Postpartum Depression

Postpartum Depression usually occurs within the first 3 months after delivery. The exact causes of postpartum depression are unknown.  Changes in hormone levels during and after pregnancy may affect a woman’s mood.  Many non-hormonal factors may also affect mood during pregnancy.

Changes in work and social relationships:

• Having less time and freedom
• Lack of sleep
• Worries about your ability to be a good mother

The chances of postpartum depression increase if the woman:

• Is under age 20
• Currently abuses alcohol, illegal substances or smokes
• Did not plan the pregnancy or had mixed feeling about the pregnancy
• Had a stressful event during the pregnancy or delivery
• Has a close family member who has had depression or anxiety
• Has a poor relationship with the significant other
• Has money or housing problems
• Has little support from family, friends or spouse or partner.

Symptoms of postpartum depression are like symptoms of depression:

• Agitation or irritability
• Changes in appetite
• Feelings of worthlessness or guilt
• Feelings of withdrawal
• Lack of pleasure or interest in most or all activities
• Loss of concentration
• Loss of energy
• Problems doing tasks at home or work
• Significant anxiety
• Thought of death or suicide

A mother of postpartum depression may also:

• Be unable to care for herself or her baby
• Be afraid to be alone with her baby
• Have negative feelings toward the baby or even think about harming the baby

Treatment of postpartum depression should come from the physician or nurse.

• Ask your partner, family, and friends for help with the baby’s needs and in the home
• Don’t hide your feelings. Talk about them with your partner, family and friends
• Don’t make any major life changes during pregnancy or just after giving birth
• Don’t try to do too much or to be perfect
• Take time out, visit friends, or spend time alone with your partner
• Rest as much as you can. Sleep when the baby is sleeping.