The Baby Blues and Perinatal Psychic Disorders: About Prevention and Management
Asian Journal of Pediatric Research,
The baby blues is a precocious psychic impairment that may occur within the first two weeks following delivery. It is considered a trigger point, and sometimes a decompensation towards more serious postpartum psychiatric disorders. It is as well a hazard, predisposing to abnormal psycho-affective development in infants, otherwise intimately dependent on maternal bonding. Although there have been advances in understanding the psychopathology, the clinical presentations, and the inter-relationship of the condition with other disorders of perinatality, the management however remains unclear and poorly described. There seems to be confusion between indications for mere observation with monitoring on one hand, and the need for psychotherapy or pharmacotherapy on the other hand. This is maintained by the ambiguous distinction between primary baby blues which is milder, and severe baby blues with immediate and late complications that are sometimes neglected. Whereas, intervention may be necessary in a number of cases to prevent adverse outcomes in affected mothers and their infants. In this short paper, we review the management of baby blues according to the severity and we give clues for prevention, based on known protective factors.
- Baby blues
- postpartum depression
How to Cite
Moyo GPK, Djoda N. The Emotional Impact of Mode of Delivery in Cameroonian Mothers: Comparing Vaginal Delivery and Caesarean Section. American Journal of Psychiatry and Neuroscience. 2020;8(1): 22-25.
Moyo GPK. Perinatality and Childbirth as a Factor of Decompensation of Mental Illness: The Case of Depressive States in Newly Delivered Cameroonian Women ABEB 2020: 4(4). ID.000592.
Moyo GPK, Djoda N. Relationship Between the Baby Blues and Postpartum Depression: A Study Among Cameroonian Women. American Journal of Psychiatry and Neuroscience 2020; 8(1): 26-29.
Foumane P, Olen JPK, Fouedjio JH, GPK Moyo, Nsahlai C, Mboudou E. Risk Factors of Maternity Blues after Caesarean Section. Int J. Reprod Contracept Obstet Gynecol. 2016 Dec;5(12):4424-4427.
Moyo GPK, Mendomo RM, Batibonack C, Thérese Mbang AT. Neonatal Determinants of Mothers’ Affective Involvement in Newly Delivered Cameroonian Women. Journal of Family Medicine and Health Care 2020;6(2):125-128.
Hermann ND. Moyo GPK. Neonatal Determinants of Inadequate Breastfeeding: A Survey among a Group of Neonate Infants in Yaounde, Cameroon. Open Access Library Journal. 2020;7: e6541.
Hermann ND, Georges Pius Kamsu Moyo GPK, Ejake L, Félicitée N, Evelyn M, Linda M. Determinants of Breastfeeding Initiation Among Newly Delivered Women in Yaounde, Cameroon: A Cross-Sectional Survey Health Sci Dis. 2020; 21:20- 24.
Moyo GPK, Dany Hermann ND. Clinical Characteristics of a Group of Cameroonian Neonates with Delayed Breastfeeding Initiation. Am J Pediatr 2020;6(3):292- 295.
Moyo GPK, Hermann ND. The Psycho-Sociocultural Considerations of Breastfeeding in a Group of Cameroonian Women with Inadequate Practices. J Psychiatry Psychiatric Disord 2020; 4 (3): 130-138.
Moyo GPK. Breast Pathologies and Inadequate Breastfeeding Practices: A Survey Among a Group of Newly Delivered Women in Yaounde, Cameroon. Journal of Family Medicine and Health Care. 2020; 6(3)87-90.
Moyo GPK, Ngwanou DH, Sap SNU, Nguefack F, Mah EM. The Pattern of Breastfeeding among a Group of Neonates in Yaoundé, Cameroon. International Journal of Progressive Sciences and Technologies 2020;22(1):61-66.
Nguefack F, Ngwanou DH, Kamsu Moyo GP, Ejake L, Mah, EM, Wafeu G, Fodoung Wamba DS, Chiabi A. Reasons for Delayed Breastfeeding Initiation among Newly Delivered Women in Two First-Category Hospitals in Yaoundé, Cameroon. Open J Pediatr 2020;10:474-485.
Moyo GPK, Hermann ND (2020) Caesarean Delivery as a Predictor of Inadequate Breastfeeding among a Group of Neo-nates in Yaoundé, Cameroon. J Perina Clin Pediatr: 2: 105.
Moyo GPK, Tidang CT, Zebaze S, Mendomo RM, Makowa LK, Mbang AT, Batibonak C, Essomba AA. Fetal and Neonatal Complications of Gestational Diabetes: A Survey in Two Referral Hospitals of Yaoundé, Cameroon Pediat Stud Care. 2022;2(1):1–4.
Moyo GPK, Sobguemezing D, Adjifack HT. Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Pediatric Referral Hospital of Yaoundé, Cameroon. Am J Pediatr. 2020;6(2):87-90.
Georges Pius K M, Aurore Albane E, Marie-Paul B, et al. Neonatal Sepsis: Highlights and Controversies. J Pediatr Neonatal. 2022; 4(1): 1-5.
Moyo GPK, Kuate L, Foe Mba M, Komba D, Tchougene AF, Bege MP, Tchinda CT, Awa HDM. Why Diazepam More than Other Benzodiazepines is Unsuitable for Neonates? Pediat Stud Care. 2022;2(1): 1–3.
Chiabi A, Kago DA, Moyo GPK, Obadeyi B. Relevance and Applicability of the Apgar Score in Current Clinical Practice. EC Paediatrics. 2019;8(11):01-07.
Moyo GPK, Tetsiguia JRM. Discussing the “First Cry” as an Initial Assessment for Neonates. Am J of Pediatr. 2020;6(2): 129-132.
Moyo GPK, Um SSN, Awa HDM, et al. The pathophysiology of neonatal jaundice in urosepsis is complex with mixed bilirubin!!!. J Pediatr Neonatal Care. 2022;12 (2):68‒70.
Moyo GPK, Nguedjam M, Miaffo L. Necrotizing Enterocolitis Complicating Sepsis in a Late Preterm Cameroonian Infant. Am J Pediatr. 2020;6(2):83-86.
Moyo GPK, Sap Ngo Um S, Awa HDM, Mbang TA, Virginie B, Makowa LK et al. An Atypical Case of Congenital and Neonatal Grave’s Disease. Annal Cas Rep Rev: ACRR-314. 2022;2.
Moyo G P K, Um S S, Awa H B M, Kana C N, Makowa L K, Mbang T A, Virginie B, Ndombo P O K. Paroxysmal Dyskinesia, an unusual but Particular Presentation of Congenital and Neonatal Hyperthyroidism: A Case Report with Literature Review. Clin Res Pediatr 2022;4(1):06-11.
Ngwanou DH, Ngantchet E, Moyo GPK. Prune-Belly syndrome, a rare case presentation in neonatology: about one case in Yaounde, Cameroon. Pan Afr Med J. 2020;36:120.
Tague DAT, Evelyn Mah, Félicitee Nguefack, Georges Pius Kamsu Moyo, Lionel Loic Kago Tcheyanou, Faustin Mouafo. Beckwith-Wiedemann Syndrome: A Case Report at the Gynaeco-Obstetric and Pediatric Hospital in Yaounde, Cameroon. Am J Pediatr 2020;6(4):433-436.
Moyo GPK, Djomkam IFK. Epidemio-clinical Profile of Stunting in School Children of an Urban Community in Cameroon. Am J Pediatr 2020;6(2):94- 97.
Moyo GPK, Djomkam IFK. Factors Associated with Stunting in School Children of an Urban Community in Cameroon. Am J Pediatr. 2020;6(2):121-124.
Moyo GPK, Ngapout OD, Makowa LK, Mbang AT, Binda V, Albane EA et al. Exogenous Cushing’s Syndrome with Secondary Adrenal Insufficiency in an Asthmatic Infant: “Healing Evil with Evil”. Arch Pediatr 2022; 7: 203.
Moyo GPK. Children and Adolescents’ Violence: The Pattern and Determinants Beyond Psychological Theories. Am J Pediatr 2020;6(2):138-145.
Moyo GPK, Mbang AT, Makowa LK, Mendomo RM, Zebaze S, Awa HDM. Neurocysticercosis in a Child Living in the Urban Community of Yaoundé, Cameroon: A Case Report in a Low Resource Setting. Am J. Pediatr. 2020; 6(2):91-93.
Essomba AA*, Zicfried K, Kouam JE, Edongue M, Nzotsa S, Engama MN et al. OEIS Complex: A Case Report and Literature Review of a Rare Polymalformative Syndrome. Pediatr Res Child Health 2022;6(1).
Zicfried K, Essomba AA, Makowa LK, Mendomo RM, Zebaze SZ, Mbang AT, Batibonak C, Ngapout OD. Cloacal Exstrophy: Documenting a Particular Case in Yaoundé, Cameroon. J Pediatr Neonatal Biol 2022;7(1):69-72.
Kennerley H, Gath D. Maternity blues. Br J Psychiatry. 1995;153(5):337-40
Kendell RF, Chalmers JC, Platz C. Epidemiology of puerperal psychoses. Br J Psychiatry. 1987;150(2):662- 673.
Pitt B. Maternity blues. Br J Psychiatry. 1973;122(569):431-3.
Davidson JTR. Postpartum mood changes in American women and a discussion on its significance. Br J Psychiatry. 1972; 121(1):659.
Handley SL, Dunn, T L Waldron and Baker. Tryptophan, cortisol and puerperal mood. Br J Psychiatry, 1980; 136(3): 496-508.
Kennerley H, Gath D. Maternity blues. Br J Psychiatry. 1995;153(5):337-40.
O’Hara MW, Schlechte JA, Lewis DA, varner MW. Controlled prospective study of postpartum mood disorders: Psychological, environmental and hormonal variables. J Abnorm Psychol. 1991;100(1):63-73
Zilborg G. The dynamic of schizophrenia reactions related to pregnancy and childbirth. Am J Psychiatry. 1929;85(20): 733-741.
Oates M. Normal emotional changes in pregnancy and the puerperium. Baillères Clin Obstet Gynaecol. 1989;3(6):791- 804.
Guedeney A, Bungener C, Widlöcher D. Le postpartum blues: une revue critique de la litterature. Psychiatr Enfant. 1993;36(1): 329-354.
Adewuya AO. Prevalence and risk factors of maternity blues in western Nigerian women. Am J. Ostet Gynaecol. 2005; 193(4):1522-5.
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