Effects Of Postpartum Depression On The Newborn
Özet
Postpartum depression (PPD) is a form of major depression occurring after childbirth, significantly affecting a mother's hormonal, psychological, and social well-being, as well as her family dynamics. This review evaluates PPD symptoms—such as depressed mood, anhedonia, sleep disturbances, and feelings of worthlessness—along side its intricate risk factors and pathogenesis, which involves multi-system biological, endocrine, and environmental stressors. Crucially, PPD extends far beyond maternal health, profoundly impacting the newborn's physiological, cognitive, and behavioral development. Impaired maternal-infant bonding and reduced breastfeeding quality can lead to lower birth weights, restricted cognitive scoring, disrupted sleep cycles, and heightened emotional or behavioral disorders in the child. While primary treatments include psychotherapy, SSRIs, and advanced interventions like Transcranial Magnetic Stimulation (TMS), Electroconvulsive Therapy (ECT), or Brexanolone infusion, modern healthcare increasingly emphasizes early prevention. Nurses and midwives hold a pivotal role during the critical 2-to-6-week postpartum window to screen for risk factors, deliver comprehensive family education, and provide essential self-care guidance. Ultimately, effective nursing care and timely diagnosis mitigate the long-term adverse outcomes of PPD, safeguarding the holistic development of the newborn and ensuring healthier long-term community health outcomes.
Referanslar
Adewuya, A. O., Ola, B. O., Aloba, O. O., Mapayi, B. M., & Okeniyi, J. A. (2008). Impact of postnatal depression on infants' growth in Nigeria. Journal of affective disorders, 108(1-2), 191–193. https://doi.org/10.1016/j.jad.2007.09.013
Avan, B., Richter, L. M., Ramchandani, P. G., Norris, S. A., & Stein, A. (2010). Maternal postnatal depression and children's growth and behaviour during the early years of life: exploring the interaction between physical and mental health. Archives of disease in childhood, 95(9), 690–695. https://doi.org/10.1136/adc.2009.164848
Bagner, D. M., Pettit, J. W., Lewinsohn, P. M., & Seeley, J. R. (2010). Effect of maternal depression on child behavior: a sensitive period?. Journal of the American Academy of Child and Adolescent Psychiatry, 49(7), 699–707. https://doi.org/10.1016/j.jaac.2010.03.012
Beck C. T. (2003). Postpartum depression predictors inventory--revised. Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 3(1), 47–48. https://doi.org/10.1053/adnc.2003.50014
Beck C. T. (2006). Postpartum depression: it isn't just the blues. The American journal of nursing, 106(5), 40–51. https://doi.org/10.1097/00000446-200605000-00020
Cardaillac, C., Rua, C., Simon, E. G., & El-Hage, W. (2016). L’ocytocine et la dépression du post-partum [Oxytocin and postpartum depression]. Journal de gynecologie, obstetrique et biologie de la reproduction, 45(8), 786–795. https://doi.org/10.1016/j.jgyn.2016.05.002]
Couto, T. C., Brancaglion, M. Y., Alvim-Soares, A., Moreira, L., Garcia, F. D., Nicolato, R., Aguiar, R. A., Leite, H. V., & Corrêa, H. (2015). Postpartum depression: A systematic review of the genetics involved. World journal of psychiatry, 5(1), 103–111. https://doi.org/10.5498/wjp.v5.i1.103
Feldman, R., Weller, A., Zagoory-Sharon, O., & Levine, A. (2007). Evidence for a neuroendocrinological foundation of human affiliation: plasma oxytocin levels across pregnancy and the postpartum period predict mother-infant bonding. Psychological science, 18(11), 965–970. https://doi.org/10.1111/j.1467-9280.2007.02010.x
Figueiredo, B., Canário, C., & Field, T. (2014). Breastfeeding is negatively affected by prenatal depression and reduces postpartum depression. Psychological medicine, 44(5), 927–936. https://doi.org/10.1017/S0033291713001530
Gaffney, K. F., Kitsantas, P., Brito, A., & Swamidoss, C. S. (2014). Postpartum depression, infant feeding practices, and infant weight gain at six months of age. Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners, 28(1), 43–50. https://doi.org/10.1016/j.pedhc.2012.10.005
Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of education and health promotion, 6, 60. https://doi.org/10.4103/jehp.jehp_9_16
Hahn-Holbrook, J., Haselton, M. G., Dunkel Schetter, C., & Glynn, L. M. (2013). Does breastfeeding offer protection against maternal depressive symptomatology?: A prospective study from pregnancy to 2 years after birth. Archives of women's mental health, 16(5), 411–422. https://doi.org/10.1007/s00737-013-0348-9
Hamdan, A., & Tamim, H. (2012). The relationship between postpartum depression and breastfeeding. International journal of psychiatry in medicine, 43(3), 243–259. https://doi.org/10.2190/PM.43.3.d
Hassan, B. K., Werneck, G. L., & Hasselmann, M. H. (2016). Maternal mental health and nutritional status of six-month-old infants. Revista de saude publica, 50, 7. https://doi.org/10.1590/S1518-8787.2016050006237
Husain, N., Kiran, T., Sumra, A., Naeem Zafar, S., Ur Rahman, R., Jafri, F., ... & Bashir Chaudhry, I. (2014). Detecting maternal depression in a low-income country: Comparison of the Self-Reporting Questionnaire and the Edinburgh Postnatal Depression Scale. Journal of tropical pediatrics, 60(2), 129-133.
Karakisla, F.,S., Çiçek Özdemir, S. Yaşama Sağlıklı Başlamanın İlk Adımı: Emzirme (2022). Çocuk Sağlığı ve Hastalıkları Hemşireliği III. (Ed. Şenol, S.)
Kawai, E., Takagai, S., Takei, N., Itoh, H., Kanayama, N., Tsuchiya, K. J., & HBC Study Team (2017). Maternal postpartum depressive symptoms predict delay in non-verbal communication in 14-month-old infants. Infant behavior & development, 46, 33–45.
Kohlhoff, J., & Barnett, B. (2013). Parenting self-efficacy: links with maternal depression, infant behaviour and adult attachment. Early human development, 89(4), 249–256. https://doi.org/10.1016/j.earlhumdev.2013.01.008
Lakkis, N. A., & Mahmassani, D. M. (2015). Screening instruments for depression in primary care: a concise review for clinicians. Postgraduate medicine, 127(1), 99–106. https://doi.org/10.1080/00325481.2015.992721
Liu, Y., Kaaya, S., Chai, J., McCoy, D. C., Surkan, P. J., Black, M. M., Sutter-Dallay, A. L., Verdoux, H., & Smith-Fawzi, M. C. (2017). Maternal depressive symptoms and early childhood cognitive development: a meta-analysis. Psychological medicine, 47(4), 680–689. https://doi.org/10.1017/S003329171600283X.
Meltzer-Brody, S., Colquhoun, H., Riesenberg, R., Epperson, C. N., Deligiannidis, K. M., Rubinow, D. R., Li, H., Sankoh, A. J., Clemson, C., Schacterle, A., Jonas, J., & Kanes, S. (2018). Brexanolone injection in post-partum depression: two multicentre, double-blind, randomised, placebo-controlled, phase 3 trials. Lancet (London, England), 392(10152), 1058–1070. https://doi.org/10.1016/S0140-6736(18)31551-4
Milgrom, J., Gemmill, A. W., Ericksen, J., Burrows, G., Buist, A., & Reece, J. (2015). Treatment of postnatal depression with cognitive behavioural therapy, sertraline and combination therapy: a randomised controlled trial. The Australian and New Zealand journal of psychiatry, 49(3), 236–245. https://doi.org/10.1177/0004867414565474
Mughal, S., Azhar, Y., & Siddiqui, W. (2022). Postpartum Depression. In StatPearls. StatPearls Publishing.
Mughal, S., Azhar, Y., Siddiqui, W., & May, K. (2022). Postpartum Depression (Nursing). In StatPearls. StatPearls Publishing.
Nemsadze, K., & Silagava, M. (2010). Neuroendocrine foundation of maternal-child attachment. Georgian medical news, (189), 21–26.
O'Hara, M.W., McCabe, J.,E. (2013). Postpartum depression: current status and future directions. Annuel Clinical Psycholy (9):379-407.
O'Higgins, M., Roberts, I.S.J., Glover, V., Taylor, A., (2013). Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks. Archieves Womens Mental Health 16, 381–389
Paulson, J. F., Keefe, H. A., & Leiferman, J. A. (2009). Early parental depression and child language development. Journal of child psychology and psychiatry, and allied disciplines, 50(3), 254–262. https://doi.org/10.1111/j.1469-7610.2008.01973.x
Pearlstein, T., Howard, M., Salisbury, A., & Zlotnick, C. (2009). Postpartum depression. American journal of obstetrics and gynecology, 200(4), 357–364. https://doi.org/10.1016/j.ajog.2008.11.033
Quevedo, L. A., Silva, R. A., Godoy, R., Jansen, K., Matos, M. B., Tavares Pinheiro, K. A., & Pinheiro, R. T. (2012). The impact of maternal post-partum depression on the language development of children at 12 months. Child: care, health and development, 38(3), 420–424. https://doi.org/10.1111/j.1365-2214.2011.01251.x
Reissland, N., & Burt, M. (2010). Bi-directional effects of depressed mood in the postnatal period on mother-infant non-verbal engagement with picture books. Infant behavior & development, 33(4), 613–618. https://doi.org/10.1016/j.infbeh.2010.07.013
Robakis, T. K., & Williams, K. E. (2013). Biologically based treatment approaches to the patient with resistant perinatal depression. Archives of women's mental health, 16(5), 343–351. https://doi.org/10.1007/s00737-013-0366-7
Ruyak, S. L., & Qeadan, F. (2018). Use of the Antenatal Risk Questionnaire to Assess Psychosocial Risk Factors Associated with Risk for Postpartum Depression: A Pilot Study. Journal of midwifery & women's health, 10.1111/jmwh.12873. Advance online publication. https://doi.org/10.1111/jmwh.12873
Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women's health (London, England), 15, 1745506519844044. https://doi.org/10.1177/1745506519844044
Smith-Nielsen, J., Tharner, A., Krogh, M. T., & Vaever, M. S. (2016). Effects of maternal postpartum depression in a well-resourced sample: Early concurrent and long-term effects on infant cognitive, language, and motor development. Scandinavian journal of psychology, 57(6), 571–583. https://doi.org/10.1111/sjop.12321
Stewart, D. E., & Vigod, S. N. (2019). Postpartum Depression: Pathophysiology, Treatment, and Emerging Therapeutics. Annual review of medicine, 70, 183–196. https://doi.org/10.1146/annurev-med-041217-011106
Tavares, D., Quevedo, L., Jansen, K., Souza, L., Pinheiro, R., & Silva, R. (2012). Prevalence of suicide risk and comorbidities in postpartum women in Pelotas. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 34(3), 270–276. https://doi.org/10.1016/j.rbp.2011.12.001
Tharner, A., Luijk, M. P., van Ijzendoorn, M. H., Bakermans-Kranenburg, M. J., Jaddoe, V. W., Hofman, A., Verhulst, F. C., & Tiemeier, H. (2012). Maternal lifetime history of depression and depressive symptoms in the prenatal and early postnatal period do not predict infant-mother attachment quality in a large, population-based Dutch cohort study. Attachment & human development, 14(1), 63–81. https://doi.org/10.1080/14616734.2012.636659
World Health Organization. WHO recommendations on maternal and newborn care for a positive postnatal experience. 2022. https://apps.who.int/iris/bitstream/handle/10665/352658/9789240045989-eng.pdf
Zauderer, C. (2009). Postpartum depression: how childbirth educators can help break the silence. The Journal of perinatal education, 18(2), 23–31. https://doi.org/10.1624/105812409X426305
