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Stabroek News

Pre-and post-partum depression at a glance
published: Thursday | March 2, 2006

MOST OF us experience feelings of sadness and unhappiness at one point or another for a short period of time. True clinical depression is a mood disorder in which feelings of sadness, anger, or frustration interfere with everyday life for an extended time.

WHAT IS PRE-PARTUM DEPRESSION AND HOW PREVALENT IS IT IN JAMAICA?

Maternal depression during pregnancy has been studied less than post-partum depression. However, a recent study conducted by the Department of Basic Medical Sciences at the University of the West Indies, shows that pre-natal depression seems to be as common during pregnancy as after delivery. In fact, studies also show that the rate of pre-natal depression is between five per cent and 26 per cent in Jamaican women.

WHAT IS POST-PARTUM DEPRESSION AND HOW PREVALENT IS IT IN JAMAICA?

Post-partum depression can happen anytime within the first year after childbirth. Although the exact number of women with depression during this time is unknown, the prevalence rate has been found to be between seven per cent and 30 per cent in Jamaican women.

WHAT ARE SOME OF THE SYMPTOMS OF PRE-PARTUM DEPRESSION?

Feeling restless or irritable

Feeling sad, hopeless and overwhelmed

Crying a lot

Having no energy

Eating too little or too much

Sleeping too little or too much

Trouble focusing, remembering, or making decisions

Feeling worthless and guilty

Loss of interest or pleasure in activities

Withdrawal from friends and family

Having headaches, chest pains, heart palpitations or hyperventilation

WHAT ARE SOME OF THE SYMPTOMS OF POST-PARTUM DEPRESSION?

Post-partum depression is characterised by a persistent change in baseline mood for a period of at least two weeks. According to DSM III classification, at least four of the following symptoms must each have been present nearly everyday throughout the period.

i) poor appetite, significantly increased appetite

ii) Insomnia/hypersomnia

iii) psychomotor agitation or retardation

iv) loss of energy /fatigue

v) Loss of interest or pleasure in usual activities

vi) feelings of worthlessness

vii) being afraid of hurting the baby or oneself and not having any interest in the baby.

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