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Postpartum Blues And Depression

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Post-delivery some women start to feel low depressed anxious and have mixed emotions. They may cry for no reason, may have anger towards the new baby, or have concerns about their motherhood capabilities. They may have a loss of appetite, lack of sleep, and excess fatigue. These are all postpartum blues and depression that they might be facing.

These low feelings are called as post-partum blues. They start a few days after delivery and usually settle within a few weeks without any medication.

Sometimes these symptoms can be very serious and intense. Then it is called postpartum depression. This also starts within a few days or weeks of pregnancy and can last for almost up to a year.

Causes of Postpartum Blues/ Depression

  • Past history of depression or mental illness. They have an increased risk of having depression after delivery.
  • Change in hormone levels after delivery: there is a sharp decrease in the estrogen and progesterone levels after delivery. These can trigger depression.
  • Emotional and social factors can contribute. Examples of unwanted pregnancy, lack supporting partner, feelings of hindrance in pursuit of career goals, the financial stress of coping with new expenses and many similar issues.
  • Severe Fatigue some women feel extremely tired post-delivery (due to pregnancy per se, the feeding schedules, lack of sleep in the night, and added workload of a new baby) and may take few weeks to get their energy back. This may make them feel low and incapable of handling their life.

How do I manage post partum blues / depression?

It is important for the family members to recognize any symptoms of feeling low and depressed and then report to the doctor immediately.

Certain investigations e.g. Thyroid levels can be done as hypothyroidism can trigger depression.

Counseling sessions with an expert, understanding caring near and dear ones and anti-depressants can effectively help in managing the situation. A consultation with a psychiatrist may at times be required. The medications have to be taken judiciously as there are benefits for the mother, but they pass through the breast milk and therefore have risks for the baby.