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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
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Meroyan(Post-partum Depression) Nur Nabila BintiRusle NurHanisAmaninaBinti 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, 4th 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=5qz-gdWtKaM • 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_and_Postpartum_Depression__PPD___Causes_and_Treatment_a879.html • http://en.wikipedia.org/wiki/Postpartum_depression