World Breastfeeding Week 2021: Understanding Breastfeeding and Postnatal Depression

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Bombay: In women’s lives, the postpartum period is the most demanding period in terms of physical, mental and emotional health. Primi or a New Mother goes through a roller coaster of emotions as a new bundle of joy and happiness comes with exhaustion, anxiety and sobs. The postpartum or baby blues is different from the postpartum depression (PPD) which is a transient depression. It is observed in 50 to 80% of women after two to three days of childbirth and disappears 10 to 12 days after childbirth. It is self-limiting and mild with temporary symptoms of negative feelings, tearing, and mood swings.

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While postpartum depression can start anytime during the first year after childbirth. If the baby blues lasts longer than 2 weeks, it may be an indicator of postpartum depression. The cause of DPP is unclear. Hormonal and physical changes after birth and the stress of caring for a new baby play an important role. There may be several risk factors for PPD such as depression or anxiety during pregnancy, perfectionism or fear of making a mistake, traumatic birth experience, premature birth, admission of an infant to the neonatal intensive care unit (NICU), breastfeeding problems, among others.

Symptoms of PPD are sad mood, anger, guilt, crying, anhedonia (inability to experience pleasure in normal pleasurable activity), difficulty sleeping – unrelated to infant care, fatigue, inability to concentrate, hopelessness and the thought of death.

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Breastfeeding can protect a mother’s mental health, but breastfeeding problems can increase the risk of depression. When a depressed mother breastfeeds a baby, it protects her baby from the damaging effects of depression and the child’s mental health is protected throughout childhood. The mother is less likely to abuse and neglect her child. It decreases the stress of the mother and increases the release of oxytocin and the hormone prolactin. Oxytocin is a love hormone that helps reduce maternal anxiety and promotes mother-child bonding. While the hormone prolactin induces and improves sleep, because sleep disturbances and depression go hand in hand.

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Breastfeeding mothers have the benefit of having deeper slow wave sleep, which reduces daytime fatigue and they only take a few minutes to fall asleep. Taking a long time to fall asleep can be a high risk factor or predictor of depression compared to compound foods or infant formula. There is a myth in a family that by providing infant formula to the infant a mother will sleep more, but the reverse is true.

Milk production, problems latching on, nipple pain are some more common causes of postpartum depression which leads to stopping breastfeeding, which can negatively impact the health of the mother. and the child.

Breastfeeding can become an enjoyable experience by enlisting the help of a lactation consultant, who can help resolve breastfeeding issues and issues by formulating a simple feeding plan and protecting the mental health of the mother. .

If nighttime feeding is difficult enough for a mother for whom sleep interruption is a major trigger for mood symptoms, then in such cases a caregiver may give expressed breast milk to an infant with milk. wati or a wati spoon and put him back to sleep. so that the mother can sleep five to six hours without interruption.

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Lifestyle factors can prevent and treat milder symptoms of depression. Encourage the mother to eat healthy foods, exercise, practice mindfulness, and avoid tobacco and alcohol use. If a mother is taking antidepressants, most medications are compatible with breastfeeding. Awareness and education can effectively address the stigma associated with maternal depression and anxiety by rejecting negative labels, reducing personal shame, self-blame and guilt, thereby paving the way for affected women. to seek help and treatment.

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(Dr Mansi Shah is a lactation consultant at Jaslok Hospital and Research Center in Mumbai.)

Disclaimer: The opinions expressed in this article are the personal opinions of the author. The facts and opinions appearing in the article do not reflect the views of NDTV and NDTV assumes no responsibility in this regard.

NDTV Campaign – Dettol Banega Swasth India is an extension of the Banega Swachh India initiative launched five years ago and led by Campaign Ambassador Amitabh Bachchan. It aims to raise awareness of the critical health issues facing the country. In the wake of the current Covid-19 pandemic, the need for WASH (The water, Sanitation and Hygiene) is reaffirmed as hand washing is one of the ways to prevent infection with coronavirus and other illnesses. The campaign highlights the importance of nutrition and health care for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anemia and disease prevention with vaccines. The importance of programs such as the Public Distribution System (PDS), Midday Meal Program, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or a clean India where bathroom are used and without open defecation (ODF) status obtained under the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like Diahorea and become a healthy Swasth or India. The campaign will continue to cover issues such as air pollution, Waste Management, plastic ban, manual sweep and sanitation workers and menstrual hygiene.

World

24,86,10,849Case

20.98.56.435active

3.37.24.959Restored

50 29 455Deaths

The coronavirus has spread to 196 countries. The total number of confirmed cases worldwide is 24,86,10,849 and 50 29 455 is dead; 20.98.56.435 are active cases and 3.37.24.959 recovered on November 5, 2021 at 4:23 a.m.

India

3.43.33.754 12 729Case

1,48,922 343active

3.37.24.959 12 165Restored

4,59,873 221Deaths

In India, there are 3.43.33.754 confirmed cases, including 4,59,873 deaths. The number of active cases is 1,48,922 and 3.37.24.959 recovered on November 5, 2021 at 2:30 a.m.

Status details

State Case active Restored Deaths
Maharashtra

66 15 299 1,141

18,691 54

64,56,263 1,163

1,40,345 32

Kerala

49,95,255 7,545

75 171 1,473

48,87,350 5,936

32,734 136

Karnataka

29,89,275 261

8,296 39

29 42 884 296

38,095 4

Tamil Nadu

27 06 493 945

10,895 117

26,59,407 1,047

36,191 15

Andhra Pradesh

20 67.556 301

3,830 68

20,49,338 367

14 388 2

Uttar pradesh

17,10,181 7

95 ten

16.87.184 17

22,902

West Bengal

15 96 332 918

8,193 41

15.68.951 863

19 188 14

Delhi

14.40.003 40

303 17

14 14 609 57

25,091

Odisha

10 42 773 351

3,537 100

10.30.889 447

8 347 4

Chhattisgarh

10.06.129 8

279 11

9,92,267 19

13,583

Rajasthan

9.54.450 2

48 1

9 45 448 1

8 954

Gujarat

8.26.680 24

220 11

8,16,370 13

10,090

Madhya Pradesh

7.92.888 ten

114 6

7,82,250 16

10 524

Haryana

7,71,287 7

110 9

7,61,127 15

10,050 1

Bihar

7,26,120 2

44 0

7,16,415 2

9,661

Telangana

6.72.052 106

3,879 74

6,64,212 179

3 961 1

Assam

6 11 656 169

3,430 209

6.02.207 374

6,019 4

Punjab

6,02,466

240 0

5 85 664

16,562

Jharkhand

3 48 828 20

127 12

3 43.563 8

5.138

Uttarakhand

3 43 924 6

146 3

3,36,377 9

7,401

Jammu and Kashmir

3 32 651 95

981 35

3,27,232 60

4,438

Himachal Pradesh

2 24 619 62

1646 214

2,19,205 274

3,768 2

Goa

1,78,245 41

337 17

1 74 542 24

3 366

Pondicherry

1,28,134 28

350 9

1 25 924 36

1,860 1

Mizoram

1 24 026 508

6,141 292

1 17 445 797

440 3

Manipur

1 23 957 58

704 0

1 21 326 57

1,927 1

Tripura

84,557 9

146 7

83,595 16

816

Meghalaya

83,763 29

391 ten

81,916 19

1,456

Chandigarh

65,357 1

32 1

64,505 2

820

Arunachal Pradesh

55 174

68 17

54,826 17

280

Sikkim

32,019 9

174 5

31,447 14

398

Nagaland

31,894 15

195 0

31,012 15

687

Ladakh

21,005 ten

98 6

20 698 3

209 1

Dadra and Nagar Haveli

10 682

1 2

10 677 2

4

Lakshadweep

10 365

0 0

10 314

51

Andaman and Nicobar Islands

7 659 1

ten 1

7520

129


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