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Psychiatric disorders of the puerperium are mental health conditions that occur during the postpartum period, usually within the first few weeks after childbirth. The puerium is a period of major physical, hormonal, psychological, and social adjustment for the mother. Changes in estrogen and progesterone levels, exhaustion, pain, sleep deprivation, anxiety about the newborn, breastfeeding difficulties, and changes in family relationships may affect the mother's emotional well-being. Maternal Health Nursing emphasizes early recognition, supportive care, prevention of complications, and timely referral because postpartum psychiatric disorders can adversely affect both mother and baby. The main psychiatric disorders of the puerperium are postpartum blues, postpartum depression, and postpartum psychosis. These conditions differ in their onset, severity, symptoms, and management. Postpartum blues, also called maternity blues or baby blues, is the most common and mildest emotional disturbance after childbirth. It usually develops within three to five days after delivery and generally resolves within two weeks. The mother may experience sudden crying, irritability, mood changes, anxiety, emotional sensitivity, fatigue, difficulty concentrating, and disturbed sleep. She may feel overwhelmed by the responsibilities of caring for the newborn. These symptoms are often related to hormonal changes, physical exhaustion, lack of sleep, discomfort, and adjustment to motherhood. The mother usually remains oriented and is able to care for herself and the baby. Nursing care for postpartum blues includes reassurance, emotional support, ________ ___ ______ _______ ________ _________ __________.
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