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.
