"Nursing care of patient with postpartum depression"

Početak majčinstva i kraj trudnoće mnogim majkama predstavlja izazov i zbog toga je uobičajeno da se se poslije porođaja žena osjeća neraspoloženo i umorno osobito ako se trudnoća završila na neplaniran način npr. carski rez. Većina žena neće priznati negativne emocije koje osjećaju zbog straha okoline i obitelji koja najčešće vrši pritisak da se prilagodi novonastaloj situaciji i preuzme ulogu majke koja im u tom trenutku predstavlja veliki izazov i prepreku. No ono što njihovo društvo i okolina ne znaju jest to da takve emocije osjeti čak 80% žena koje ne pričaju o tome zbog stigmatizacije koja se veže na naziv postporođajna depresija. Postporođajna depresija je naziv za skup poremećaja koji se sastoji od postporođajne tuge ili baby blues, postporođajne depresije i postporođajne psihoze. Manjak educiranosti i znanja dovodi do nedijagnosticiranja jednog od navedenih poremećaja što može staviti majku i dijete u opasnost ako se liječenje ne započne na vrijeme. Dijagnosticiranje se provodi uz pomoć screening testova i nakon posjeta liječniku psihijatru koji u konačnici postavlja dijagnozu. Liječenje se provodi ovisno o stupnju razvoja bolesti; kod postporođajne tuge simptomi prođu kroz nekoliko dana, postporođajna depresija se liječi antidepresivima i psihoterapijom dok kod postporođajne psihoze se koriste antipsihotici i ostale metode liječenja koje ćemo navesti u daljenjem tekstu. Uz pomoć multidisciplinarnog tima i sa pravilnom terapijom lijekova i psihoterapije bolesnica se može u potpunosti izliječiti i preuzeti ulogu majke svog djeteta i radovati mu se kako je to i planirala prije porođaja i dijagnoze. KljučneThe beggining of motherhood and the ending of pregnancy represents a challenge and because of it it's normal that after giving birth the mother feels tired and moody, especially if the birth didn't go as planned e.g. caeserean delivery. Most women won't admit having negative emotions because they have fear what society may think and because their family is putting all that pressure on them to aceept motherhood which to them represents an obstacle they don't know how to solve. What society doesn't know is that 80 percent of women experience negative emotions related to childbirth but they won't talk about it because of the stigma that is associated with postpartum depression. Postpartum depression is a name for group of disorders which include postpartum sadness or baby blues, postpartum depression and postpartum psychosis. The lack of education and knowledge leads to postpartum depression not being diagnosed enough and that can put the mother and the baby in grave danger if she doesn't begin her treatment on time. Nowdays postpartum depression can be diagnosed with the help of screening tests and after visiting a psychiatrist who will set the diagnosis. Treatment depends on the stage of the disorder; symptoms of postpartum sadness pass by themselves in a few days, postpartum depression is treated with antidepressants and psychotherapy and postpartum psychosis is treated with antipsychotics and other forms of treatments that we will mention later. With the help of multidisciplinary team and with the right treatment of medications and psychotherapy the patient can fully recover and take on the role of a mother of her child and be happy about it as she planned to be before the birth and the diagnosis