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Depression and Pregnancy-What Is the Connection?

At one time, doctors believed that theor PMDD (Premenstrual Dysphoric
hormones associated with pregnancy wereDisorder, a severe type of premenstrual
a good protection against depression. Insyndrome or PMS) is paramount among
more recent years, however, there hasthese, as a predisposition to the
been a growing body of evidence thatdisorder can increase the chance that
depression during pregnancy is a seriouspregnancy and its attendant stresses
problem, affecting 10-20% of all women -will bring on an episode. Age at time of
the same proportion that women as wholepregnancy is also a factor -- the
suffer without adding pregnancy into theyounger the woman is, the higher the
equation. With figures like that andrisk of depression.
with the added concern that depressionThere are also environmental factors to
can factor into the health of the baby,consider. If the woman is living alone,
it is important to know something aboutwithout the support of a partner, and
how depression and pregnancy arehas limited social support; if there are
connected.already multiple children in the family,
First, it's important to recognize whator there is a history of marital
depression is and what the symptoms are.conflict and ambivalence about the
Depression is a mood disorder that maypregnancy, there is a greatly increased
have both biological and behavioralrisk of a significant clinical
roots. Although healthy women frequentlydepression.
experience some of the followingIf a pregnant woman believes that she is
symptoms during a pregnancy, depressionexperiencing depression, she should seek
is usually diagnosed when the patientmedical advice immediately. This is not
experiences three or more of thea condition that will simply go away;
following symptoms in the space of twotreatment to avoid the serious
weeks:consequences listed above is vital.
- A sense that nothing feels enjoyableFortunately, there are many ways to
or fun anymoretreat depression during pregnancy. One
- Feeling blue, sad, or "empty" forof the most important is for the woman
most of the day, every dayto take a step back and realize that she
- Difficulty concentratingmay not have to do everything she did
- Extreme irritability, agitation, orbefore the pregnancy. If a social
excessive cryingnetwork and supportive partner are
- Trouble sleeping or sleeping all theavailable, much of the self-imposed
timestress of trying to maintain a normal,
- Extreme or never-ending fatiguepre-pregnancy routine can be alleviated
- A desire to eat all the time or notby doing less while others take up the
wanting to eat at allslack. If these resources are not
If a woman experiences three or more ofavailable, psychotherapy is an effective
these, she may be suffering fromway to help the patient get at root
clinical depression and should reportcauses of feelings of helplessness and
the symptoms to her doctor.low self-worth, thus allowing her to
Depression is a serious disorder, and iscope better.
more than just having "the blues."Self care is critical - developing good
Untreated depression can interfere withsleeping habits, regular diet and
a woman's ability to care for her selfexercise routines and the like are also
during pregnancy, and can push a womaneffective treatments. Medications are
to neglect vital personal care, thusalso available, but as with any drugs
hurting her unborn child. In extremetaken during pregnancy, there are risks
cases, the condition can also put her atthat must be considered. Some
risk for suicide, and for abuse ofantidepressants have been associated
substances such as tobacco, alcohol, andwith serious side effects for the baby;
illegal drugs. Depression may alsoany use of these drugs should be
interfere with the ability to bond withdiscussed carefully with a trained
the child, and can also increase thedoctor so that risks are balanced
risk for having an episode of depressionagainst the benefits. Keeping in mind
after delivery (postpartum depression).that depression is a serious illness;
In addition, recent studies have shownthere are times when the benefits of
the possibility of links betweentreating a depressive episode with drugs
depression in the mother and suchoutweigh the possible downside.
serious conditions as prematureAs with any medical condition that
delivery, low birth weight, spontaneousoccurs during a pregnancy, depression
miscarriage, and gestationalrequires a skilled diagnosis and
hypertension, or preeclampsia.treatment by a trusted specialist. Women
Doctors feel that there are severalwho are at risk for depression or who
major causes which can contribute to aare experiencing the symptoms owe it to
depression during pregnancy. Having anthemselves to address the problem as
existing history of clinical depressionsoon as possible.



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