Meroyan Postpartum Depression Nur Nabila Binti Rusle Nur

Meroyan (Post-partum Depression) Nur Nabila Binti Rusle Nur Hanis Amanina Binti Abdul Mutai

WHAT IS PPD? �Post-natal depression �Clinical depression that can affect women (5%-25%) , less frequently men (1%25. 5%) after childbirth �> post-partum baby-blues, < post-partum psychosis �The Edinburgh Postnatal Depression Scale �Diagnostics & Statistical Manual of Mental Disorders, 4 th Ed.

SYMPTOMS �Sadness & crying spells �Low self-esteem �Guilt �Sleep & eating disturbances �Feeling inadequate to take care of the baby �Anger �Exhaustion / No energy & lost weight �Thought of suicide / hurting & killing the baby

CAUSES �Lack of vitamin �Change in hormones �History of PPD / mental illness �Lack of social support �Financial problems �Relationship problems

EFFECT ON PARENT-INFANT RELATIONSHIP �Inconsistent with childcare � 4 coping strategies: ◦ ◦ Avoidance coping Problem-focused coping Support seeking coping Venting coping

PREVENTION �Early identification and intervention �Women being informed about the risk factors �Screening for depression, stress �Proper exercise �Nutrition

TREATMENT �Medical evaluation to rule out physiological problems �Cognitive behavioral therapy (psychotherapy) �Possible medication �Support groups �Home visits �Healthy diet �Consistent/healthy sleep patterns

CROSS CULTURE �Malay culture holds a belief in a spirit called ‘Meroyan Ghost’ that resides in the placenta and amniotic fluid. �When the spirit is unsatisfied, it causes the mother to experience frequent crying, trouble during sleeping, loss of appetite, collectively known as PPD.

POST-PARTUM PSYCHOSIS �Separate mental disorder, less common than PPD �Involves the onset of psychotic symptoms �The rate is 100 times higher in women with bipolar disorder or a previous history of postpartum psychosis

REFERENCES � http: //www. youtube. com/watch? v=5 qz-gd. Wt. Ka. M � http: //voices. yahoo. com/the-difference-between-baby- blues-postpartum-depression-3914784. html? cat=5 � http: //www. passnc. org/ � http: //www. steadyhealth. com/articles/Baby_Blues_an d_Postpartum_Depression__PPD___Causes_and_Tr eatment_a 879. html � http: //en. wikipedia. org/wiki/Postpartum_depression