Postpartum Depression --More Than Just The Baby Blues
15-20% of women who give birth will experience postpartum depression. It occurs any time within the first year after giving birth. Hormonal changes, social isolation, stressors such as financial problems, a death in the family, and marriage troubles can all contribute to PPD. I knew I was at risk for PPD as I have a history of severe major depression, and because I had already experienced pregnancy depression. I made sure that I had a therapist and psychiatrist lined up for after the birth. We had discussed different treatment options in case I had a depressive episode postpartum. My husband was clued in to the signs and symptoms to watch out for.
Symptoms Of Postpartum Depression
Lack of interest in things you previously enjoyed including sex Lack of focus/concentration Appetite change/ significant weight gain or loss Sleep changes--inability to sleep or sleeping all the time Sad mood, feelings or guilt, phobias Irritability Feeling hopeless Feeling overwhelmed Feeling uncomfortable around the baby or disinterested in the baby Excessive worry or anxiety Physical symptoms without an apparent cause Feeling like you want to die, or thoughts of suicide, or thoughts of wanting to harm yourself or the baby Inability to function day to day
Risk Factors For Postpartum Depression
Previous history of depression/anxiety History of depression/anxiety in your family Depression during pregnancy 50-80% risk if you've had previous PPD Abrupt weaning Social isolation and poor support network Thyroid dysfunction (hypothyroidism or hyperthyroidism) History of PMS Mood changes when taking the birth control pill or other hormonal medications
Depression Is Not The Same As The "Baby Blues"
The baby blues are experienced by up to 80% of all mothers. It is considered normal. It usually occurs in the first week after birth and only lasts a few days.The baby blues occur due to rapid hormonal changes, lack of sleep, physical discomforts, and the emotional and physical stress of birth.
Symptoms of Baby Blues
Unstable moodSadness Crying Anxiety Difficulty concentrating Feeling dependent If these feelings persist beyond two weeks it may be postpartum depression--get help.
What To Do If You Are Experiencing Postpartum Depression
Find a qualified therapist. You can call Postpartum Support International (800) 944-4PPD, for help in locating a good therapist. Explore treatment options with your therapist. In addition to cognitive therapy and medication, there are many alternative therapies (such as meditation, nutritional therapies, light therapy, massage, yoga,and hypnotherapy) that may be beneficial for you. There is a very good website called Alternative Depression Therapy that can help you explore different holistic treatments. If you consider taking medication know that you can continue to breastfeed and take antidepressants. Many antidepressants get into breastmilk in very minute amounts and have not been shown to affect the baby. However, carefully consider your decision to take ANY medications while pregnant or breastfeeding. Get the support of your husband, family, and friends. Make sure they understand the symptoms of PPD, and that you WILL recover. Eat well. Sleep. Try to get 8 hours if you can. Take naps with your baby. Restful sleep is important to recovery. Exercise. Even if only 20 minutes per day. Exercise boosts endorphins which boost your mood. Get out in Nature. The sights, sounds, and fresh air are rejuvenating. Take care of your baby. Continue to care for your baby as much as you are able. You might have to "fake it 'til you make it". It is good for your confidence as a mother to know that you can take care of your baby. If you are not able to--have someone you trust help you care for your baby.Take breaks. Have someone you trust be with your baby to allow you time for a bath, a nap, a walk, or to spend time with a friend, or with your partner. Moms need breaks to be better moms. Find a postpartum depression support group. Call your local hospital to see if they host a PPD group. If you are experiencing postpartum depression know that-- You WILL recover. You are NOT alone. It is NOT your fault. You are doing the BEST you can.
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