Postpartum depression strikes about 15% of women around childbirth. Moreover, this mood disorder is estimated to affect 1% to 26% of new fathers. The causes of which are thought to be linked to hormonal changes, genetics, previous mental illness and the obvious change in circumstance. Postnatal depression is defined as depressive disorder, beginning anytime within pregnancy up to the first year of the child’s life. In order to receive a diagnosis from the doctor, 5 symptoms must be shown over a two week period.
The symptoms of post natal depression:
- Feelings of sadness, emptiness, or hopelessness, nearly every day, for most of the day or the observation of a depressed mood made by others
- Loss of interest or pleasure in activities
- Weight loss or decreased appetite
- Changes in sleep patterns
- Feelings of restlessness
- Loss of energy
- Feelings of worthlessness or guilt
- Loss of concentration or increased indecisiveness
- Recurrent thoughts of death, with or without plans of suicide
- Lack of interest or pleasure in usual activities
- Fatigue, decreased energy and motivation
- Poor self-care
- Social withdrawal
- Insomnia or excessive sleep
- Diminished ability to make decisions and think clearly
- Lack of concentration and poor memory
- Fear that you can not care for the baby or fear of the baby
- Worry about harming self, baby, or partner
It is worth noting here that there is a difference between what is commonly known as ‘The Baby Blues’ and post natal depression. Postpartum blues, commonly known as “baby blues,” is a transient postpartum mood disorder characterized by milder depressive symptoms than postpartum depression. This type of depression can occur in up to 80% of all mothers following delivery. The Baby Blues should clear within 14 days, if not it is likely an indicator of something more in depth.
Ways to Overcome
- Seek Medical Help
If you are at risk, letting your provider know early in your pregnancy means that you’ll be given extra support and care throughout the process. It is best to seek treatment as soon as possible. If it’s detected late or not at all, the condition may worsen. Experts have also found that children can be affected by a parent’s untreated PPD. Such children may be more prone to sleep disturbances, impaired cognitive development, insecurity, and frequent temper tantrums.
You don’t need to do anything special to prepare. Your counselor will ask questions about your life, and it’s important you answer honestly. You won’t be judged for what you tell, and whatever you talk about will be just between the two of you. Your counselor will teach you how to look at some things differently, and how to change certain habits to help yourself feel better.
A recent study has found that adding sertraline, an SSRI, to psychotherapy does not appear to confer any additional benefit. Therefore, it is not completely clear which antidepressants are most effective for treatment of PPD. There are currently no antidepressants that are FDA approved for use during lactation. Most antidepressants are excreted in breast milk. However, there are limited studies showing the effects and safety of these antidepressants on breastfed babies.
- Communication with Partner
Don’t blame yourself, your partner, close friends or relatives. Life is tough at this time, and tiredness and irritability can lead to quarrels. By spending time with your partner doing activities that you both enjoy, like going for a walk, can really help. This change of state, from moving location, can significantly elevate mood whilst providing ‘neutral ground’ in which to open up communication. Be honest with your partner and show ways in which they can support you best through this time, even if it’s just talking or letting you have time to go take a shower.
- Self-care and Rest
Don’t try to be ‘superwoman’. Try to do less and make sure that you don’t get over-tired. It’s common that women are the experts at ‘being busy’ and ‘doing it all’. Rest whilst the baby is sleeping, and really take time to prioritise yourself. Throughout life, if you’re constantly giving out energy, you will be left feeling unbalanced. It’s important to become aware of one’s energy and making sure to give yourself energy first, before giving out is imperative. Your body has just been through the trauma of the birth, which is very stressful. It therefore needs time to recover so taking time to yourself is important. Things as simple as a cup of tea, or shower or listening to music will really help.
- Supplementation (especially DHA)
St John’s Wort is a herbal remedy available from chemists. There is evidence that it is effective in mild to moderate depression. It seems to work in much the same way as some antidepressants, but some people find that it has fewer side-effects. One problem is that St John’s Wort can interfere with the way other medications work. If you are taking other medication, you should discuss it with your doctor. This is very important if you are taking the oral contraceptive pill. St John’s Wort might stop your pill working. This can lead to an unplanned pregnancy. It is also worth noting that fish oil (containing DHA) is being shown to correlate with lower instances of PPD. DHA consumption during pregnancy — at levels that are reasonably attained from foods — has the potential to decrease symptoms of postpartum depression.
Not only does being outside positively benefit you by getting some fresh air and vitamin D. The same is said for your baby, who will sleep better once they’ve been outside. Exercise gets your endorphins going, which helps alleviate depression symptoms, it can also get you focused on something for yourself. In an analysis of data from 1996 to 2016, researchers discovered that moms who stayed physically active after birth experienced fewer depressive symptoms. In contrast, one study found women who led a more sedentary lifestyle were, in general, more likely to experience postpartum depression in the first place.
The type of workout doesn’t matter much. Yoga for pregnant women, stretching, and cardio are essentially equal in terms of making you feel better.
- Socializing and Support Groups
Do go to local groups for new mothers or postnatal support groups. Your health visitor can tell you about groups in your area. You may not feel like going to these groups if you are depressed. See if someone can go with you. You may find the support of other new mothers helpful. You may find some women who feel the same way as you do.
- Accept Help
Some cultures believe that the symptoms of postpartum depression or similar illnesses can be avoided through protective rituals in the period after birth. Chinese women participate in a ritual that is known as “doing the month” (confinement) in which they spend the first 30 days after giving birth resting in bed, while the mother or mother-in-law takes care of domestic duties and childcare. Whilst this may seem extreme, it’s worth noting that being able to accept help from your friends, partner and family can be extremely beneficial.
Most women will get better without any treatment within 3 to 6 months. One in four mothers with PND are still depressed when their child is one-year-old. However, this can mean a lot of suffering.
PND can spoil the experience of new motherhood and affect your child’s development and behaviour even after the depression has ended. So the shorter it lasts, the better.
It’s never too late to seek help. Even if you have been depressed for a while, you can get better. The help you need depends on how severe your illness is. Mild PND can be helped by increased support from family and friends.