Maternal Mental Health

Author: Nicola Winson, Educational Psychologist

Maternal mental health ducks.jpg

Mental Health

Mental health is often considered to mean the absence of a diagnosed mental disorder. However, the World Health Organisation defines mental health as, “a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community.”

When this explanation of mental health is taken into consideration, many mothers may find that their mental state is not as healthy as they assumed.

In developing countries, like South Africa, one third to one fifth of mothers experience mental health challenges during pregnancy or after childbirth (WHO, 2008).

Causes of Mental Ill-health

Despite the superpowers of mothers, no one is immune to the experience of mental health challenges. Mental health may be influenced by a variety of different factors. Environmental events, such as the current COVID-19 pandemic, transitional phases, for example, moving house or changing jobs and interpersonal relationships, like a marriage, divorce, birth of a child or loss of a friend or relative may have a negative impact on a person’s mental health.

Additional negative influences on mental health include difficulties within social support systems, for example family discord or community violence, a chronic illness or disability or the experience of victimization of any sort. Pre-existing mental conditions, such as anxiety or depression, may be heightened through pregnancy and motherhood and conditions such as pre or post-natal depression may develop. The exciting, yet sometimes terrifying and unexpectedly overwhelming journey of motherhood may leave some mothers particularly vulnerable to mental health challenges.

Importance of Maternal Mental Health

A mother facing mental health challenges may experience increased difficulty in meeting her own needs, let alone those of her infant or young child. Maternal mental health can influence the child before it is born, impact on the bonding experience with the infant and reduce the mother’s abilities to provide the emotional support and guidance necessary for the developing child and teenager. The impact of poor maternal mental health can have life-long social, behavioural, emotional and even cognitive impacts on the developing child.

Overcoming Maternal Mental Health Challenges

The snowball impact of lack of sleep, physical discomfort, fluctuating emotions, change in routine and the responsibility of nurturing a new life while juggling other relationships may leave mothers feeling overwhelmed, anxious or despondent. However, mothers encountering these and similar challenges are not required to face their struggles alone.  The strength of a supermom is proportionate to her ability to ask for help when needed. Interaction with support groups, a counsellor or psychologist can assist mothers with developing coping strategies, gaining greater self-insight and sharing the emotional load of motherhood. Through obtaining the necessary support, mothers are able to improve not only their own mental health but also that of their children.

Family cropped.jpg
 

References

Barlow, J., McMillan, A. S., Kirkpatrick, S., Ghate, D., Barnes, J., & Smith, M. (2010). Health‐led interventions in the early years to enhance infant and maternal mental health: A review of reviews. Child and Adolescent Mental Health15(4), 178-185.

Hogan, R. (2019). Maternal health. Salem Press Encyclopaedia

Phua, D. Y., Kee, M. Z., & Meaney, M. J. (2020). Positive maternal mental health, parenting, and child development. Biological Psychiatry87(4), 328-337.

World Health Organisation. (2008). Maternal mental health and child health and development in low and middle income countries. Report of the WHO meeting. Geneva.

https://www.who.int/mental_health/maternal-child/maternal_mental_health/en/

https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response

https://wmmhday.postpartum.net/

Photo 1: Andrea Lightfoot on Unsplash

Photo 2: Caroline Miller Photography. Permission given by model.


An introduction to Heamophilia

Author: Samantha Rosie, Physiotherapist

PNT5300-FacebookBanner_820px-461px-EN_v1.jpg

17 April marks World Haemophilia Day.

What is heamophila?

Haemophilia is an inherited bleeding disorder.  Inherited means that it is passed on through a parent’s genes to a child, although about 30% of people with haemophila have no family history of the disorder and it is caused by a change in the person’s own genes. Bleeding disorder means that there is a deficiency of clotting factor in the person’s blood, causing them to bleed spontaneously or to bleed profusely when hurt.

Haemophilia predominantly affects males, and women who carry the gene and pass it on to their sons are known as carriers. It is a rare disorder affecting around 1 in 10 000 people.

What are the different types of heamophilia?

There are two types of heamophilia.  Heamophilia A is a deficiency of clotting factor VIII (factor 8), and heamophilia B is a deficiency of clotting factor IX (factor 9).  You cannot tell the difference between the two types, but it is distinguished by doing a blood test because the treatments for each type differ.

How and where do people with haemophilia bleed?

It will depend on the severity of the person’s haemophilia. 

·       A person with mild haemophilia will take longer to stop bleeding when they are cut, or have an operation, for example.

·       A person with moderate haemophilia may bleed for a longer time after having an operation, dental work or a bad injury.  They may have large bruises after bumping into something.

·       A person with severe heamophilia will have spontaneous bleeding in different parts of their body.  This means that they can bleed without being hurt, or for no obvious reason.  They might bleed up to two times per week.  Common sites of bleeding are:

o   Joints

o   Muscles

o   Superficial soft tissue (bruises)

o   Nose

o   Less common sites of bleeding can be: mouth, eyes, abdomen, brain, urinary tract, neck and throat, gastrointestinal tract (GIT).

How is haemophilia treated?

The treatment of choice for haemophilia is factor concentrates.  This is either plasma-derived (from human blood) or recombinant (manufactured).  The factor concentrate is injected into the person’s blood stream, and replaces the missing factor, to help the person form blood clots if they are bleeding.

The gold standard of treatment is prophylaxis.  This means that a person will receive treatment even if they are not bleeding, to maintain the right level of clotting factor in the blood.  This greatly reduces their chances of bleeding and consequently lessens their chances of long-term damage to joints and muscles.

WHD-30years_Logo_Color_EN_RGB.jpg

For more information on haemophilia, folllow this link: https://www.wfh.org/en/home

For information on haemophilia and Covid-19, follow this link: https://news.wfh.org/specific-risks-of-covid-19-to-the-bleeding-disorders-community/

Reference: World Federation of Hemophilia – www.wfh.org


Welcome to our web site!

Early Bird is on the web! Apart from the information on the therapists and support staff and the services we offer, we’ll be using the site to keep you up to date with the latest and greatest in our respective fields of study, and especially items that will be of interest to you, the parent.

Fun group 2.jpg
 

Early bird on Instagram