Post Partum BluesG M Punarbawa

Postpartum "blues" is a transient condition characterized by mild, and often rapid, mood swings, from elation to sadness, irritability, anxiety, decreased concentration, insomnia, tearfulness, and crying spells.

Bbrp ibu mengalami depresi bbrp hari PP: PP Blues

Tjd krn bbrp faktor sbb:

The emotional letdown that follows the excitement and fears that most women experience during pregnancy and delivery. The discomforts of the early puerperium.Fatigue from loss of sleep during labor and postpartum.Anxiety over her capabilities for caring for her infant after leaving the hospital.Fears that she has become less attractive.

Sebagian besar kasus: R/ yg efektif berupa antisipasi, mengenali & menghilangkan ketakutan/kekawatiran

PP Blues: mild disorder yg menghilang dlm 2-3 hr (kadang menetap s/d 10 hr)

PP Blues dpt lebih buruk bila dijumpai G/ depresi berat (20% ibu post partum): psikiater

Psychotherapy is the first-line treatment for depression during pregnancy or after the birth of a child.

Pd bbrp kasus: perlu antidepresan (menyusui?)

Toksisitas pd bayi, efek jangka panjang thdp prilaku & perkembangan neurologis: koordinasi dgn pediatris esensial

10, 20, or 40 mg/day of paroxetine for at least 4 weeks (dosis terendah dpt memperbaiki depresi; hanya sdkt dijumpai dlm ASI & serum bayi)

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