¿Qué diferencia el ‘baby blue’ de la depresión posparto? ¿Cómo reconocerlos? ¿Existe algún otro tipo de depresión que se pueda presentar en las madres recientes?

Por: Mosaico Medios

Hay que distinguir la depresión posparto del “baby blue”. El baby blue es un estado que se presenta durante las primeras dos semanas en que la mujer tiene muchos cambios en el estado de ánimo, tiene sentimientos de que no va a poder con el paquete de la maternidad, es variable el humor durante el día por lo que de repente hay alegría, no solamente tristeza; pero se va mejorando con el paso de las semanas, no llega a ser ni una depresión leve y no requiere tratamiento. Este estado es normal que generalmente se presenta en las primeras dos semanas y desaparece por sí solo, se da por los cambios hormonales y le ocurre al 75% de las mujeres. 

La depresión posparto tiene síntomas muy característicos: hay tristeza, cambios en el humor, irritabilidad, viene de la mano con la pérdida del sueño, pérdida de interés, pereza, anhedonia (no poder disfrutar lo que estaban anhelando, que es lo contrario a lo que sienten muchas madres que disfrutan mucho atender a su bebé y tienen anhelo de contacto), hay cambios en el apetito, sentimientos de minusvalía (sentir que no vas a poder como mamá), no se da el apego y especialmente hay una pérdida en la concentración y dificultad para identificar las necesidades y tipos de llantos de su bebé, por lo que se sienten inútiles por no poder desarrollar la capacidad de atención que requiere su hijo(a). 

Existen otro tipo de depresiones posparto como la psicótica en la que se tienen alucinaciones y delirios y no se tiene conciencia de enfermedad, piensan que lo que deben de hacer es matar a su bebé y matarse ella, es decir, tienen pensamientos de cosas que no son reales y ven cosas que no existen. Este tratamiento debe ser intrahospitalario por los riesgos que implica la enfermedad.

Muchas veces la depresión puede tener componentes de bipolaridad, en que los cambios de comportamiento y humor van de arriba para abajo, las depresiones resistentes son las que más nos llevan al trastorno bipolar posterior. 

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