The cause of 'postpaum blues' is :
Ans. is d i.e. Decreased estrogen and progesterone Puerperal blues/ 3 days blues / baby blues. It is transient state of menial illness observed 4-5 days after delivery in nearly 50% of post paum women. Postpaum blues occurs at the height of hormonal changes. Patients present with depression, anxiety, fearfulness, insomnia, helplessness and negative feelings towards infant. It may last from a few days to 2-3 weeks. Generally self limited, 20% of women may develop depression in the first postpaum year. Treatment : Reassurance and psychological suppo of family members. Post-oaum depression : It is observed in 10 - 20% of mothers. It is more gradual in onset over the first 4 - 6 months following delivery or aboion. Changes in hypothalamo-pituitary-adrenal axis may be a cause. Manifested by loss of energy and appetite, insomnia, social withdrawal, irritability and even suicidal attitude. Risk of recurrence 50 - 100% in subsequent pregnancies. Treatmeni Should be staed early. Fluoxetine or paroxetine is effective and has fewer side effects. According to kaplan, the cause of post paum blues is : "ine sudden decrease in estrogen and progesterone immediately after delivery may also contribute to the disorder, but treatment with these hormones are not effective."
Decreased estrogen
Decreased progesterone
Increased prolactin
Decreased estrogen and progesterone