Have you heard of the "baby blues?" Feeling sad or anxious before or after having a baby is common; 1 in 5 people in New Hampshire have depression during or after pregnancy. 超过一半的与怀孕有关的死亡与自杀或药物过量有关. 但是我们都可以通过一些方法来改变——包括注意到抑郁的迹象, 帮助照顾孩子，分享十大网赌平台推荐健康中心的资源, 在社区和国家组织中.
“当我和病人见面时，我总是在评估他们的心理健康风险," says Beatrice Ngugi, MSW, PMH-C, Obstetrics and Gynecology, Dartmouth Health. “我试图使这种情况正常化，这样病人就不会感到羞耻. 我也鼓励她们与家人和朋友一起制定一个怀孕后的计划，以便在孩子出生后得到支持," she adds, 在WCAX-TV第三频道的新闻报道中强调了同样的观点.
婴儿忧郁症状轻微，通常发生在婴儿出生后的前两周. 但围产期情绪或焦虑障碍可能发生在怀孕期间——以及婴儿出生后的第一年. These symptoms are more serious.
你或你关心的人应该注意的一些迹象包括:
- Having a hard time getting out of bed.
- 不再享受过去能带来快乐的活动.
- Emotional changes.
- Behavioral changes.
- Inability to sleep or sleeping too much.
- 想着死了会过得更好或者你的家人没有你会过得更好.
Why this happens
“怀孕本身并不特别会引起焦虑或抑郁，但怀孕前已经经历过焦虑或抑郁的人风险更高, 特别是如果他们在没有告知医生的情况下就停止服用精神药物," explains Julia Frew, MD, assistant professor of Psychiatry, OB/GYN and Medical Education; vice chair of Education, Department of Psychiatry, Geisel School of Medicine/Dartmouth Health. "It's best to call your obstetrician (OB), 护士助产士或初级保健提供者(PCP)讨论是否可能是最好的继续或逐渐减少药物根据你的个人病史."
弗鲁说，生孩子带来的某些变化也会增加围产期情绪和焦虑障碍的风险. 它们可能发生在分娩后的前4周，也可能发生在分娩后的12个月, and include:
- Hormonal changes.
- 生活方式的改变，包括在习惯工作的情况下在家休产假.
- 试图自己做家里的所有事情，包括照顾其他孩子.
- Extreme lack of sleep.
家人和朋友可以帮助制定一个计划，包括:
- 确保妈妈有4小时不受打扰的睡眠.
- Taking care of diapering at feeding time.
- Being a call away in the middle of the night.
- Setting limits for visits.
- 做饭和送餐(尤其是产后的前两周).
- Encouraging self-care.
- 提供资源，包括当地的育儿小组.
- Knowing the Suicide & Crisis Lifeline: call or text 988.
- Sharing the Maternal Mental Health Hotline: 1-833-TLC-MAMA (1-833-852-6262).
There is help
The Maternal Mental Health Leadership Alliance 说75%的人在分娩后没有得到他们需要的心理健康护理. 但是，如果你发现自己或他人有婴儿忧郁的迹象，有很多资源可以帮助你.
Along with the following options, 弗鲁鼓励新晋父母向产科医生求助, nurse midwife or PCP. "If symptoms develop, 对孕妇和哺乳期妇女有安全有效的治疗方法," she says.
Dartmouth Health
- We're here to help! 周一至周五，上午8点至下午5点，请致电咨询提供者 603-653-9300. After hours, call 603-650-5000 and ask for the OB provider on call; or go to the closest Emergency Room.
- Women's Health Resource Center, The 4th Trimester: New Mother Support Group, Thursdays, 11 am. 结交朋友，分享并回答有关护理和其他婴儿护理问题的问题. Partners are welcome.
- Women's Health Resource Center, Virtual 4th Trimester Group, Wednesdays, 10 am. Pre-register at 603-650-2600.
Local parenting resources
- Good Beginnings of the Upper Valley, Lebanon, 新罕布什尔州:12周的免费家访或虚拟会面，为有婴儿的家庭提供支持. 603-867-5309
- 产后支持国际NH分会:一个致力于产妇心理健康的非营利组织，为患者提供资源, families and providers, including free online support groups, connection to resources, 以及经过围产期心理健康专门培训的心理健康提供者数据库. Email: psi.nh.board@gmail.com.
- Orange County Parent Child Center, Tunbridge, VT:帮助有小孩的家庭接受教育, support, advocacy and wellness. 802-685-2264
- The Family Place他的工作对象是儿童和看护人. 802-649-3268
- TLC Family Resource Center新罕布什尔州克莱蒙特:促进新罕布什尔州儿童和家庭的健康和发展. 603-542-1848
Local pregnancy loss support
- Empty Arms Vermont围产期悲伤支持小组，为任何在任何阶段经历过怀孕或婴儿死亡的人提供支持. 802-232-2512
- Miscarriage Matters:支持小组和一对一的同伴讨论
- NH chapter of Share-Pregnancy & Infant Loss Support:每周为流产和流产后怀孕的在线小组
- NH chapter of the Tears Foundation: pregnancy and infant loss support group
National/international resources
- Maternal Mental Health Leadership Alliance一个致力于改善孕期和产后心理健康护理的非营利组织
- National Crisis Text Line:任何类型的危机都可以发短信HOME到741741.
- National Maternal Mental Health Hotline:在怀孕前、怀孕期间和怀孕后提供全天候、免费和保密的支持.
- National Suicide & Crisis Lifeline: call or text 988.
- Policy Center for Maternal Mental Health:努力缩小产妇心理保健方面的差距.
- Postpartum Support International:提供支持小组(见上面的新罕布什尔州章节), 包括流产和流产后试图怀孕的人. Call or text: 1-800-944-4773.
For more information, visit our 妇产科:产科、妇科和护士助产学 website.