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1 Femeile care nasc prin cezarian prezint un risc crescut de a suferi de depresie

postnatal, este concluzia unui studiu recent. Predispoziia de a se confrunta cu aceast


afeciune este mult mai crescut n cazul femeilor care fac cezarian la cerere, spre
deosebire de operaiile efectuate din cauza unor urgene medicale, susin oamenii de
tiin de la National Yang-ing !ni"ersit# din $ai%an, informeaz &ail# ail.
'pecialitii sunt de prere c depresia postnatal apare din cauza timpului mare de
recuperare necesar dup natere, dar i pentru c aceste femei se confrunt cu un
sentiment de lips a controlului atunci c(nd recurg la aceast inter"enie.
'tudiul, realizat pe un eantion de 1).))) de femei, arat c "iitoarele mame care
apeleaz la cezarian prezint un risc cu *+, mai ridicat de a se confrunta cu depresia
postpartum.
-ceast afeciune este nt(lnit la una din opt femei i este determinat de modificri
.ormonale brute care apar dup natere, spun specialitii n psi.ologie. Potri"it acestora,
modificrile .ormonale pot determina depresie postnatal c(nd sunt asociate cu ali
factori de risc cum ar fi absena spri/inului din partea partenerului, prietenilor i a familiei
sau stres.
"arianta engleza0 1aesareans 2raise ris3 of post-natal depression2 and electi"e surger#
ma3es it %orse
4# &-56Y -56 78P97$87
UPDATED: ):0;) <$, 11 =ul# ;)11
- %oman2s ris3 of post-natal depression increases substantiall# if s.e .as a 1aesarean
section, researc. s.o%s.
$.e dangers are e"en greater follo%ing an >electi"e? 1aesarean, as opposed to one arising
from a medical emergenc#.
7esearc.ers belie"e t.e results could be due to t.e time it ta3es to reco"er from t.e
procedure, but added t.e# ma# also be caused b# a >sense of failure and a loss of control?
felt %.en surgeons deli"er a bab#.
&o%n0 $.e dangers of post-natal depression are "astl# increased if a mot.er elects to
.a"e a caesarian, a ne% stud# sa#s @model picturedA
$.e stud# from t.e National Yang-ing !ni"ersit# in $ai%an of more t.an 1),)))
mot.ers in t.e countr# found t.at t.ose %.o did not .a"e a 1aesarean %ere a t.ird less
li3el# to eBperience post-natal depression.
$.e researc.ers also found t.at %it.in t.e 1aesarean group %omen %ere *+ per cent
more li3el# to eBperience depression if t.e# .ad a planned procedure, rat.er t.an an
emergenc# one.
-ccording to t.e National 1.ildbirt. $rust, one in four 4ritis. babies is born b#
1aesarean C more t.an double t.e rate seen in t.e earl# Nineties.
9ne in ten mot.ers gi"es birt. "ia a planned 1aesarean, usuall# due to .ealt. reasons, but
around se"en per cent are carried out at t.e patient?s reDuest C often because t.e# are
afraid to gi"e birt. naturall#, .ad a pre"ious c.ildbirt. trauma or %ant t.e con"enience of
a sc.eduled deli"er#.

2. Ajustare post-partum
O serie de studii declar urmtorul fapt oficial: majoritatea femeilor sunt nepregtite s fac
fa vieii pe care o ncep o dat ce bebeluul este adus acas de la spital n urma naterii.
Cercetrile realizate asupra acestui subiect duc la aceleai concluzii: femeile se simt stresate,
nepregtite, izolate i deprimate n primul an dup naterea copilului. Un studiu alarmant
realizat pe un eantion de !"" cupluri din #tatele Unite scot la iveal faptul c n urma
naterii copilului, $"% dintre acetia au declarat c mariajele lor s&au degradat p'n la
punctul n care ambii parteneri au ajuns s fie nefericii. ("% dintre femei au e)perimentat
depresia post&partum. Una din patru femei care au devenit pentru prima dat mame au
dezvoltat depresii severe. *n carea +,isconceptions- din ."", autoarea /aomi 0olf observ
c:
+#ursa principal de susinere post&partum a unei femei, adic soul acesteia, se ntoarce n
mod tipic la munc, n cadrul unei culturi lipsite de concediu printesc pltit, la dou
sptm'ni post&partum, adic e)act c'nd noua mam se presupune c ar trebui s revin la
normal din punct de vedere emoional. *ns combinaia dintre rentoarcerea soului la munc,
nopile nedormite, efectele persistente ale cderii 1ormonale, durerile corporale i obligaia de
a a avea grij de un nou nscut, poate arunca o femeie ntr&o situaie disperat, aparent fr
ieire.- 20olf, .": .$3
*n multe culturi, femeile aflate n aceast situaie au parte de susinere din partea altor femei
din comunitate i din partea membrilor familiei. 4ocmai din acest motiv nu le sunt pretinse
prea multe activiti, e)cepie fc'nd alptatul p'n la 5 sptmni dup natere. *n 6merica
de /ord, multe femei sunt lsate singure cu nou nscutul lor, ceea ce e)perii n depresie
post&partum consider a fi unul dintre factorii de v'rf care contribuie la stresul i depresia
post&partum.
7epresia post&partum afecteaz n jur de "&8% din totalul populaiei care trec prin post&
partum, ceea ce semnific apro)imativ jumtate de milion de femei n fiecare an. 6cest tip de
depresie poate aprea oric'nd dup natere, de la primele ore p'n la c'teva sptm'ni.
#imptomele sunt: tristee, sc1imbri de stare de spirit, lipsa de energie, lipsa de interes,
sc1imbri de apetit, oboseal, vin, ur de sine, g'nduri sinucigae, lipsa de concentraie i
memorie slab. Cele mai riscante sunt situaiile femeilor care au e)perimentat episoade de
depresie nainte de sarcin, precum i ale femeilor care nu au susinere din partea familiei.
4ulburrile psi1ologice i emoionale post&partum varieaz de la ceea ce este cunoscut c
+melancolia matern- la depresie post&partum n adevratul sens al cuvntului, n care
persoana n cauz e)perimenteaz simptome cum ar fi psi1oza post&partum, genul de
diagnostic oferit ntr&o situaie n care femeia pierde contactul cu realitatea i devine psi1otic,
crez'nd, de e)emplu, c noul ei nscut este malefic, sau anormal n vreun fel. 9si1oza post&
partum apare n &. situaii la fiecare """ nateri, nefiind at't de neobinuit precum am fi
tentai s credem, i a fost menionat drept cauz a doua infanticide petrecute de cur'nd n
#tatele Unite.
6cest articol este adaptat dup +41e 9regancn: #ourceboo;-, a <&a ediie 2===, ,c>ra?&
@ill3A +0omen and depression- 2===, ,c>ra?&@ill3 i +0omen ,anaging #tress- 2."".,
enguin Boo;s Canada3.
Public release date: 12-Apr-2011
C 9rint D E&mail #1are
F C Close 0indo? F
Contact: #uzanne 9rice
spriceGnutrition.org
Hederation of 6merican #ocieties for E)perimental Biolog:
3. Study: Omega-3 consumed during pregnancy curbs
risk for postpartum depression symptoms
His1 1as long been considered in m:riad cultures to be Ibrain food,I but onl: recentl: 1as
bona fide science begun to support t1is deep&rooted belief. Jesearc1ers no? ;no? t1at t1e
omega&< fatt: acids found in oil: fis1 suc1 as salmon and 1erring ma: pla: a critical role in
bot1 development and maintenance of t1e brain and nerves. 6lt1oug1 sufficient amounts of
t1ese long&c1ain fats can be s:nt1esized endogenousl: b: most adults, e)perts recommend
t1at pregnant ?omen and infants get additional amounts of t1ese compounds from t1eir diets.
41is, combined ?it1 researc1 suggesting t1at t1ese fats pla: a critical role in cognitive and
visual development during earl: life, 1as prompted muc1 researc1 and product development
aimed at pregnant ?omen and ne?born infants. #tudies 1ave also suggested t1at 1ig1er
consumption of certain omega&< fatt: acids ma: also benefit adult mental 1ealt1 as ?ell K for
instance, as it mig1t relate to lo?er ris; for depression.
7r. ,ic1elle 9rice Ludge, a facult: member at t1e Universit: of Connecticut #c1ool of /ursing,
is ;eenl: interested in 1o? omega&< fatt: acids consumed during pregnanc: impact bot1
maternal and infant 1ealt1. #1e 1as demonstrated previousl: t1at maternal consumption of
docosa1e)aenoic acid 27@6A a prominent omega&< fatt: acid3 during pregnanc: gives infants
a developmental advantage even = mont1s after t1e: are born. 41ese findings prompted 1er
to consider t1e benefits t1at 7@6 could 1olisticall: 1ave on t1e maternal&infant d:ad.
#pecificall:, mig1t greater omega&< fatt: acid inta;e during pregnanc: lo?er ris; for
postpartum depression, a condition t1at leads to a multitude of problems including
interruptions in maternal&infant attac1ment and subseMuent impairments in later infant
developmentN 6s part of t1e scientific program of t1e 6merican #ociet: for /utrition, results
from t1is stud: ?ill be presented on 6pril . at t1e E)perimental Biolog: ." meeting in
0as1ington, 7C.
4o ans?er t1is Muestion, 7r. Ludge oversa? a randomized, double&blind, placebo&controlled
dietar: intervention trial in ?1ic1 8. pregnant ?omen too; eit1er a placebo 2corn oil3 or a fis1
oil capsule containing <"" milligrams of 7@6 8 da:s eac1 ?ee; from .!&!" ?ee;s of
pregnanc:. 41is is t1e amount a ?oman ?ould consume if s1e ate about O serving of salmon.
Pt is note?ort1: t1at dietar: 7@6 inta;e during pregnanc: 1as been estimated to be 8"&$"
milligrams of 7@6 dail:: a mere fraction of t1e ."" milligrams dail: t1at is considered optimal
during pregnanc: b: most e)perts. Using t1e 9ostpartum 7epression #creening #cale
developed b: 1er colleague and coaut1or 7r. C1er:l Bec;, Ludge ?as able to categorize
postpartum ?omen as 1aving negligible depressive s:mptoms, significant s:mptoms of
postpartum depression, or being IpositiveI for t1is condition. 41e 9ostpartum 7epression
#creening #cale also assisted t1e researc1 team in discerning bet?een several s:mptoms
specific to t1e disorder including sleepingQeating disturbances, an)iet:, emotional liabilit:,
confusion, loss of self, guilt, and t1oug1ts of suicide.
6lt1oug1 t1e stud: did not 1ave enoug1 ?omen to investigate if fis1 oil consumption resulted
in a lo?er incidence of diagnosable postpartum depression, ?omen in t1e treatment group 1ad
significantl: lo?er total 9ostpartum 7epression #creening #cale scores, ?it1 significantl: fe?er
s:mptoms common to postpartum depression. Hor e)ample, compared to t1ose in t1e control
group, ?omen in t1e fis1 oil group ?ere less li;el: to report s:mptoms related to an)iet: and
loss of self.
Ludge and co?or;ers concluded I7@6 consumption during pregnanc: K at levels t1at are
reasonabl: attained from foods K 1as t1e potential to decrease s:mptoms of postpartum
depression.I 01: is t1is importantN Hor starters, some e)perts estimate t1at postpartum
depression affects a ?1opping .8% of ne? mot1ers. 6nd 1ealt1care providers agree t1at t1is
condition can 1ave devastating conseMuences, not onl: for t1e ?omen e)periencing it but also
for t1eir c1ildren and famil:.
41e bottom lineN 6lt1oug1 larger&scale intervention studies ?ill be needed to better
understand t1e mec1anisms and magnitude b: ?1ic1 fis1 oil consumption can improve
postpartum mental 1ealt1, ?omen ?ould be ?ise to eat at least a serving of 1ig1&omega&<
fis1 .&< da:s per ?ee;. 6lt1oug1 fis1 oil supplements ma: be more acceptable to some
?omen, t1e real t1ing is clearl: t1e more nutritious option as a serving of fis1 is also protein&
and mineral&ric1. Clearl:, fis1 as a Ibrain foodI is gaining t1e nod from not onl: from t1e
general public, but scientists as ?ell.
RRR
7r. ,ic1elle 9rice Ludge 2Universit: of Connecticut3, 7r. C1er:l Bec; 2Universit: of
Connecticut3, 7r. @olida: 7ur1am 2Souisiana #tate Universit:3, ,ic1ele ,c;elve: 2Universit:
of Connecticut3, and 7r. Carol Sammi&Teefe 2Souisiana #tate Universit:3 ?ere coaut1ors on
t1is paper.
41is stud: ?as funded b: t1e 9atric; and Cat1erine 0eldon 7onag1ue ,edical Jesearc1
Houndation.
About !perimental "iology 2011
E)perimental Biolog: is an annual gat1ering of si) scientific societies t1at t1is :ear is e)pected
to dra? <,"""&plus independent scientists and e)1ibitors. 41e 6merican #ociet: for /utrition
26#/3 is a co&sponsor of t1e meeting along ?it1 t1e 6merican 6ssociation of 6natomists
26663, 6merican #ociet: for Bioc1emistr: and ,olecular Biolog: 26#B,B3, 6merican #ociet:
for Pnvestigative 9at1olog: 26#P93, 6merican 91:siological #ociet: 269#3 and t1e 6merican
#ociet: for 91armacolog: and E)perimental 41erapeutics 26#9E43.
About t#e American Society for $utrition
41e 6merican #ociet: for /utrition 26#/3 is t1e preeminent professional organization for
nutrition researc1 scientists and clinicians around t1e ?orld. 6#/ is dedicated to bringing
toget1er t1e top nutrition researc1ers, medical practitioners, polic: ma;ers and industr:
leaders to advance our ;no?ledge and application of nutrition. Hounded in =.(, 6#/
publis1es 41e American Journal of Clinical Nutrition 26LC/3, 41e Journal of Nutrition 2L/3,
and Advances in Nutrition and provides a ?ide range of education and professional
development opportunities to advance nutrition researc1, practice, and education. Uisit 6#/
online at ???.nutrition.org.
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"ezi toate articolele din &0Ne%s % D:News
Evit depresia postnatal consumnd pete
n timpul sarcinii!
$rimite pe email
1E.)*.;)11 F
1 1omentarii
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alerie !oto "#$
&ei n multe culturi se crede despre carnea de pete c produce efecte poziti"e asupra creierului, acest
lucru a fost abia recent demonstrat de tiin. 1ercettorii au descoperit c acizii grai omega-N, gsii
n carnea unor peti precum somonul sau .eringul, /oac un rol important n dez"oltarea i ntreinerea
creierului i a ner"ilor.
&ei ma/oritatea adulilor sintetizeaz endogen aceti acizi grai, eBperii recomand femeilor
nsrcinate i copiilor s i suplimenteze dieta cu .ran bogat n aceti compui.
'tudiile demonstreaz c aceste grsimi /oac un rol critic n dez"oltarea cogniti" i "izual nc de
la nceputul "ieii, fapt care a dus la o eBaminare amnunit a efectului pe care l au asupra femeilor
nsrcinate i a nou-nscuilor. &e asemenea, studiile recente asupra consumului mare de acizi grai
omega-N arat c acetia ar putea mbunti sntatea mintal a adulilor i ar duce la scderea
riscului de depresie.
&octor ic.elle Price =udge, profesor la !ni"ersitatea din 1onnecticut, este interesat de efectul pe
care l au acizii grai omega-N consumai n timpul sarcinii asupra sntii mamei i a noului nscut.
-ceasta a demonstrat ntr-un studiu precedent c acidul docosa.eBaenoic @-&OA, o important parte a
omega-N, consumat n timpul sarcinii ofer sugarilor un a"anta/ n dez"oltare c.iar i la nou luni
dup natere.
Kn actuala cercetare dr. =udge a "rut s obser"e dac un aport constant de acizi grai omega-N n timpul
naterii duce la micorarea riscului unei depresii postpartum - afeciune care poate duce la o
ntrerupere a ataamentului mam-copil i la deficiene n dez"oltarea ulterioar a copilului. Pentru a
rspunde la aceast ntrebare, dr. =udge a realizat un studiu pe E; de femei gra"ide, crora le-a
administrat fie un placebo @ulei de porumbA, fie acizi grai @ulei de peteA sub form de capsule cu N))
mg de -&O. -cest tratament a fost efectuat timp de cinci zile pe sptm(n, p(n la natere, punctul
de start al studiului fiind n primele ;*-*) de sptm(ni de sarcin.
&up terminarea studiului, doctor =udge, alturi de colegul su, doctorul 4ec3 1.er#l, a mprit
femeile care au nscut n dou categorii0 femei cu simptome depresi"e negli/abile i femei cu
simptome semnificati"e de depresie postpartum, folosind o scar ce a luat n calcul simptomele
specifice, precum tulburrile de somn, tulburrile de alimentaie, anBietate, pasi"itate emoional,
confuzie, "ino"ie, sau g(nduri de sinucidere.
&ei testul nu a fost efectuat pe un numr suficient de mare de persoane, doctorul =udge i colegii si
au obser"at c femeile care au consumat ulei de pete cu omega N au relatat mult mai puine simptome
legate de anBietate i de pierderea identitii. 1ei doi doctori au declarat c P-&O-ul consumat n
timpul sarcinii are potenialul de a reduce simptomele depresiei postpartumP. -ceast descoperire este
una foarte important, deoarece aproBimati" ;E, din noile mame se confrunt cu simptome ale
depresiei post-partum, aceast put(nd a"ea consecine de"astatoare pe termen lung at(t asupra lor, c(t i
asupra ntregii familii.
Pentru a nelege mai bine mecanismele i amploarea prin care consumul de ulei de pete poate
mbunti sntatea mintal, "or fi necesare studii efectuate la scara larg. P(n atunci, medicii
sugereaz femeilor s mn(nce cel puin o porie de pete bogat n omega-N timp de dou-trei zile pe
sptm(n.
*. Barbatii pot suferi si ei de depresie postnatala, arata un studiu britanic, iar copiii lor au un risc
mai mare de a dezvolta probleme emotionale si de comportament mai tarziu, transmite ziarul The
Scotsman in editia sa electronica, citata de Mediafax
Detalii: http://www.am.ro/stiri!revista!presei/"##$!#%!"$/si!tatii!fac!depresie!
postnatala.html&ixzz'$S($)z*v
(ollow us: +,M on Twitter - ,M.ro on (aceboo.
Barbatii pot suferi si ei de depresie postnatala, arata un studiu britanic, iar copiii lor au un risc mai
mare de a dezvolta probleme emotionale si de comportament mai tarziu, transmite ziarul The
Scotsman in editia sa electronica, citata de Mediafax. /n timp ce depresia care apare uneori la
prospetele mamici a facut obiectul a numeroase studii, echivalentul ei la barbati a primit mai
putina atentie. 0ercetatorii au descoperit ca un barbat din "$ prezinta simptome de depresie
dupa ce devine tatic, iar acest lucru poate influenta ne1ativ copiii, mai ales pe baieti.
Studiul publicat in revista stiintifica 2ancet a descoperit ca in familiile in care taticii sufera de
depresie postnatala, riscul copiilor de a avea probleme emotionale si de comportament este de
doua ori mai mare. 3umarul fetitelor afectate de depresia tatilor a fost insa mult mai mic decat cel
al baietilor. Studiul a examinat peste 4### de tatici si a descoperit ca la opt saptamani de la
venirea pe lume a copilului lor, ',%5 dintre ei prezentau simptome de depresie. 6D.M.7
Detalii: http://www.am.ro/stiri!revista!presei/"##$!#%!"$/si!tatii!fac!depresie!
postnatala.html&ixzz'$S(,MBtf
(ollow us: +,M on Twitter - ,M.ro on (aceboo.