Post Natal Depression Common Phenomenon

Question: Discuss about the Post Natal Depression for Common Phenomenon. Answer: Introducion: Postnatal depression has been a common phenomenon that has accompanied most women after their childbirth. It is not only observed in the Asian countries but also in the the western countries. Keeping the cases of pot natal depression regarding the still birth and miscarriage, the total number of women suffering from depression after giving birth to health children is seen to outnumber the number of patients suffering from tuberculosis, leukemia, multiple disorders, multiple sclerosis and even Parkinsons disease, Alzheimers disease all taken together. From this statistical data, it becomes quite clear of the urgency of the situation due to the effect of the toll that occurs to the mothers and their children (Ohara Mccabe, 2013). Other researches, conducted by scientists have given a new perspective to this article where the researchers have mentioned that there remains a link where antenatal depression leads to issues difficult labor and distress in child birth contributes to the post natal depression which is observed from a study of Singaporean women (Mehta Mehta, 2014). Researchers have also stated that obsession thoughts in the antenatal period like fear and concern about impending delivery and associated modification in social roles and responsibilities mainly leads to postnatal depression (Du et al, 2016). This research has been conducted in the field of studies on postnatal depression and has helped to understand the situation just like the paper, which is to be acclaimed in the report. Aims of the study: The study is mainly a descriptive one, which has mainly put forward three important aims such as analyzing the various experiences that has been faced by the women in their post partum period, which thereby helped to provide light over the factors that acted as the causes for the depression. It also depicted the instances and the help seeking behaviour that Hong Kong Chinese women undertook when they were suffering in their depressive phase. A nurse qualified in psychiatric nursing, interviewed 35 women suffering from postnatal depression. All these women were suffering from the depression, which was clarified after testing them through the Edinburgh Postnatal Depression Scale (EPDS). Questions were asked to them about their experiences, factor which seems to affect them as well as the help that they had ever wanted. Information and data were then assessed and factors were recognized. This approach however seemed to be not well planned as the method of selecting only women identified and seeking for counseling had been considered. This study had however lacked to include those women who were suffering from the depression but has not opted for EPDS testing. A descriptive study should involve methods that would cover proper graphical and tabulated approaches measuring the data and information analyzing them to particular categories. The women of different background should have been resulted with their experiences and feelings distinctively in a tabulated form so that it becomes clear to the reader about how a particular patient with a particular background is responding to her depression stage as done in the works of (Sagayadevan et al., 2015). In this study, the method contains a data analysis, which seems a summarized version of the experiences and lacks clarity to describe the aims in details. These have mainly affected the proper analysis of the factor section of the aims of the study because the factors could not be associated with the background of the individuals and thereby cannot find a logical explanation of the experiences. Only experiences have been described in most cases but not have pondered upon the situations. A tabulated approach should have made the study clear linking each individuals feelings and experiences to her factors resulting the depression along with her helping behaviour. However this approach was not followed, rather no links have been established between the three aims (Sagayadevan et al., 2015). A feeling of hopelessness and helplessness is associated with every experience that the women have gone through. Some of the important factors that they have mentioned are loss of hope, ambition and abilities to cope with the situations. Loss of self-esteem and competency affected their self-image. They also felt that they were not being able to dedicate themselves to the babies, which resulted in a feeling of guilt and loss. Over thinking about these consequences made them, more stresses as they thought that an unfortunate incident might take place which might affect their babies. Therefore, these would result in an experience called phantom crying. Often babies were thought by many to be a barrier in their happiness and freedom as maintenance and nurturing them took lot of their times that they would have otherwise spent on factors which would have been dearer to them before. These emotions gave rise to a feeling of constraints and not being able to cope up with these situations re sulted in severe depression and anxiety. Moreover, lack of care and attention from husbands and their attitude of not helping their wives in handling the babies make the situation more strenuous for them. Unsupportive and careless behaviour from in laws also added to the reasons of depression. Seeking help from healthcare professionals regarding depression were perceived by them to be unfruitful or would affect the image of families and traditions (Evagorou, Arvaniti Samakouri, 2016). Many of them also feared side effects of medications prescribed by mental doctors. Even many women were not hopeful about treatments at PND clinics. However many of them discussed their problems with friends and relatives to easen their pain and many also stated that attending PND clinic was very helpful. Stigmatization is one of the main reasons that the authors have correctly pointed out. Chinese and Asian people often perceive mental health disorders to be a shame to the family and only describe it as a disease where one cannot control himself in various situations or becomes unable to solve problems (Chen et al., 2013). This wrong notion often prevents many family members or even the individual themselves to keep away from such treatments. Mental disorders may happen to anyone and at any time due to various like even when someone loses confidence, leads an emotionally unbalanced life or goes through unbalanced life. Therefore the arguments made by the author that involvement of family members and partners in prevention of the treatment is true for Chinese women because their tradition, ritual, culture, norms and society make these situations inevitable to arise. Further research: This paper has suggested the various factors that result in the occurrence of various different types of consequences that lead to postnatal depression among women. A complete new life of motherhood make the women stressful about the different situations like continuous monitoring of the baby, not getting enough time of oneself to look after own wishes and ambitions, stress resulted to the difficulty in nurturing infants without genuine helping attitude from husbands and family members (Rahman et al., 2014). The author has also mentioned a little about the intervention required on it but has not stressed it in the paper. Further research that needs to be conducted in the areas is the effects of the depression on the health of the children. This is important because the way their health is maintained in turn effects their mental and physical developments (Ramadas Kumar, 2016). Another important research area that should be inculcated is the various intervention strategy that can be a pplied other than the health education and counseling techniques like the proper education to family members and their activities, medications that would relieve them from depression and others. Moreover, a continuous monitoring system should be researched for implementation that would guide the women not only in the postnatal period but also from the time of conceiving to antenatal to perinatal phase so that the depression in them can be controlled from the time of its initiation. Importance of social communities should also be looked over so that they can help this particular cohort from the sense of loneliness and helplessness (Ong et al., 2014). Ethical concerns: Unstructured interviews require adherence to a number of ethical issues. Besides, verbal concerns the researcher nurse should have taken written consents in order to avoid any legal obligations. Written documents should have been preserved. Moreover, attempts to maintain privacy was not taken. No mention of maintaining confidentiality and privacy was found in the paper. This should have been addressed properly by the researcher (Bell, 2014) References: Bell, J. (2014).Doing Your Research Project: A guide for first-time researchers. McGraw-Hill Education (UK). Chan, S., Levy, V. (2004). Postnatal depression: a qualitative study of the experiences of a group of Hong Kong Chinese women.Journal of Clinical Nursing,13(1), 120-123. Chen, H., Bautista, D., Ch'ng, Y. C., Li, W., Chan, E., Rush, A. J. (2013). Screening for postnatal depression in Chinese?speaking women using the Hong Kong translated version of the Edinburgh Postnatal Depression Scale.Asia?Pacific Psychiatry,5(2), E64-E72. Du, W., Chen, H. Y., Sultana, R., Assam, P. N., Sia, A. T. H., Sng, B. L. (2016). Abstract PR196: Effects of Persistent Childbirth Pain, Psychological and Pain Susceptibility on Postnatal Depressive Scores.Anesthesia Analgesia,123(3S_Suppl), 254. Evagorou, O., Arvaniti, A., Samakouri, M. (2016). Cross-cultural approach of postpartum depression: manifestation, practices applied, risk factors and therapeutic interventions.Psychiatric Quarterly,87(1), 129-154. Mehta, S., Mehta, N. (2014). An overview of risk factors associated to post-partum depression in Asia.Mental Illness,6(1). O'hara, M. W., McCabe, J. E. (2013). Postpartum depression: current status and future directions.Annual review of clinical psychology,9, 379-407. Ong, S. F., Chan, W. C. S., Shorey, S., Chong, Y. S., Klainin-Yobas, P., He, H. G. (2014). Postnatal experiences and support needs of first-time mothers in Singapore: A descriptive qualitative study.Midwifery,30(6), 772-778. Rahman, K., Bowen, A., Muhajarine, N. (2014). Examining the factors that moderate and mediate the effects on depression during pregnancy and postpartum.Journal of Pregnancy and Child Health,2014. Ramadas, S., Kumar, R. (2016). Postnatal depression: a narrative review.International Journal of Culture and Mental Health,9(2), 97-107. Sagayadevan, V., Lee, S. P., Abdin, E., Vaingankar, J., Chen, H., Chong, S. A., Subramaniam, M. (2015). Retrospective observation of mental disorders during postpartum period: Results from the Singapore mental health study.BMC women's health,15(1), 1.