What is the treatment for postpartum depression?

Everyone knows that pregnancy is a very hard and happy thing. There are many things to pay attention to during pregnancy. In fact, you should also pay attention to some psychological care and comfort of the mother after delivery, otherwise depression will occur. The most common one is postpartum depression. So what is the treatment of postpartum depression?

Psycho-psychiatric treatment:

During the delivery process, the nursing staff should accompany and guide as much as possible.

Provide comfort and encouragement, teach them how to use relaxation techniques during intervals between labor pains, eliminate their sense of helplessness, and enhance their confidence in childbirth. Allow family members to accompany, provide care and attention, reduce loneliness and relieve tension. Replenish easily digestible food and water in time to reduce the consumption of physical strength and energy during delivery. Preoperative psychological care should be provided to women undergoing cesarean section to reduce their fear and anxiety about the operation.

Provide a quiet and comfortable environment after delivery

Appropriately limit visits from relatives and friends, concentrate nursing work as much as possible, improve efficiency, and allow the mother to have adequate rest. Give easily digestible and nutritious food to help the mother recover her strength as soon as possible. Actively communicate with mothers, listen to their thoughts and feelings, give encouragement, help them acquire knowledge and skills of breastfeeding, explain to them that keeping a happy mood can promote milk secretion, teach mothers and their families general knowledge and skills of caring for babies, and stimulate their positive psychological responses. Provide key psychological care to mothers who have experienced abnormal pain during childbirth or have adverse pregnancy outcomes, pay attention to protective medical treatment, and avoid mental stimulation. Prenatal education

Provide mental health education to the mother's husband, parents-in-law, parents and other family members, facilitate communication among family members, create a warm family atmosphere, give the mother meticulous care, care about her psychological feelings, and try to avoid sensitive issues that stimulate her emotions. If there is a history of perinatal depression, the mother is severely depressed, or the infant is irritable, sufficient attention should be paid to identify psychological problems in a timely manner to avoid delaying treatment.

Drug treatment:

Tricyclic antidepressants are still the first-line drugs for treating depression. Second-generation atypical antidepressants are second-line drugs. The efficacy of various tricyclic antidepressants is comparable, and they can be selected clinically based on the intensity of the depressive and sedative effects, side effects, and patient tolerance. Imipramine and desipramine have weak sedative effects and are suitable for depressed patients with psychomotor retardation. Amitriptyline and doxepin have strong sedative effects and can be used for patients with anxiety, agitation and insomnia. However, tricyclic drugs have significant anticholine and cardiovascular side effects and should be used with caution. There are many types of second-generation atypical antidepressants, with selective 5-HT reuptake inhibitors such as fluoxetine, paroxetine, and sertraline being the most widely used, with few side effects, good safety, and useful for long-term maintenance treatment.

The treatment of bipolar depression is the same as that of unipolar depression, but bipolar patients may develop hypomania when taking antidepressants, so antidepressants and lithium carbonate are often used together.

Patients with depression accompanied by hallucinations and delusions often need to use antipsychotic drugs in combination, such as fluphenazine and sulpiride.

Physical therapy:

Compared with drugs, physical therapy has the characteristics of no side effects, dependence and significant therapeutic effect. Transcranial microcurrent stimulation therapy is a physical therapy that stimulates the brain through microcurrent, which can directly regulate the brain to secrete a series of neurotransmitters and hormones that help improve depression. It increases the secretion of 5-HT, promotes the release of norepinephrine, and enhances the excitability of nerve cell activity, thereby relieving individual depression. By promoting the secretion of endorphins with a calming effect, patients can maintain a relaxed and comfortable mental state, which helps to better alleviate their previous negative and depressed emotional state. In addition, by improving the patient's brain waves and various physiological indicators, it can improve the various physical symptoms of depressed patients.

What is the treatment for postpartum depression? The above introduces the treatment methods for postpartum depression. I wonder if you have some understanding after reading it. In fact, the life of parturient women is very hard. We must pay attention to their words, deeds and behavior after delivery, and take good care of them, which can reduce the occurrence of depression.