Postpartum mood disturbance
ICD10CM code
Name of the Condition
- Postpartum Mood Disturbance
- Also known as Postpartum Depression or Postnatal Depression
Summary
Postpartum mood disturbance refers to a range of emotional and psychological changes that some women experience after childbirth. It includes conditions such as postpartum depression, which can affect a new mother's ability to care for herself or her baby and may manifest as mood swings, anxiety, sadness, or exhaustion.
Causes
The condition is believed to be caused by a combination of hormonal changes, psychological adjustment to motherhood, and fatigue. Hormonal fluctuations after delivery, along with the demands of caring for a newborn, contribute significantly.
Risk Factors
- History of depression or mood disorders
- Stressful life events during or after pregnancy
- Lack of strong support system
- Complications during childbirth or pregnancy
- Newborn health issues
Symptoms
- Persistent feelings of sadness or hopelessness
- Excessive crying
- Anxiety or panic attacks
- Difficulty bonding with the baby
- Changes in appetite or sleep patterns
Diagnosis
- Clinical evaluation by a healthcare professional
- Use of screening tools like the Edinburgh Postnatal Depression Scale (EPDS)
- Evaluation of symptoms and medical history
Treatment Options
- Psychotherapy: Cognitive behavioral therapy or counseling can provide support and coping strategies.
- Medications: Antidepressants may be prescribed, considering breastfeeding safety.
- Support Groups: Connecting with other mothers can provide understanding and support.
- Lifestyle Adjustments: Ensuring adequate sleep and nutrition.
Prognosis and Follow-Up
With proper treatment and support, most women recover completely. Follow-up with healthcare providers is crucial to monitor progress and adjust treatment plans as necessary.
Complications
If untreated, postpartum mood disturbance can lead to chronic depression, poor infant care, and difficulties in family relationships. It may also increase the risk of maternal suicide.
Lifestyle & Prevention
- Prioritize self-care and seek help with childcare responsibilities.
- Maintain a healthy diet and exercise routine.
- Build a strong support network with family and friends.
When to Seek Professional Help
Seek immediate help if experiencing severe depression, thoughts of harming oneself or the baby, or an inability to cope with daily tasks.
Additional Resources
Tips for Medical Coders
- Ensure accurate documentation of symptoms and onset in relation to childbirth.
- Avoid confusion with general depression codes which might not reflect postpartum onset accurately.