Obstetric And Gynecological Nursing Medical Surgical Nursing Mental Health Nursing

1. Postpartum
blue
Subject – obgy.
Presented by –
Harshika .s. tembhurne

2. INTRODUCTION
Baby blues are
feelings of sadness a
woman may have in the
first few days after having
a baby. Baby blues are
also called postpartum
blues. Postpartum means
after giving birth. About 4
in 5 new moms (80
percent) have baby blues.

3. DEFINITION
“ Maternity blues, also known as baby
blues and postpartum blues, is a transient
condition that 75-80% of mothers could
experience shortly after childbirth with a
wide variety of symptoms which generally
involve mood liability, tearfulness, and
some mild anxiety and depressive
symptoms. Baby blues is not postpartum
depression, unless it is abnormally severe.”

4. EPIDEMIOLOGY
I) Among the 130 women screened, 123
mothers fulfilled the inclusion criteria and
were recruited in this study.
II) Of the 123 women screened, 72 were
diagnosed to have PPB, accounting for
58.5% prevalence rate.

5. EPIDEMIOLOGY
III) Most of the mothers were literate
(91%) and housewives (77%).
IV) About 9% of the mothers had
previous history of miscarriage and 8%
had a history of psychiatric illness.
V) Two mothers had marked suicidal
tendency.

6. CAUSES / RISK FACTORS
I) Self or family history of mental illness or substance
abuse.
II) Maternal or financial stresses.
III) Birth complication.
IV) Lack of self-confidence as a parent.
V) Hormone shifts and chemical imbalance.
VI) Extreme weariness.
VII) Physical exertion of the birth.
VIII) The baby.
IX) Health problem of baby such as jaundice or feeding
difficulties.

7. Emotional symptoms
I) Cry for no particular reason.
II) They may find that it is
impossible to cheer up.
III) Some mothers feel very
anxious and tense.
I) Being worried about being a
mother.
II) Being irritable or nervous.

8. Behavioral symptoms -
I) Irritability.
II) Lack of interest in the
baby.
III) Social withdrawal and
isolation.
IV) Feel very tired and
lethargic most of the time.
V) Lack of concentration.
VI) Mild mood swings.

9. Physical symptoms -
I) Pains for which there is no
medical cause or there is no
medical cause or they may
fell unwell but without any
particular symptoms.
II) Difficulty in sleeping.
III) Exhaustion.
IV) Fatigue.
V) Appetite changes.

10. Treatment -
I) Talk with someone that you trust about how you are
feeling.
II) Maintain a well balanced diet. Having a new baby may
cause you not to eat correctly, and too many simple
carbohydrates can make mood swings more pronounced.
III) Get outside to enjoy fresh air and life outside the confines
of
diapers, feedings, and spit up. Sometimes just a different
view
for a few moments can make a huge difference.

11. Treatment -
IV) Keep a journal of all your thoughts and feelings.
V) Ask for help–help with meals, other children, getting into
a “routine”,
or any help that allows you to focus on the joy of having
a new baby
and not just the pressure of juggling it all.
VI) Don’t expect perfection in the first few weeks. Give
yourself time to
heal from birth, to adjust to your new “job,” and for

12. Nurses responsibility
I. Ensure effective
communication and
understand detail of the
client specially including
the both antenatal and
postnatal.
II. Ensure about adequate
antenatal check up and
cares are provided.

13. Nurses responsibility -
III) Nurse should be recognize the symptoms for the spectrum of postpartum
psychiatric disorders
ranging from baby blues” to life – threatening postpartum psychoses
and being knowledgeable about
the range of treatment options available for the variety of postpartum
psychiatric disorders.
IV) Nurse should assess the women thoughts and ensure the safety of mother
and her child and
delusions, compounded with feelings of irritability and difficulty in
controlling emotions psychiatric
disorders.
V) Nurse must be alert for signs of dysfunction and be prepared to help
promote attachment between
mother and baby, referral of the mother and family for support services
and counseling and assisting
the family prioritizing and performing necessary family functions

14. Nurses responsibility –
VI) Assist the mother in breast feeding techniques.
VII) Maintain a therapeutic relationship and a community.
VIII)Maintain a detail and comprehensive understanding of the depth,
types and breadth of the
postpartum psychiatric disorders .
IX) An open discussion should be concerns with using
pharmacotherapy and the benefits and risks of
treatment when breastfeeding.
X) Nurse should educate the mothers about available services if
symptoms services if symptoms develop and of the serious
consequences of untreated illness.
XI) Proper education given regarding postpartum period
and follow up care.

15. Summary -
PostPartum Blue –
I. Is relatively
common.
II. Onset usually in first
week to 10 days post
pregnancy.
III. Symptoms can be
distressing.
IV. Can be treated
successfully.

16. Conclusion -
Postpartum blue has a significant adverse
impact, not just on the affected woman, but on her
partner and the family as a whole. This is of special
importance to the infant who is so dependent on the
mother for its care. It is of great concern that
follow-up studies of the children of mothers who
have experienced postpartum depression reveal an
enduring adverse impact on the child's socio-
emotional development. It appears that these
adverse child outcomes are driven by disturbances
in the mother-child relationship which begin in the
early postpartum period. This highlights the
importance of early detection and treatment by the
primary care health team.

17. Bibliography -
I. D.C.Dutta’s. Textbook of Gynecology, seventh
edition, Jaypee Brothers Publication : New
Delhi,2016. Page no. – 378 to 384.
II. Annamma Jacob. A Comprehensive
TEXTBOOK OF Midwifery and Gynecological
Nursing, fourth edition, Jaypee BROTHERS
publication : New Delhi,2015. Page No. –
955,925,478,432.
III. R Sreevani. A Guide To Mental Health &
Psychiatric Nursing, Jaypee Brothers Publication
: New Delhi,2016.
IV. www.postpartum.net.
V. https://www.adclinic.com/postpartum-blues.
VI. https://en.wikipedia.org/wiki/Maternity_blues.

18. THANK YOU