four weeks. Antidepressants can cause side effects, but most will resolve after a short time. If you experience side effects that interfere with your daily life, or if your depression gets worse, let your provider know right away. Some women have very severe PPD that doesnt respond to talk therapy or medication. In this case, a healthcare provider may suggest electroconvulsive therapy ECT. In this treatment, small electrical currents are passed through the brain while the patient is under general anesthesia. Experts believe this electrical stimulation causes chemical changes in the brain that relieve depression symptoms. Is it safe to take antidepressants while breastfeeding It is generally considered safe to take antidepressants while nursing. The medication does pass to your baby through breast milk, but the levels are very low. Selective serotonin reuptake inhibitors SSRIs are considered the safest option and are frequently prescribed to breastfeeding women with depression. Other drugs for depression also appear to be safe, including serotonin norepinephrine reuptake inhibitors SNRIs and most tricyclic antidepressants TCAs. According to a few studies, the breastfed babies of moms who take antidepressants might be slightly more irritable or have some difficulty feeding or sleeping. 2009 The High End Of Low Rar. However, the babies of moms with untreated depression can also have these same problems. If youre wondering whether changes in your babys eating, sleeping, or behavior might be caused by your medication, talk to your provider. Continue taking your medication unless your provider tells you to stop. For details on specific medications, see our drug safety during breastfeeding chart. Why is it important to seek treatmentUntreated depression can be lonely, confusing, and even scary if your condition gets worse.