I am not excusing this woman's actions. Please, no one flame me for this.
I am a birth and postpartum doula (meaning I work with pg moms and newborns) and postpartum depression is a very serious illness. In most cases, it is mild, but there are the rare and horrific cases where it reaches psychosis. Please, everyone read up on the causes and symptoms of ppd and don't keep quiet if you think you know a new mother that might be suffering. She could be in danger, and so could her kids. What these moms need is support and help, and if this mom was suffering from severe ppd, like the article mentioned, not enough was done; she was investigated before the child was killed.
http://www.askdrsears.com/html/1/t012600.asp>snip<
Postpartum Depression occurs in 10 to 15 percent of deliveries. It is much more than the standard "baby blues" discussed above. Most cases begin within the first few weeks after delivery, but onset can be delayed for several months. Symptoms include:
Depressed mood
Agitation
Fatigue
Lack of interest in pleasurable activities
Poor concentration and decision making
Poor appetite
Insomnia
Feelings of failure as a mother
Guilt
Unusual worry over infant's health
Suicidal thoughts
How can you distinguish the difference between routine baby blues and postpartum depression? To diagnose postpartum depression, the following criteria must be met:
Symptoms persist for more than 2 weeks
Depressed mood or lack of interest in pleasurable activities must occur much of the day, almost every day
At least four of the remaining symptoms must be present
Other characteristics of postpartum depression that emphasize the importance of prevention and treatment for this disorder include:
It affects 30 percent of adolescent deliveries.
Many cases last more than six months, and untreated, can persist for over a year.
Many women will go on to have recurrent psychiatric disorders year after the postpartum depression resolves.
In moderate to severe cases, some women will refuse to have any more children.
Children of mothers with postpartum depression have a higher risk of behavioral problems and show lower scores on intellectual testing.
Untreated, postpartum depression can have a devastating impact on the mother/infant relationship.
Because the ramifications of this disorder are so widespread, it is extremely important to identify prenatally those women who are at higher risk. Factors include:
History of a mood disorder prior to pregnancy. One half of women with postpartum depression will have such a prior history.
Postpartum depression with a previous child. There is a 30 percent chance of having the disorder with subsequent children.
Education about this disorder during prenatal classes can make families more aware of the risk factors and signs to watch for during the early postpartum weeks.
It is unclear exactly what causes postpartum depression, but research has shown that genetic risk, situational stresses, changes in a variety of hormones, and changes in certain chemicals in the brain may all play a roll in triggering this disorder.
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POSTPARTUM PSYCHOSIS
It is this extreme form of postpartum depression that has made the medical community and the general public more aware of postpartum mood disorders. Symptoms include (in addition to those above) delusions, hallucinations of the infant suffering from illness or even dying, severely impaired day-to-day functioning, and suicidal or homicidal thoughts. This severe disorder affects one or two per thousand deliveries. This is about 12 times the occurrence of psychosis in non-pregnant women. It usually begins during the first month, but can be delayed for 3 months. It is extremely important for the family and the doctor to recognize these symptoms so that immediate treatment and safeguards can be initiated.