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Why you shouldn’t ignore postpartum depression

Postpartum depression is a very real and very serious health problem that affects an estimated 12 -22 percent of all mothers. In fact, the largest study to date shows that as many as 1 in every 7 women suffers postpartum depression, and an estimated 50 percent of those women suffer in silence. They go untreated or unrecognized because they are not aware of what it is (or that they have it), feel that it is a reflection of them as a mother or woman, do not understand the condition’s dynamics, or do not know how to reach out to get help.

My goal is to help shed light and help break the silence! I write as a medical doctor but also as a mother who joined the ranks of millions that have suffered from postpartum depression, its painful barriers and its vulnerability.

To any mothers out there reading this who think you might be dealing with postpartum adjustment issues, help is available. Your symptoms do not define you as a mother, wife or friend. You can feel better with adequate support and treatment. Please reach out and ask for help.

Dr. Nina’s What You Need To Know: About Postpartum Depression (PPD)

What are the baby blues?

Nearly 85 percent of mothers suffer from the “baby blues” after the birth of their child. It can manifest as crying or feeling hopeless or anxious at times. Typically, women get better in 2 to 3 weeks. This is in stark contrast to postpartum depression, which continues for longer with more sever symptoms.

What is postpartum depression?

It is a serious emotional disturbance that corresponds with a major life change and increased responsibilities in the care of a newborn infant. The onset can start right after birth and may last even up to 30 weeks after. Patients may experience mild, moderate or severe symptoms.

What are the signs and symptoms of postpartum depression?

Sadness; fatigue or an inability to manage everyday tasks; anxiety; feelings of anger, guilt or extreme doubts about the ability to be a good mother; loss of appetite; being unable to care for the baby or oneself; excessive concerns about the baby’s health or safety; loss of interest in the new baby/not wanting to hold the baby; not wanting to be alone with the baby or fear of hurting the baby; inability to experience pleasure; and thoughts of suicide or hurting oneself.

What is antenatal (before birth) depression?

With greater understanding, experts are now pointing out that depression often does not wait for the delivery. In fact, antenatal depression and/or anxiety affects nearly one in three pregnant women.

What is postpartum psychosis?

Approximately 1 in 500 to 1 in 1000 mothers experience psychotic features of postpartum depression. These can include hallucinations, sleeplessness, profound guilt and feelings of worthlessness. This is a medical emergency and help should be obtained immediately.

What causes postpartum depression, psychosis and antenatal depression?

While not completely understood, it is likely caused by a complex interplay of genetics, hormones and stress. Pregnancy is associated with significant hormonal changes necessary for the growth, development and delivery of the unborn baby, which can contribute to antenatal depression. After birth, another significant shift in hormone levels occurs and can contribute to postpartum depression. Brain scans have even shown differences in women who suffer from postpartum depression.

Who is at risk?

Postpartum depression does not discriminate across age group, culture, religion or socioeconomic status. It can affect any mother. Studies have, however, shown that there is an increased risk in women who have experienced postpartum depression previously, have a personal history of mental illness, immediate family members with mental illness, financial strain, isolation, breast-feeding difficulties or unplanned pregnancies.

What therapy is available?

Without treatment, postpartum depression can last for months and even years.

The key to getting better begins with awareness of what antenatal and postpartum depression is. This responsibility belongs not just to the mother, but also her partner or spouse, and loved ones. Nearly 50 percent of mothers go untreated and unrecognized.

Treatment typically consists of therapy and/or medication. The good news is that the vast majority of mothers see improvement, and they see it quickly.

There are several state and non-profit run hotlines for immediate assistance and access to resources, including support groups, provisions for childcare and transportation, and culturally competent outreach services. And remember, obstetricians or primary healthcare providers are excellent resources to help initiate the correct steps towards getting better.

The facts are that PPD is a part of some women’s birthing experience, just like other pregnancy-related issues may be. PPD remains a misunderstood, under-diagnosed, and mistreated illness. These mothers need help! If you know someone who you think might be suffering from PPD, offer your support and understanding and try to connect them with help as soon as possible. Things can get better – help them to understand that they are not alone, not to blame and can recover.

This article is for general information only and should not be used for the diagnosis or treatment of medical conditions and cannot substitute for the advice from your medical professional. Dr. Nina has used all reasonable care in compiling the current information but it may not apply to you and your symptoms. Always consult your doctor or other health care professional for diagnosis and treatment of medical conditions or questions.

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