Depression in embarrassment is a disorder that is characterized by changes in mood, anxiety and sadness, which can lead to disinterest in embarrassment. The diagnosis is performed by the doctor after evaluating the symptoms present, they must remain for at least 1 month.
This type of disorder during pregnancy can arise due to the hormonal changes that occur at this stage, for having a complicated embarrassment, for your embarrassment in the desired, among others. Teenagers are the ones who have greater possibilities of suffering from this type of depression, especially if they have suffered an anxiety crisis or depression before.
Depression in the embarazo requires healing and treatment to be indicated by the psychiatrist after the evaluation of the woman and the conditions of her embarassment.
The mood swings during the embarrassment are normal, as they result from the alterations in the hormonal levels that women suffer in this phase. However, if these variations continue for weeks or months, the woman should talk to her obstetrician to assess the situation and check if she is suffering from depression.
To diagnose depression, it is necessary to present at least 5 of the symptoms mentioned below:
Sadness in the majority of days;
Loss of interest in daily activities;
Agitation or slowness every day;
Fatigue or loss of energy every day, or in the greater part of the time;
Sueño disorders like insomnia or exaggerated somnolence, every day;
Excess or lack of appetite;
Lack of concentration and indecision practically every day;
Feelings of guilt or devaluation most of the time;
Thoughts of death or suicide, with the intention of suicide.
Many times the depression in the embarrassment leads to the woman getting out of work, since she cannot perform her daily activities and gets tired easily. Symptoms usually arise in the first or in the last gestational trimester and in the first month after the baby’s birth.
Does depression affect the baby?
The depression in the embarrassment when one does not identify and is not treated in time, could have consequences for the baby. This could happen because depressed mothers show more hormonal changes; pose less care with food and health; they interact very little with the baby during its formation, being able to harm the fetal development and; It has also been shown to increase the chances of having a premature birth and a baby with low birth weight.
In addition, women with depression in the last trimester of pregnancy have a greater probability of having an instrumented delivery with suction cups or forceps, and newborns have a greater probability of being hospitalized in neonatology.
It was also verified, in a study carried out by the Instituto de Psiquiatría y Neurociencia of a University in London, that the babies of women who had depression during pregnancy had higher levels of circulating cortisol, which is the hormone related to the stress they were more hyperactive and reactive to sound, light and cold that the babies of women who did not present any psychological alteration in the embarrassment.
What can cause depression in the embarassment?
Some situations such as lack of emotional support, comfort, affection and assistance can trigger depression in women during embarassment. Other factors that also contribute to the development of depression at this stage of life are:
The woman suffered from depression before becoming embarrassed or any other psychiatric disorder such as a crisis of anxiety, for example;
Complicated previous embarrassment, abortion prior to the loss of a child;
Not being married, not having financial security, being separated or not having planned and embarazo.
Stressful problems such as couples’ struggles, history of separation or divorce, serious health problems, kidnapping, history of fire or catastrophe, death of a close person, assault, sexual abuse and physical aggression are some of the factors that can also trigger depression. However, it is also possible to develop it among women who have not been exposed to any of these situations.
How is the treatment performed?
The treatment for depression during the embarrassment varies according to the number of symptoms present and the presence or number of signs of seriousness. Because when the woman has between 5 and 6 symptoms, the recommended treatment is the realization of several psychotherapy sessions that improve the quality of life and increase the self-confidence of the women. Asimismo, it is possible to carry out some alternative therapies such as acupuncture, for example, which is indicated to treat depression.
Carrying out physical activity or any activity that allows women to relax, maintain healthy food and support the family are other indispensable ways of dealing with depression in embarassment.
In the most serious cases where the woman has between 7 and 9 symptoms, the use of medication is recommended, however, there is no antidepressant medication that is indicated for the embarassed and that is totally safe. Therefore, before starting the medication, the doctor will evaluate the risk-benefit relationship that can be provided by the medication. Furthermore, it is not advisable to take natural remedies, such as the hierba de san juan or hiperico, because they can harm the baby.
Despite the fact that the obstetrician accompanies the entire pregnancy, it is essential that the woman is also accompanied by a psychiatrist during this phase.
When to use antidepressants
The use of antidepressants is only indicated by the doctor after the first 12 weeks of embarrassment and when the woman has 7 to 9 symptoms of this disorder, however, the use of this medication should only be carried out when it has been confirmed that there is no risks for the baby. This is due to the fact that some antidepressants can produce malformations in the fetus, increase the risk of premature birth and hinder the growth of the baby.
Therefore, to reduce the risk of alterations caused by the use of antidepressants, it is usually recommended that women who have never taken this type of medication, use selective serotonin reuptake inhibitor antidepressants, such as sertraline, fluoxetine or citalopram, which are considered safer during this period.
Despite being considered safe, some studies indicate that the use of these antidepressants in the last trimester of the embarrassment can produce some neonatal alterations, such as agitation, irritability, alterations in food and sweat, hypoglycemia and respiratory difficulties, for example, without embargo. , it has been reported that these changes lasted a few weeks and had no impact on the broad development of the baby.
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