Postpartum Depression in Sub-Saharan Africa.
M delivered her third child two months ago, but since the birth, she had become increasingly sad, anxious, and detached from her baby. Her husband brought her to the clinic after noticing she often cried without reason, had difficulty sleeping, and expressed feelings of worthlessness. M reported feeling overwhelmed, unable to care for her children, and had lost interest in activities she previously enjoyed. She also confessed to having fleeting thoughts of running away but denied any intent to harm herself or her baby.
M had two previous healthy deliveries without complications or emotional distress. Her latest pregnancy was also without physical complications, but her family had been under significant financial strain. M’s mother, who had provided much of her emotional support, passed away shortly before the birth, leaving her feeling isolated.
M appeared fatigued, with a flat affect and little energy. She was coherent but had difficulty focusing on questions. There were no physical complications from her delivery, and her vital signs were stable. Her nutritional status was fair, but she admitted to neglecting her own well-being.
Postpartum Depression (PPD), likely influenced by emotional and social stressors, including the recent loss of her mother.
M was provided counselling and connected to a community support group for new mothers. Psychoeducation on postpartum depression was given to her husband to help him provide better emotional support. She was also started on a mild antidepressant and advised to return for regular mental health checkups. The local health worker was assigned to visit M at home for ongoing
- What is the most likely diagnosis for M based on her symptoms?
- A). Postpartum Psychosis
- B). Postpartum Depression (PPD)
- C). Generalized Anxiety Disorder
- D). Post-Traumatic Stress Disorder (PTSD)
- Which of the following factors most likely contributed to M’s postpartum depression?
- A). Physical complications during delivery
- B). Recent loss of her mother and financial strain
- C). Chronic physical illness
- D). Prior history of depression
- What was one of the key management steps provided to M?
- A). Physical therapy and surgery
- B). Hospitalization and sedatives
- C). Counseling, antidepressants, and family support
- D). Isolation from her family to reduce stress
- What role did the community health worker play in M’s care?
- A). Administering medications
- B). Providing financial assistance
- C). Conducting home visits for ongoing monitoring
- D). Offering childcare support
