Five factors leading to postpartum depression

　　hormonal factors

　　During pregnancy and childbirth, the endocrine environment in the body will undergo great changes, especially Postpartum Within 24 hours, drastic changes in hormone levels in the body are the biological basis for postpartum depression. During pregnancy, estrogen and progesterone levels gradually increase to peak levels, and gradually decrease to basal levels within 3 to 5 days after delivery. Research shows that the greater the drop in progesterone, the greater the likelihood of postpartum depression. Studies have found that the release of placental steroids reaches the highest value before delivery, and patients appear to be in a happy mood. When placental steroid secretion suddenly decreases after delivery, patients appear to be depressed.

　　physical factors

　　Intrapartum and postpartum complications, dystocia, delayed labor, surgical delivery, etc. are the causes of postpartum depression that cannot be ignored. Because the pain and discomfort caused by childbirth make the mother feel nervous and fearful, when delayed labor or dystocia occurs, the mother is not fully psychologically prepared, the degree of tension and fear increases, and the labor process lasts longer, resulting in increased physical and psychological stress, thereby inducing the occurrence of postpartum depression. Secondly, there is a body disease Maternal or disabled mothers are prone to postpartum depression, especially infection and fever, which have a certain impact on the development of postpartum depression.

　　genetic factors

　　Genetic factors are underlying factors in mental disorders. have mental illness Family history, especially mothers with a family history of depression, has a higher incidence of postpartum depression. In addition, a history of affective disorders and premenstrual depression in the past can cause postpartum depression. Women with postpartum depression have a higher recurrence rate if they become pregnant again and give birth again, and the rate can be as high as 50%. Women who have had severe depression at any time in the past have a 30% to 40% increased risk of developing postpartum depression.

　　social factors

　　The support system is considered to be an important factor, including the support of the husband, family, and one's own satisfaction with the marriage. Patients with postpartum depression often have factors such as unfavorable support systems, inconsistent relationships between husband and wife, less care from postpartum relatives, and poor living environment. These are all risk factors for postpartum depression. Adverse birth outcomes, such as stillbirth, stillbirth, deformed infants, and maternal and family relationships baby Gender aversion, etc., are predisposing factors for postpartum depression. Negative life events experienced by mothers, such as unemployment, separation of husband and wife, loss of loved ones due to illness, and family disharmony, are important triggers of postpartum depression. At the same time, factors such as young age, single parent, low social status, mother with many children, early divorce of parents, low education, low income, and new immigrants can increase the susceptibility of maternal postpartum depression. In addition, postpartum depression is also related to maternal age, occupation, quality of maternal health care services, postpartum breastfeeding, unfortunate events experienced by the maternal during her growth, and other factors.

　　psychological factors

　　Postpartum depression is more common in people with personality traits such as self-centeredness, lack of maturity, sensitivity, emotional instability, pushiness, stubbornness, poor social skills, incompatibility with others, and introversion. People with unstable moods before delivery and premenstrual stress syndrome are more likely to develop postpartum depression. Women in the puerperium are in a fragile emotional stage, especially one week after delivery. The emotional changes are more obvious, and the psychology is seriously unstable. Because the mother is not adaptable to the role of mother, it causes psychological pressure and causes depression and anxiety. Excessive maternal anxiety and depression can lead to a series of physiological and pathological reactions, such as reduced norepinephrine secretion and changes in other endocrine hormones, which can lead to Uterus Weakened contractions, pain sensitivity, prolonged labor, and increased bleeding further aggravate maternal anxiety and uneasiness, becoming factors that contribute to postpartum depression.