Postpartum depression
Postpartum depression is depression that starts during pregnancy or in the weeks and months after giving birth. It is different from the short "baby blues" that many mothers feel in the first two weeks. It is common, is not the mother's fault and does not mean she is a bad mother. With support and treatment, mothers recover and can care well for their baby.
Symptoms
- Sadness, crying or feeling empty most days for more than two weeks
- Feeling unable to cope or not bonding with the baby
- Strong worry or fear about the baby's health
- No energy, poor appetite or sleeping badly even when the baby sleeps
- Feeling guilty, worthless or like a bad mother
- Thoughts of harming yourself or the baby
Causes
- Big hormone changes after birth
- Lack of sleep and exhaustion
- Little support from husband or family, or conflict at home
- Previous depression or anxiety
- A difficult birth, a sick baby or loss of a previous baby
- Money worries or violence at home
Prevention
- Family members can share baby care and housework so the mother can rest
- The mother should eat well and sleep when she can
- Talk openly about feelings with family or a health worker
- Attend postnatal check-ups and mention mood problems
- Women with past depression should tell their doctor during pregnancy
Treatment
- Practical and emotional support from husband and family
- Talking therapy with a psychologist or trained health worker
- Rest, good food and help with night feeds where possible
- Some antidepressants are safe while breastfeeding; a doctor will choose one if needed
- Do not start antidepressants or other medicines without a doctor
Common questions
What is the difference between baby blues and postpartum depression?
Baby blues are mild mood swings and tearfulness in the first days after birth that go away by about two weeks. Postpartum depression is stronger, lasts longer and makes it hard to cope, so it needs help.
Can I keep breastfeeding if I take medicine for depression?
Often yes. Several antidepressants pass into breast milk only in very small amounts. Your doctor will choose a suitable one, so do not stop breastfeeding or take medicine without advice.