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产后抑郁症与母婴护理:探究对母亲和婴儿的复杂影响

Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants.

作者信息

Saharoy Rishika, Potdukhe Ashwini, Wanjari Mayur, Taksande Avinash B

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Medical Surgical Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Jul 4;15(7):e41381. doi: 10.7759/cureus.41381. eCollection 2023 Jul.

Abstract

Postpartum depression (PPD) is a common and debilitating mental health condition affecting many mothers worldwide. This review article aims to explore the complex effects of PPD on mothers and infants, focusing on maternal care. The transition to motherhood is a critical period characterized by numerous physical, psychological, and social changes, making women vulnerable to the onset of PPD. Consequently, PPD can significantly impact a mother's ability to provide optimal care for her infant, leading to potential adverse consequences for both parties. The article synthesizes existing research literature on the topic, encompassing studies from various disciplines, including psychology, psychiatry, obstetrics, and pediatrics. It begins by providing an overview of the prevalence and risk factors associated with PPD, emphasizing the importance of early detection and intervention. The impact of PPD on maternal caregiving behaviors, such as bonding, sensitivity, and responsiveness, is then examined, highlighting the potential disruptions in the mother-infant relationship. Furthermore, the article delves into the potential consequences of impaired maternal care on infant development, including emotional, cognitive, and social domains. Several factors contributing to the complex interplay between PPD and maternal care are discussed, including hormonal changes, psychosocial stressors, and the influence of social support networks. The review also addresses the bidirectional nature of the mother-infant relationship, whereby infant characteristics and behaviors can exacerbate or mitigate the effects of PPD on maternal care. Moreover, the article explores the role of healthcare providers and the importance of implementing effective screening, assessment, and treatment strategies for PPD to promote optimal maternal-infant outcomes. By consolidating current knowledge on the topic, this review article provides valuable insights into the multifaceted effects of PPD on both mothers and infants. Recognizing the significance of maternal care and understanding the mechanisms through which PPD disrupts it can inform the development of targeted interventions to promote early detection, effective treatment, and supportive interventions for mothers experiencing PPD. Ultimately, improving maternal mental health and enhancing maternal-infant relationships can yield long-term positive effects on mothers' and infants' well-being and development.

摘要

产后抑郁症(PPD)是一种常见且使人衰弱的心理健康状况,影响着全球许多母亲。这篇综述文章旨在探讨产后抑郁症对母亲和婴儿的复杂影响,重点关注母亲的照料。向母亲角色的转变是一个关键时期,其特点是经历众多身体、心理和社会变化,这使女性容易患上产后抑郁症。因此,产后抑郁症会显著影响母亲为婴儿提供最佳照料的能力,从而给双方带来潜在的不良后果。本文综合了关于该主题的现有研究文献,涵盖了来自心理学、精神病学、产科学和儿科学等各个学科的研究。文章开篇概述了与产后抑郁症相关的患病率和风险因素,强调了早期发现和干预的重要性。接着考察了产后抑郁症对母亲照料行为的影响,如母婴联结、敏感度和反应性,突出了母婴关系中可能出现的干扰。此外,文章深入探讨了母亲照料受损对婴儿发育的潜在后果,包括情感、认知和社会领域。讨论了导致产后抑郁症与母亲照料之间复杂相互作用的几个因素,包括激素变化、心理社会压力源以及社会支持网络的影响。该综述还阐述了母婴关系的双向性质,即婴儿的特征和行为会加剧或减轻产后抑郁症对母亲照料的影响。此外,文章探讨了医疗保健提供者的作用以及实施有效的产后抑郁症筛查、评估和治疗策略以促进最佳母婴结局的重要性。通过整合该主题的现有知识,这篇综述文章为产后抑郁症对母亲和婴儿的多方面影响提供了有价值的见解。认识到母亲照料的重要性并理解产后抑郁症干扰它的机制,可以为制定有针对性的干预措施提供依据,以促进对产后抑郁症母亲的早期发现、有效治疗和支持性干预。最终,改善母亲的心理健康并加强母婴关系可以对母亲和婴儿的幸福及发展产生长期的积极影响。

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