depression during the pregnancy,
worry and anxiety about the responsibility of having a new baby,
a difficult delivery,
lack of support at home,
relationship worries,
money problems,
having no close family or friends around you,
mental health problems in the past, such as depression, or previous postnatal depression,
physical health problems following the birth, such as anaemia, or urinary incontinence.
As depression tends to run in families, genetics are thought to play a part in the PND, but the exact nature of the link between the condition, and genetics, is not fully understood. The changes in hormone levels that occur during and after pregnancy were once thought to cause PND. However, there is no evidence to suggest that this is the case. It is much more likely that the condition is related to the combination of life changes that occur after childbirth.
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(www.nhsdirect.nhs.uk 07/10/2007)
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