Mental health in the United Kingdom
Agnes Hann of the National Childbirth Trust said, "These findings are shocking, and mean that thousands of women experiencing potentially serious perinatal mental health problems are not getting the support they need. Perinatal mental illness can have a severe and long-term impact on mothers, babies and families. In extreme circumstances, it can result in tragedy – suicide is a leading cause of maternal death." From roughly 10% to 20% of women giving birth experience some type of mental illness such as anxiety and depression or more complex problems like PTSD and psychosis. With about 665,000 births a year in England 66,500–133,000 women a year develop illnesses. In 2016, 13,000 women were treated by perinatal teams while 800 became inpatients. This means the majority were untreated.
Postpartum depression
Postpartum depression (PPD), also called postnatal depression, is a type of mood disorder associated with childbirth, which can affect both sexes. Symptoms may include extreme sadness, low energy, anxiety, crying episodes, irritability, and changes in sleeping or eating patterns. Onset is typically between one week and one month following childbirth. PPD can also negatively affect the newborn child.
While the exact cause of PPD is unclear, the cause is believed to be a combination of physical and emotional factors. These may include factors such as hormonal changes and sleep deprivation. Risk factors include prior episodes of postpartum depression, bipolar disorder, a family history of depression, psychological stress, complications of childbirth, lack of support, or a drug use disorder. Diagnosis is based on a person's symptoms. While most women experience a brief period of worry or unhappiness after delivery, postpartum depression should be suspected when symptoms are severe and last over two weeks.
Among those at risk, providing psychosocial support may be protective in preventing PPD. Treatment for PPD may include counseling or medications. Types of counseling that have been found to be effective include interpersonal psychotherapy (IPT), cognitive behavioral therapy (CBT), and psychodynamic therapy. Tentative evidence supports the use of selective serotonin reuptake inhibitors (SSRIs).
Postpartum depression affects about 15% of women around childbirth. Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers. Postpartum psychosis, a more severe form of postpartum mood disorder, occurs in about 1 to 2 per 1,000 women following childbirth. Postpartum psychosis is one of the leading causes of the murder of children less than one year of age, which occurs in about 8 per 100,000 births in the United States.
Symptoms of PPD can occur any time in the first year postpartum. Typically, a diagnosis of postpartum depression is considered after signs and symptoms persist for at least two weeks. These symptoms include, but are not limited to: