Depression during and after pregnancy occur more often than most people realize. Depression during pregnancy is also called antepartum or prenatal depression, and depression after pregnancy is called postpartum depression.
Symptoms Symptoms can start anytime during pregnancy or the first year postpartum. They differ for everyone, and might include the following: Feelings of anger or irritability Lack of interest in the baby Appetite and sleep disturbance Crying and sadness Feelings of guilt, shame or hopelessness Loss of interest, joy or pleasure in things you used to enjoy Possible thoughts of harming the baby or yourself Risk Factors It is important to know the risk factors for antepartum and postpartum depression.
Get Help. TB blood tests also are safe to use during pregnancy, but have not been evaluated for diagnosing TB infection in pregnant women. Other tests are needed to show if a person has TB disease. Skip directly to site content Skip directly to page options Skip directly to A-Z link. Tuberculosis TB.
Everyone else is a better mom than me. No one understands. Pregnancy and Postpartum Depression PPD describes a number of feelings and symptoms that may occur during the perinatal period—from pregnancy through the first year following childbirth. Below are some of the symptoms of which to be aware:. Contact POEM If you are looking for resources in your area or just need to talk to another mom who understands, our mom-to-mom support line is available Monday-Friday during regular business hours.
Weepiness Sadness Anxiety Mood instability Lack of concentration. Obsessive Compulsive Disorder. A PPD skin test was negative. The patient received anti-TB therapy for 9 months without complications. She had a baby girl who was healthy. Treatment of TB in pregnancy is multidisciplinary, requiring input from all physicians involved in the care of the mother and fetus.
A review of TB diagnoses in Rhode Island, USA from to found that pregnant women with TB were most likely to be identified through routine screening and to be asymptomatic.
If the chest x-ray is necessary, suitable shielding will limit fetal radiation exposure to less than 0. There are no reported harmful effects from MRI on the pregnant woman or fetus. A TB skin test using purified protein derivative PPD is safe and accurate during pregnancy and is recommended for women who have TB symptoms or are at high risk for TB.
It is as reliable as in non-pregnant women. Most experts consider the drugs of choice to be rifampin, combined with isoniazid and ethambutol. The following anti-TB drugs are contraindicated in pregnant women: streptomycin, kanamycin, amikacin, capreomycin and the fluoroquinolones. Women on second-line agents for multi-drug resistant TB need to be assessed on an individual basis regarding their risks.
Women who become pregnant on anti-TB therapy can be reassured that there is no increased risk to their baby, and they should complete their treatment course. Breastfeeding should not be discouraged for women being treated with the first-line anti-TB drugs because the concentrations of these drugs in breast milk are too small to produce toxicity in the nursing newborn.
National Center for Biotechnology Information , U.
0コメント