Postpartum depression (PPD) is a complex and often misunderstood condition that affects many new mothers, posing significant challenges during what is typically expected to be a joyous period.
Despite its prevalence, PPD remains shrouded in stigma and misconceptions, preventing many women from seeking the help they need. This article delves into the intricacies of postpartum depression, exploring its causes, symptoms, and treatments, while also highlighting personal stories and expert insights.
By shedding light on this critical issue, we aim to foster greater awareness and understanding, encouraging a more supportive environment for new mothers facing this difficult journey.indiatoday.in spoke to Dr Krishna Bharadwaj, Chief Medical Officer Incharge at Delhi’s Department of Health & Family Welfare, and an expert on postpartum depression.
Dr Krishna Bharadwaj, Chief Medical Officer Incharge at Delhi’s Department of Health & Family WelfareEXCERPTS FROM THE INTERVIEW
Q: Can you share your experience and expertise in dealing with postpartum depression?
Dr. Krishna states “Of course. Throughout the years of practice, I have been treating mothers with various aspects of postpartum emotions and care for them with the necessary medical care and counselling that they require to confront the issue.”
Q: What are some common signs and symptoms of postpartum depression that individuals and their families should be aware of?
Dr. Krishna emphasises “the symptoms of postpartum depression may differ with the woman, but usually consist of exhaustion of crying or constantly feeling sad, nervousness and hopelessness, loss of appetite or overeating, difficulty sleeping or oversleeping, and lack of interest in the baby.”
Q: In particular, how many and which instruments do you usually use to diagnose postpartum depression in your patients?
Dr Bharadwaj explains: “It is also not easy to treat postpartum depression as it entails an evaluation of the symptom that the patient is suffering from, any past medical history that may lead to this condition, as well as any circumstance that can lead to this condition. Among the other interpersonal communication skills for patient-centered communication include: Letting the patient talk and listen to what the patient’s mind is!”
Q: What are some of the risk factors that can contribute to the development of postpartum depression?
Dr Krishna observes, “While talking about risk factors, some of these can be – previous experience with depressive or anxious symptoms, lack of social support, biological factors involving fluctuations in hormone levels, and any stressful events such as difficult childbirth or a lack of financial resources.”
Q: How to differentiate between “baby blues” and postpartum depression?
Dr Bharadwaj quotes, “it is necessary to draw a clear distinction between what is known as the “baby blues” and postpartum depression.” Dr. Bharadwaj further clarifies “Although both can manifest in new mothers who struggle with severe mood swings after giving birth, minor symptoms of depression known as “baby blues” clear up after one to two weeks, while postpartum depression has more severe symptoms that interfere with a woman’s ability to perform everyday tasks and need assistance.”
Q: Various treatment options available for postpartum depression, and how to determine the most suitable approach for each patient.
Dr. Bharadwaj answers, “There are several ways by which postpartum depression can be managed and they include: therapy and counseling, medication, support groups, and modifying some of the risk factors that lead to the development of the disorder. Which treatment is better depends on the strength of the signal, the patient’s preferences, and medical history.”
Q: What role does medication play in treating postpartum depression, and what are some potential side effects?
Dr. Krishna Bharadwaj mentions, “Medication can also be very useful when it comes to the use of postpartum depression treatment, especially for those women who have moderate to severe PPD. However, it is crucial to take the courses of medication cautiously, as such treatment has side reactions like dizziness, nausea, and changes in appetite.”
Q: In involving the support, do doctors engage the patient’s partner or other family members in the treatment plan?
Dr Krishna Bharadwaj notes, “According to the principles of recovery, an active approach towards the engagement of the patient’s networks of support should be pursued. It is also beneficial if partners and close relatives join the therapy sessions, help with chores, and stay supportive of the mother figure.”
Q: Is there any way that you suggest to your patients how to alter their behavior or engage in activities that may help in the management of postpartum depression?
Dr. Krishna Bharadwaj says, “With exercise, enough rest, a healthy diet, and practice of stress-management techniques coupled with medication, a lot can be done for the mothers with PPD.”
Q: How do you address the stigma surrounding postpartum depression, and what advice do you offer to individuals who may be hesitant to seek help?
Dr. Krishna Bharadwaj remarks, “Stigma has to first be acknowledged, thus promoting awareness, education, and empathy as key strategies when dealing with the same. I suggest everyone who has doubts about it know that it is normal to seek help and that this is in no way a sign of personal failure, on the contrary, it is possible to overcome this illness.
