Postpartum Depression: What Every New Mama Needs to Know

This week we are taking about some heavy stuff, but I think it’s too important not to write about.

1 in 8 women experience postpartum depression (PPD). And of those mothers, 57% who reported PPD symptoms at 9-10 months had not reported their symptoms until they were 2-6 months PP. Postpartum depression is so much more than being tired, emotional, or having a “bad day”.

Postpartum depression is an actual medical condition that can involve persistent sadness, anxiety, hopelessness, irritability, loss of interest or pleasure, changes in sleep or appetite, difficulty concentrating, feelings of guilt or worthlessness, and difficulty functioning day to day. And very importantly, you can have postpartum depression even if you absolutely love your baby. 

The “baby blues” are not the same as PPD. The baby blues are extremely common and usually improve within a few days to a few weeks after birth. When symptoms are more severe, last longer, or actually start to interfere with daily life, that’s especially when it’s so important to talk with a healthcare professional. 

Here’s something I REALLY want you mamas to know: postpartum depression doesn’t always happen immediately after birth. Feeling "okay" at 6 weeks (or even several months postpartum) doesn’t mean you’re “past” the possibility of developing postpartum depression. That’s one reason ACOG recommends screening for depression and anxiety during pregnancy and postpartum, with continued assessment and follow-up as needed. 

But the tiny light at the end of the tunnel is that PPD is treatable. Treatment may include psychotherapy, medication, or both, depending on the individual. And if you’re breastfeeding, that doesn’t rule out treatment! Medication choices can be discussed with your healthcare provider and lactation professional based on your individual situation. 

The HUGE takeaway:

You don’t have to wait until you’re completely falling apart to ask for help. You don’t have to prove that you’re struggling “enough”. And it’s so important to know and remember that you don’t have to be struggling immediately after birth for your mental health to deserve attention. Postpartum does not have an expiration date, and neither does your need for support. 

If you or someone you know is experiencing postpartum depression, anxiety, or another perinatal mental health condition, please know that there is support and resources so you don't have to face it alone. Talk to your healthcare provider or contact Postpartum Support International (PSI) at 1-800-944-4773 or text “HELP” to 800-944-4773 (in the U.S.) for support and referrals. If you’re in crisis, call or text 988 for 24/7 support or call 911 for an emergency.

Resources:

Timing of Postpartum Depressive Symptoms (CDC)

Woman's Health: Postpartum Depression (ACOG)

Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum (ACOG)