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.vn-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;height:3rem;margin:0 auto;max-width:77.5rem;z-index:1}@media(min-width:64rem){.vn-wrapper .vn-container{height:4.6875rem}}.vn-wrapper .vn-container.lite{max-width:100%}@media(min-width:64rem){.vn-wrapper .vn-container.lite{height:3.5rem}}.vn-wrapper .vn-menu-btn{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#fff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;height:100%;line-height:1;padding:0}.vn-wrapper .vn-menu-btn:not(.lite){margin-right:1.166875rem}@media(min-width:64rem){.vn-wrapper .vn-menu-btn:not(.lite){margin-right:0}}.vn-wrapper .vn-menu-btn i{font-size:2.25rem;width:2.25rem;overflow:hidden}.vn-wrapper .vn-menu-btn svg{fill:currentColor;pointer-events:none}.vn-wrapper .vn-menu-btn.vn-search 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.vn-logo-container .vn-logo img:not(.lite){width:7.25rem}}.vn-wrapper .vn-logo-container.with-program .vn-logo img{height:.875rem}@media(min-width:64rem){.vn-wrapper .vn-logo-container.with-program .vn-logo img{height:1.4375rem}}.vn-wrapper .vn-logo-container.with-program .vn-prog-logo img{height:.9375rem}@media(min-width:64rem){.vn-wrapper .vn-logo-container.with-program .vn-prog-logo img{height:1.5625rem}}.vn-wrapper .vn-links{background:#f9f9fc;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;height:calc(100vh - 3rem);left:-140vw;overflow:auto;padding:.5rem;position:fixed;top:3rem;-webkit-transition:left .5s ease;transition:left .5s ease;width:100%;z-index:100}@media(min-width:37.5rem){.vn-wrapper .vn-links{max-width:25rem}}@media(min-width:64rem){.vn-wrapper .vn-links.lite{height:calc(100vh - 3.5rem);top:3.5rem}}@media(min-width:64rem){.vn-wrapper .vn-links:not(.lite){background:none;-webkit-box-orient:horizontal;-webkit-box-direction:normal;-ms-flex-direction:row;flex-direction:row;height:100%;left:0;max-width:100%;overflow:visible;padding:0;position:relative;top:0}}.vn-wrapper .vn-links.open{left:0}.vn-wrapper .vn-links.open.vn-slide-out{left:-100vw}@media(min-width:37.5rem){.vn-wrapper .vn-links.open.vn-slide-out{left:0}}.vn-wrapper .vn-links .vn-search-wrapper{display:-webkit-box;display:-ms-flexbox;display:flex;height:3rem;margin-bottom:.25rem;-webkit-box-ordinal-group:0;-ms-flex-order:-1;order:-1}@media(min-width:64rem){.vn-wrapper .vn-links .vn-search-wrapper:not(.lite){background:#fff;border:1px solid #c6cedb;border-radius:5px;opacity:0;-webkit-box-ordinal-group:2;-ms-flex-order:1;order:1;position:absolute;right:2.8125rem;top:.8125rem;width:38%;-webkit-transition:all .3s ease;transition:all .3s ease;visibility:hidden}.vn-wrapper .vn-links .vn-search-wrapper:not(.lite).vn-open{visibility:visible;opacity:1}.vn-wrapper 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.vn-menu-section{left:0;opacity:1;visibility:visible}}@media(min-width:81.25rem){.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:not(:nth-child(7)){margin-right:1rem}}.vn-wrapper .vn-links .vn-menu-section{background:#f9f9fc;height:calc(100vh - 3rem);right:-140vw;overflow:auto;padding:0 1.5rem 6.25rem 1.5rem;position:fixed;top:3rem;-webkit-transition:all .5s ease;transition:all .5s ease;width:100%;z-index:10}.vn-wrapper .vn-links .vn-menu-section.lite{height:calc(100vh - 3.5rem);top:3.5rem}@media(min-width:37.5rem){.vn-wrapper .vn-links .vn-menu-section{max-width:25rem;left:-140vw;right:auto}.vn-wrapper .vn-links .vn-menu-section.open{left:0;right:auto}}.vn-wrapper .vn-links .vn-menu-section.open{right:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header{-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-bottom:1px solid #c6cedb;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;padding:.75rem 0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header h3{color:#1b1b1b;font-size:1.25rem;line-height:1;margin:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a{color:#3557ff;font-weight:400;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a img{margin-right:.5rem;width:.8125rem}.vn-wrapper .vn-links .vn-menu-section ul{margin:.75rem 0;list-style:none;padding:0}.vn-wrapper .vn-links .vn-menu-section ul li{font-size:1.125rem;font-weight:400}.vn-wrapper .vn-links .vn-menu-section ul li a{color:#1b1b1b;display:block;padding:.75rem 0;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section ul li a:hover{color:#3557ff}.vn-wrapper .vn-links .vn-menu-section ul li hr{border:1px solid #c6cedb}@media(min-width:64rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite){background:#fff;border-radius:0 0 5px 5px;border-top:0;left:-20px;margin-left:-3.75rem;max-width:none;height:auto;opacity:0;padding:1.875rem 2.875rem;position:absolute;top:4.6875rem;width:18.75rem;visibility:hidden}.vn-wrapper .vn-links .vn-menu-section:not(.lite) hr{display:none}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul{margin:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li{border-bottom:1px solid #c6cedb}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li:last-of-type{border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a{-webkit-box-align:baseline;-ms-flex-align:baseline;align-items:baseline;color:#3557ff;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:start;-ms-flex-pack:start;justify-content:flex-start}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a img{height:.75rem;margin-right:.5rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{width:60.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul{-webkit-columns:4;-moz-columns:4;columns:4;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(7),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(14),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(21){border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3{width:35rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul{-webkit-columns:2;-moz-columns:2;columns:2;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(8),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(16){border-bottom:0}}@media(min-width:64rem)and (max-width:81.25rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{margin-left:-8.75rem}}.vn-wrapper .vn-links .vn-back{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#3557ff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;padding:1rem 0}.vn-wrapper .vn-links .vn-back i{font-size:.75rem;margin-right:.3125rem}.vn-wrapper .vn-links .vn-actions{margin-top:1rem}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-left:1px solid #cccce7;display:-webkit-box;display:-ms-flexbox;display:flex;margin:1.1875rem 0;padding-left:1.25rem}}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe{border-left:none}}.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:.9375rem}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:0}}.vn-wrapper .vn-links .vn-actions .vn-signin{color:#3557ff;font-weight:600;padding:0 1.5rem;text-decoration:none}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions .vn-signin:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#fff;display:-webkit-box;display:-ms-flexbox;display:flex;font-size:1.0625rem;padding:0;margin:0 .9375rem;-webkit-transition:all .3s ease;transition:all .3s ease}}.vn-wrapper .vn-links .vn-actions .vn-loggedin{background:none;border:0;color:#3557ff;font-weight:600;height:3rem;padding:0 1.5rem;text-decoration:none}@media(min-width:64rem){.vn-wrapper .vn-links .vn-actions .vn-loggedin:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;color:#fff;display:-webkit-box;display:-ms-flexbox;display:flex;font-size:0;padding:0;margin:0 1.25rem}.vn-wrapper .vn-links .vn-actions .vn-loggedin:not(.lite):before{background:url(//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e52376/client/img/person.59072d56.svg) 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Johnson, MD"},"about":"Depression","datePublished":"03/24/2003 19:00:00","headline":"Postpartum Depression","author":{"@type":"Person","name":"Debra Fulghum Bruce, PhD"},"dateModified":"08/23/2022 07:00:00","primaryImageOfPage":{"@type":"ImageObject","name":"650x350_understanding_postpartum_depression_symptoms_ref_guide.jpg","description":"understanding_postpartum_depression_symptoms_ref_guide","license":"","url":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/reference_guide/understanding_postpartum_depression_symptoms_ref_guide/650x350_understanding_postpartum_depression_symptoms_ref_guide.jpg","thumbnailUrl":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/reference_guide/understanding_postpartum_depression_symptoms_ref_guide/650x350_understanding_postpartum_depression_symptoms_ref_guide.jpg"},"publisher":{"@type":"Organization","name":"WebMD","logo":{"@type":"ImageObject","url":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/logos/webmd/web/webmd_logo_53x12.gif"}}}</script><div class="inner-article-container"><header><h1>Postpartum Depression</h1></header><div class="med-wrap"><div><div class="asset-med-rev"><div class="reviewer-info" data-chronicle="091e9c5e81e52377" data-e2e="asset-medical-review" data-metrics-module="rvdby-lnk"><span class="reviewer-photo-cont"><figure><img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/biographies/johnson_traci_382x382.jpg?resize=51px:51px&output-quality=75" class="reviewer-photo"></figure></span><span class="reviewer-txt seperatorLine">Medically Reviewed by <a class="person" href="https://www.webmd.com/bio/traci-c-johnson" data-metrics-link="0">Traci C. Johnson, MD</a><span class="no-link"></span><span class="revDate"> on August 23, 2022</span></span></div><div class="byline"><span><span class="authors" data-metrics-module="wrtnby-lnk">Written by <a href="https://www.webmd.com/bio/debra-fulghum-bruce" class="person" data-metrics-link="0">Debra Fulghum Bruce, PhD</a></span></span></div></div></div></div><aside class="oncology-article-nav" data-metrics-module="cwnav-art"><ul class="nav-items desktop"><li><a href="#091e9c5e800088af-1-1">What Is Postpartum Depression?</a></li><li><a href="#091e9c5e800088af-1-3">Postpartum Depression Signs and Symptoms</a></li><li><a href="#091e9c5e800088af-2-5">Postpartum Depression Causes and Risk Factors</a></li><li><a href="#091e9c5e800088af-3-7">Types of Postpartum Depression</a><div class="item-button"><a href="#"></a></div></li><li><a href="#091e9c5e800088af-4-8">Postpartum Depression Treatment</a></li><li><a href="#091e9c5e800088af-4-9">Postpartum Depression Complications</a></li><li><a href="#091e9c5e800088af-4-10">Postpartum Depression Prevention</a></li><li class="item-button"></li></ul></aside><div class="reading-wrapper"><div class="readtime"><span>6 min read</span></div><div id="audio-placeholder-091e9c5e800088af"></div></div><div class="article__body" data-metrics-module="embd-lnk"><div class="article-page active-page" data-page="1"><section><h2 class="jumplink-headers" id="091e9c5e800088af-1-1">What Is Postpartum Depression?</h2><p dir="ltr"><span id="docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a">Postpartum depression</span> (PPD) is a complex mix of physical, emotional, and behavioral changes that happen in some women after giving birth. According to the DSM-5, a manual used to diagnose mental disorders, PPD is a form of major <a class="" href="https://www.webmd.com/depression/detecting-depression" id="76d38bc9-2a3b-4178-8295-69f0956c5b33;medical_reference">depression</a> that begins within 4 weeks after delivery. The diagnosis of postpartum depression is based not only on the length of time between delivery and onset but on the severity of the depression.</p><p dir="ltr"><span id="docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a">Postpartum depression</span> is linked to chemical, social, and psychological changes that happen when having a baby. The term describes a range of physical and emotional changes that many new mothers experience. PPD can be treated with medication and counseling.</p><p dir="ltr"><span id="docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a">The chemical changes involve a rapid drop in hormones after delivery. The actual link between this drop and</span> depression is still not clear. But what is known is that the levels of estrogen and <a class="" href="https://www.webmd.com/vitamins-and-supplements/progesterone-uses-and-risks" id="bfbcacd8-a063-4d0e-a30d-14205974c177;medical_reference">progesterone</a>, the female reproductive hormones, increase tenfold during <a href="https://www.webmd.com/baby/pregnancy-am-i-pregnant" data-crosslink-type="article" data-metrics-module="embd-lnkiclt">pregnancy</a>. Then, they drop sharply after delivery. By 3 days after a woman gives birth, the levels of these hormones drop back to what they were before pregnancy.</p></section><section><pagebreak /> <p dir="ltr"><span id="docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a">In addition to these chemical changes, the social and psychological changes of having a baby create an increased risk of </span>depression.</p><p dir="ltr"><span id="docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a">Most new mothers experience the "baby blues" after delivery. About 1 out of every 10 of these women will develop a more severe and longer-lasting depression after delivery. About 1 in 1,000 women develop a more serious condition called postpartum </span>psychosis.</p><p dir="ltr">Dads aren’t immune. Research shows that about 1 in 10 new fathers get depression during the year their child is born. </p></section><section><h2 class="jumplink-headers" id="091e9c5e800088af-1-3">Postpartum Depression Signs and Symptoms</h2><p dir="ltr"><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">Symptoms of postpartum </span>depression can be hard to detect. Many women have these symptoms following childbirth:</p><ul><li>Trouble sleeping</li><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">Appetite changes </span></li><li>Severe fatigue </li><li>Lower libido </li><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">Frequent mood changes </span></li></ul><p> </p><p>With PPD, these come along with other symptoms of major depression, which aren’t typical after childbirth, and may include: </p><ul><li>Being uninterested in your baby or feeling like you’re not bonding with them</li><li>Crying all the time, often for no reason</li><li>Depressed mood </li><li>Severe anger and crankiness</li><li>Loss of pleasure </li><li>Feelings of worthlessness, hopelessness, and helplessness </li><li>Thoughts of death or suicide </li><li>Thoughts of hurting someone else</li><li>Trouble concentrating or making decisions</li></ul></section></div><div class="article-page " data-page="2"><section> <p><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">Symptoms of </span><a class="" href="https://www.webmd.com/mental-health/obsessive-compulsive-disorder" id="b7660072-7c1e-47fe-a74d-247cf2efdd39;medical_reference">obsessive compulsive disorder</a><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">(OCD) that are new rarely occur in the postpartum period (about 1%-3% of women). The obsessions are usually related to concerns about the </span>baby's health or irrational fears of harming the baby. Panic disorder may also happen. You can have these conditions and depression at the same time.</p><p dir="ltr"><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">Untreated postpartum depression can be dangerous for new moms and their children. A new mom should seek professional help when:</span></p><ul><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">Symptoms persist beyond 2 weeks</span></li><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">They can’t function normally</span></li><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">They can't cope with everyday situations</span></li><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">They have thoughts of harming themselves or their baby</span></li><li><span id="docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b">They're feeling extremely anxious, scared, and panicked most of the day</span></li></ul><p> </p></section><section><h2 class="jumplink-headers" id="091e9c5e800088af-2-5">Postpartum Depression Causes and Risk Factors</h2><p dir="ltr">If you have PPD, it’s not because you did anything wrong. Experts think it happens for many reasons, and those can be different for different people. Some things that can raise the chances of postpartum depression include<span>:</span></p><ul><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">A history of depression prior to becoming pregnant, or during pregnancy</span></li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Age at time of pregnancy (the younger you are, the higher the chances)</span></li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Ambivalence about the pregnancy</span></li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Children (the more you have, the more likely you are to be depressed in a later pregnancy)</span></li><li>Family history of mood disorders</li><li>Going through an extremely stressful<a id="973ad644-3e5f-47ac-be9d-6344166c7d54;medical_reference" href="https://www.webmd.com/balance/causes-of-stress"></a>event, like a job loss or health crisis</li><li>Having a child with special needs or health problems</li><li>Having twins or triplets</li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Having a history of depression or </span><a class="" href="https://www.webmd.com/women/pms/premenstrual-dysphoric-disorder" id="b928258b-518e-453b-add9-968ebed6efab;medical_reference">premenstrual dysphoric disorder</a><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433"> (PMDD)</span></li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Limited social support</span></li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Living alone</span></li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">Marital conflict</span></li></ul></section><section> <p dir="ltr"><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433">There’s no one cause of postpartum depression, but these physical and emotional issues may contribute:</span></p><ul><li><strong>Hormones.</strong> The dramatic drop in estrogen and progesterone after you give birth may play a role. Other hormones produced by your thyroid gland also may drop sharply and make you feel tired, sluggish and depressed.</li><li><strong>Lack of sleep.</strong> When you're sleep-deprived and overwhelmed, you may have trouble handling even minor problems. </li><li><span id="docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433"><strong>Anxiety.</strong> </span>You may be anxious about your ability to care for a newborn. </li><li><strong>Self-image.</strong> You may feel less attractive, struggle with your sense of identity, or feel that you've lost control over your life. Any of these issues can contribute to postpartum depression.</li></ul><p> </p></section></div><div class="article-page " data-page="3"><section><h2 class="jumplink-headers" id="091e9c5e800088af-3-7">Types of Postpartum Depression</h2><p>There are three terms used to describe the mood changes women can have after giving birth:</p><ul><li>The <strong>"baby blues"</strong> happen to as many as 70% of women in the days right after childbirth. You may have sudden mood swings, such as feeling very happy and then feeling very sad. You may cry for no reason and can feel impatient, cranky, restless, anxious, lonely, and sad. The baby blues may last only a few hours or as long as 1 to 2 weeks after delivery. Usually you don’t need treatment from a health care provider for baby blues. Often, joining a support group of new moms or talking with other moms helps.</li><li><strong>Postpartum depression (PPD)</strong> can happen a few days or even months after childbirth. PPD can happen after the birth of any child, not just the first child. You can have feelings similar to the baby blues -- sadness, despair, <a href="https://www.webmd.com/anxiety-panic/anxiety-disorders" data-crosslink-type="article" data-metrics-module="embd-lnkiclt">anxiety</a>, crankiness -- but you feel them much more strongly. PPD often keeps you from doing the things you need to do every day. When your ability to function is affected, you need to see a health care provider, such as your OB/GYN or primary care doctor. This doctor can screen you for depression symptoms and come up with a treatment plan. If you don’t get treatment for PPD, symptoms can get worse. While PPD is a serious condition, it can be treated with medication and counseling.</li><li><strong>Postpartum psychosis</strong> is a very serious mental illness that can affect new mothers. This illness can happen quickly, often within the first 3 months after childbirth. Women can lose touch with reality, having auditory hallucinations (hearing things that aren't actually happening, like a person talking) and delusions (strongly believing things that are clearly irrational). Visual hallucinations (seeing things that aren't there) are less common. Other symptoms include <a href="https://www.webmd.com/sleep-disorders/insomnia-symptoms-and-causes" data-crosslink-type="article" data-metrics-module="embd-lnkiclt">insomnia</a> (not being able to sleep), feeling agitated and angry, pacing, restlessness, and strange feelings and behaviors. Women who have postpartum psychosis<a class="" id="8f3f4ae8-791a-4177-a0fb-5f54b48a8e11;medical_reference" href="https://www.webmd.com/schizophrenia/what-is-psychosis"></a>need treatment right away and almost always need medication. Sometimes women are put into the hospital because they are at risk for hurting themselves or someone else.</li></ul><p> </p></section></div><div class="article-page " data-page="4"><section><h2 class="jumplink-headers" id="091e9c5e800088af-4-8">Postpartum Depression Treatment</h2><p dir="ltr"><span id="docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae">Postpartum depression is treated differently, depending on the type of symptoms and how severe they are. Treatment options include anti-anxiety or </span><a class="" href="https://www.webmd.com/depression/depression-medications-antidepressants" id="7155bf9c-973f-4bb2-95fd-cb48840f4ae6;medical_reference">antidepressant </a>medications, psychotherapy, and participation in a support group for emotional support and education. For severe cases, an IV of a new medication called brexanolone (Zulresso) may be prescribed.</p><p dir="ltr"><span id="docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae">In the case of postpartum psychosis, drugs used to treat </span>psychosis<span id="docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae"> are usually added. Hospital admission is also often necessary.</span></p><p dir="ltr"><span id="docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae">If you are </span>breastfeeding, don't assume that you can't take medication for depression, anxiety, or even psychosis. Talk to your doctor. Under a doctor's supervision, many women take medication while breastfeeding. This is a decision to be made between you and your doctor.</p><div> </div></section><section><h2 class="jumplink-headers" id="091e9c5e800088af-4-9">Postpartum Depression Complications</h2><p>Postpartum depression that isn’t treated can weaken your ability to bond with your baby, and affect the whole family:</p><ul><li><strong>You.</strong> Postpartum depression that’s not treated can last for months or longer, even turning into a <a href="https://www.webmd.com/depression/chronic-depression-dysthymia">chronic depressive disorder</a>. Even with treatment, postpartum depression can make you more likely to have episodes of depression in the future.</li><li><strong>The baby’s father.</strong> When a new mother has depression, the father may be more likely to have depression too.</li><li><strong>Children.</strong> Children of mothers with postpartum depression are more likely to have problems with sleeping and eating, crying more than usual, and delays in language development.</li></ul><p> </p></section><section><h2 class="jumplink-headers" id="091e9c5e800088af-4-10">Postpartum Depression Prevention</h2><p>If you have a history of depression, tell your doctor as soon as you find out you’re pregnant, or if you’re planning to become pregnant.</p><ul><li><strong>During pregnancy.</strong> Your doctor can monitor you for symptoms. You can manage mild <a href="https://www.webmd.com/depression/depression-symptoms-causes">depression symptoms </a>with support groups, counseling, or other therapies. Your doctor may prescribe medications, even while you’re pregnant.</li><li><strong>After your baby is born.</strong> Your doctor may recommend an early postpartum checkup to look for symptoms of depression. The earlier you’re diagnosed, the earlier you can begin treatment. If you have a history of postpartum depression, your doctor may recommend treatment as soon as you have the baby.</li></ul><p><strong>Managing after childbirth</strong></p><p>Here are some tips that can help you cope with bringing home a newborn:</p><ul><li>Ask for help. Let others know how they can help you.</li><li>Be realistic about your expectations for yourself and baby.</li><li>Exercise , within the limits of any restrictions your doctor may place on your level of activity; take a walk, and get out of the house for a break.</li><li>Expect some good days and some bad days.</li><li>Follow a sensible diet; avoid <a href="https://www.webmd.com/mental-health/addiction/alcohol-withdrawal-symptoms-treatments" data-crosslink-type="article" data-metrics-module="embd-lnkiclt">alcohol</a> and caffeine.</li><li>Foster the relationship with your partner -- make time for each other.</li><li>Keep in touch with family and friends -- don’t isolate yourself.</li><li>Limit visitors when you first go home.</li><li>Screen phone calls.</li><li>Sleep or rest when your baby sleeps.</li></ul><p> </p></section></div></div><div class="related-articles" data-metrics-module="cwnav-art" data-metrics-sel="li"></div><footer><div class="pub-info-and-share-bar"><div 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data-v-28242611></div></div></div></div></div><div class="asset-footer-content"><div class="sources-section" style="display:none;"><div class="sources-wrapper" data-metrics-module="src"><p>SOURCES:</p><p>National Institute of Mental Health: "What is Depression?" "Depression: What Every Woman Should Know," “Postpartum Depression Facts.”</p><p>MedlinePlus: "Medical Encyclopedia: Post-partum Depression."</p><p>National Institutes of Health: News in Health: "Understanding Post Partum Depression, Common but Treatable."</p><p>American Psychiatric Association. <i>Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR</i>, American Psychiatric Pub, 2000.</p><p>Fieve, R, MD. <i>Bipolar II,</i> Rodale Books, 2006.</p><p><i>The Journal of the American Medical Association</i>: “Recommendations for Screening Depression in Adults.”</p><p><span id="docs-internal-guid-d618f931-7fff-44b2-9ae5-e0f43147f21e">Mayo Clinic: “Postpartum depression.”</span></p><p>American Psychiatric Association: “What is Postpartum Depression?”</p><p>American Psychological Association: “What is Postpartum Depression and Anxiety?”</p><p>Mary Jane Minkin, MD, professor of obstetrics, gynecology, and reproductive science, Yale University School of Medicine.</p><p><i>Psychiatry</i>: “Sad dads: paternal postpartum depression." </p><p><i>Journal of Pediatric Health Care</i>: “Paternal Postpartum Depression: What Health Care Providers Should Know.” </p><p> </p></div></div></div><div class="asset-footer-bottom"><a href="https://www.webmd.com/about-webmd-policies/about-privacy-policy" class="asset-footer-policy"> View privacy policy, copyright and trust info </a></div><div class="asset-footer-bottom-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" data-metrics-module="fm-shr"><div class="share-footer-container"><div class="share-text">Share</div><div class="icon-sb-footer-svg icon-sb-footer-share"><svg class="icon-sb-footer-svg" width="18" height="20" viewbox="0 0 18 20" fill="none" xmlns="https://www.w3.org/2000/svg"><path class="icon-sb-footer-svg" d="M15 20C14.1667 20 13.4583 19.7083 12.875 19.125C12.2917 18.5417 12 17.8333 12 17C12 16.8833 12.0083 16.7623 12.025 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It may take a while until you find one that's a good fit.\u003C\u002Fp\u003E"},"article_editor_note":"","article_link":{"aspen_id":"52672a98-104d-45d2-b056-3961f0d95cbb","directive":"article","_chronic_id":"091e9c5e8120f3c5","path":"","object_type":"wbmd_cons_article","chapter__chronic_id":"9c3a3772-53a5-479a-b05f-7dd5d81cfec9","link_friendlyUrl":"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fdrugs-treat-depression"}},{"article_link_title":"How Antidepressants Work","article_description":{"#cdata-section":"\u003Cp\u003EMany researchers believe that the benefits of antidepressants stem from how they affect certain brain circuits and 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(SSRIs).\u003C\u002Fp\u003E"},"article_editor_note":"","article_link":{"aspen_id":"d5171ea5-82e0-47b7-9666-f614f18c54a9","directive":"article","_chronic_id":"091e9c5e801d28a4","path":"","object_type":"wbmd_cons_article","chapter__chronic_id":"9c3a3772-53a5-479a-b05f-7dd5d81cfec9","link_friendlyUrl":"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fssris-myths-and-facts-about-antidepressants"}},{"article_link_title":"Celexa vs. Lexapro","article_description":{"#cdata-section":"\u003Cp\u003ECitalopram (Celexa) and escitalopram (Lexapro) are similar SSRI medications that treat depression.\u003C\u002Fp\u003E"},"article_editor_note":"","article_link":{"aspen_id":"996572ee-5be7-45f0-b757-4bbde95304f3","directive":"article","_chronic_id":"091e9c5e81f7e339","path":"","object_type":"wbmd_cons_article","chapter__chronic_id":"9c3a3772-53a5-479a-b05f-7dd5d81cfec9","link_friendlyUrl":"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fcelexa-vs-lexapro"}},{"article_link_title":"Prozac vs. Lexapro","article_description":{"#cdata-section":"\u003Cp\u003ETwo common drugs that can help treat depression are fluoxetine (Prozac) and escitalopram (Lexapro).\u003C\u002Fp\u003E"},"article_editor_note":"","article_link":{"aspen_id":"89c84f1d-2571-4b9b-9e4b-39ab7d9bab40","directive":"article","_chronic_id":"091e9c5e81f82713","path":"","object_type":"wbmd_cons_article","chapter__chronic_id":"9c3a3772-53a5-479a-b05f-7dd5d81cfec9","link_friendlyUrl":"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fprozac-lexapro-side-effects-interactions-more"}},{"article_link_title":"Lexapro and Alcohol","article_description":{"#cdata-section":"\u003Cp\u003EIf you take Lexapro for depression, you may wonder if it’s OK to have a cocktail, beer, or glass of wine once in a 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She has been in private practice in Snellville, GA, since 2002, serving as chief of obstetrics and gynecology at Eastside Medical Center from 2012 to 2014. She is married with three children (including twins). She enjoys spending time with her family, reading, and traveling.\u003C\u002Fp\u003E"},"person_photo":{"directive":"imageurl","_chronic_id":"8d431a0a-6df3-4f32-814a-ffc1d0fb4275","path":"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticles\u002Fbiographies\u002Fjohnson_traci_382x382.jpg","object_type":"wbmd_cons_img"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}},"wbmd_person_suffix_group":{"wbmd_person_suffix":{"object_type":"wbmd_lookup","wbmd_lookup_type":"person_suffix","wbmd_storage_val":"48","wbmd_disp_nm":"MD"}},"name":"Traci C. 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According to the DSM-5, a manual used to diagnose mental disorders, PPD is a form of major \u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fdetecting-depression\" id=\"76d38bc9-2a3b-4178-8295-69f0956c5b33;medical_reference\"\u003Edepression\u003C\u002Fa\u003E that begins within 4 weeks after delivery. The diagnosis of postpartum depression is based not only on the length of time between delivery and onset but on the severity of the depression.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a\"\u003EPostpartum depression\u003C\u002Fspan\u003E is linked to chemical, social, and psychological changes that happen when having a baby. The term describes a range of physical and emotional changes that many new mothers experience. PPD can be treated with medication and counseling.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a\"\u003EThe chemical changes involve a rapid drop in hormones after delivery. The actual link between this drop and\u003C\u002Fspan\u003E depression is still not clear. But what is known is that the levels of estrogen and \u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fvitamins-and-supplements\u002Fprogesterone-uses-and-risks\" id=\"bfbcacd8-a063-4d0e-a30d-14205974c177;medical_reference\"\u003Eprogesterone\u003C\u002Fa\u003E, the female reproductive hormones, increase tenfold during \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fbaby\u002Fpregnancy-am-i-pregnant\" crosslinktype=\"Article\" crosslinksource=\"ICLT\"\u003Epregnancy\u003C\u002Fa\u003E. Then, they drop sharply after delivery. By 3 days after a woman gives birth, the levels of these hormones drop back to what they were before pregnancy.\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"2\" \u002F\u003E\u003Cpagebreak \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EWhat Is Postpartum Depression? continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a\"\u003EIn addition to these chemical changes, the social and psychological changes of having a baby create an increased risk of \u003C\u002Fspan\u003Edepression.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-de3e3b02-7fff-5af0-8a07-8225823e149a\"\u003EMost new mothers experience the \"baby blues\" after delivery. About 1 out of every 10 of these women will develop a more severe and longer-lasting depression after delivery. About 1 in 1,000 women develop a more serious condition called postpartum \u003C\u002Fspan\u003Epsychosis.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003EDads aren’t immune. Research shows that about 1 in 10 new fathers get depression during the year their child is born. \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EPostpartum Depression Signs and Symptoms\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003ESymptoms of postpartum \u003C\u002Fspan\u003Edepression can be hard to detect. Many women have these symptoms following childbirth:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003ETrouble sleeping\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EAppetite changes \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003ESevere fatigue \u003C\u002Fli\u003E\u003Cli\u003ELower libido \u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EFrequent mood changes \u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003Cp\u003EWith PPD, these come along with other symptoms of major depression, which aren’t typical after childbirth, and may include: \u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EBeing uninterested in your baby or feeling like you’re not bonding with them\u003C\u002Fli\u003E\u003Cli\u003ECrying all the time, often for no reason\u003C\u002Fli\u003E\u003Cli\u003EDepressed mood \u003C\u002Fli\u003E\u003Cli\u003ESevere anger and crankiness\u003C\u002Fli\u003E\u003Cli\u003ELoss of pleasure \u003C\u002Fli\u003E\u003Cli\u003EFeelings of worthlessness, hopelessness, and helplessness \u003C\u002Fli\u003E\u003Cli\u003EThoughts of death or suicide \u003C\u002Fli\u003E\u003Cli\u003EThoughts of hurting someone else\u003C\u002Fli\u003E\u003Cli\u003ETrouble concentrating or making decisions\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"3\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"2\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EPostpartum Depression Signs and Symptoms continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003ESymptoms of \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fmental-health\u002Fobsessive-compulsive-disorder\" id=\"b7660072-7c1e-47fe-a74d-247cf2efdd39;medical_reference\"\u003Eobsessive compulsive disorder\u003C\u002Fa\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003E(OCD) that are new rarely occur in the postpartum period (about 1%-3% of women). The obsessions are usually related to concerns about the \u003C\u002Fspan\u003Ebaby's health or irrational fears of harming the baby. Panic disorder may also happen. You can have these conditions and depression at the same time.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EUntreated postpartum depression can be dangerous for new moms and their children. A new mom should seek professional help when:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003ESymptoms persist beyond 2 weeks\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EThey can’t function normally\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EThey can't cope with everyday situations\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EThey have thoughts of harming themselves or their baby\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-4c9868e9-7fff-3dd7-d551-b9326eeaf59b\"\u003EThey're feeling extremely anxious, scared, and panicked most of the day\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EPostpartum Depression Causes and Risk Factors\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003EIf you have PPD, it’s not because you did anything wrong. Experts think it happens for many reasons, and those can be different for different people. Some things that can raise the chances of postpartum depression include\u003Cspan\u003E:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EA history of depression prior to becoming pregnant, or during pregnancy\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EAge at time of pregnancy (the younger you are, the higher the chances)\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EAmbivalence about the pregnancy\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EChildren (the more you have, the more likely you are to be depressed in a later pregnancy)\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003EFamily history of mood disorders\u003C\u002Fli\u003E\u003Cli\u003EGoing through an extremely stressful\u003Ca id=\"973ad644-3e5f-47ac-be9d-6344166c7d54;medical_reference\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fbalance\u002Fcauses-of-stress\"\u003E\u003C\u002Fa\u003Eevent, like a job loss or health crisis\u003C\u002Fli\u003E\u003Cli\u003EHaving a child with special needs or health problems\u003C\u002Fli\u003E\u003Cli\u003EHaving twins or triplets\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EHaving a history of depression or \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fwomen\u002Fpms\u002Fpremenstrual-dysphoric-disorder\" id=\"b928258b-518e-453b-add9-968ebed6efab;medical_reference\"\u003Epremenstrual dysphoric disorder\u003C\u002Fa\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003E (PMDD)\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003ELimited social support\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003ELiving alone\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EMarital conflict\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"4\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EPostpartum Depression Causes and Risk Factors continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003EThere’s no one cause of postpartum depression, but these physical and emotional issues may contribute:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cstrong\u003EHormones.\u003C\u002Fstrong\u003E The dramatic drop in estrogen and progesterone after you give birth may play a role. Other hormones produced by your thyroid gland also may drop sharply and make you feel tired, sluggish and depressed.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003ELack of sleep.\u003C\u002Fstrong\u003E When you're sleep-deprived and overwhelmed, you may have trouble handling even minor problems. \u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan id=\"docs-internal-guid-53f04f74-7fff-0a16-b283-55d5659ef433\"\u003E\u003Cstrong\u003EAnxiety.\u003C\u002Fstrong\u003E \u003C\u002Fspan\u003EYou may be anxious about your ability to care for a newborn. \u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003ESelf-image.\u003C\u002Fstrong\u003E You may feel less attractive, struggle with your sense of identity, or feel that you've lost control over your life. Any of these issues can contribute to postpartum depression.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"desktop\" order=\"3\" \u002F\u003E\u003Csection_header\u003ETypes of Postpartum Depression\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EThere are three terms used to describe the mood changes women can have after giving birth:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EThe \u003Cstrong\u003E\"baby blues\"\u003C\u002Fstrong\u003E happen to as many as 70% of women in the days right after childbirth. You may have sudden mood swings, such as feeling very happy and then feeling very sad. You may cry for no reason and can feel impatient, cranky, restless, anxious, lonely, and sad. The baby blues may last only a few hours or as long as 1 to 2 weeks after delivery. Usually you don’t need treatment from a health care provider for baby blues. Often, joining a support group of new moms or talking with other moms helps.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EPostpartum depression (PPD)\u003C\u002Fstrong\u003E can happen a few days or even months after childbirth. PPD can happen after the birth of any child, not just the first child. You can have feelings similar to the baby blues -- sadness, despair, \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fanxiety-panic\u002Fanxiety-disorders\" crosslinktype=\"Article\" crosslinksource=\"ICLT\"\u003Eanxiety\u003C\u002Fa\u003E, crankiness -- but you feel them much more strongly. PPD often keeps you from doing the things you need to do every day. When your ability to function is affected, you need to see a health care provider, such as your OB\u002FGYN or primary care doctor. This doctor can screen you for depression symptoms and come up with a treatment plan. If you don’t get treatment for PPD, symptoms can get worse. While PPD is a serious condition, it can be treated with medication and counseling.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EPostpartum psychosis\u003C\u002Fstrong\u003E is a very serious mental illness that can affect new mothers. This illness can happen quickly, often within the first 3 months after childbirth. Women can lose touch with reality, having auditory hallucinations (hearing things that aren't actually happening, like a person talking) and delusions (strongly believing things that are clearly irrational). Visual hallucinations (seeing things that aren't there) are less common. Other symptoms include \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fsleep-disorders\u002Finsomnia-symptoms-and-causes\" crosslinktype=\"Article\" crosslinksource=\"ICLT\"\u003Einsomnia\u003C\u002Fa\u003E (not being able to sleep), feeling agitated and angry, pacing, restlessness, and strange feelings and behaviors. Women who have postpartum psychosis\u003Ca class=\"\" id=\"8f3f4ae8-791a-4177-a0fb-5f54b48a8e11;medical_reference\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fschizophrenia\u002Fwhat-is-psychosis\"\u003E\u003C\u002Fa\u003Eneed treatment right away and almost always need medication. Sometimes women are put into the hospital because they are at risk for hurting themselves or someone else.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"5\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"4\" \u002F\u003E\u003Csection_header\u003EPostpartum Depression Treatment\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae\"\u003EPostpartum depression is treated differently, depending on the type of symptoms and how severe they are. Treatment options include anti-anxiety or \u003C\u002Fspan\u003E\u003Ca class=\"\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fdepression-medications-antidepressants\" id=\"7155bf9c-973f-4bb2-95fd-cb48840f4ae6;medical_reference\"\u003Eantidepressant \u003C\u002Fa\u003Emedications, psychotherapy, and participation in a support group for emotional support and education. For severe cases, an IV of a new medication called brexanolone (Zulresso) may be prescribed.\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae\"\u003EIn the case of postpartum psychosis, drugs used to treat \u003C\u002Fspan\u003Epsychosis\u003Cspan id=\"docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae\"\u003E are usually added. Hospital admission is also often necessary.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp dir=\"ltr\"\u003E\u003Cspan id=\"docs-internal-guid-6abd62fd-7fff-1f6d-821d-40a4611f07ae\"\u003EIf you are \u003C\u002Fspan\u003Ebreastfeeding, don't assume that you can't take medication for depression, anxiety, or even psychosis. Talk to your doctor. Under a doctor's supervision, many women take medication while breastfeeding. This is a decision to be made between you and your doctor.\u003C\u002Fp\u003E\u003Cdiv\u003E \u003C\u002Fdiv\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EPostpartum Depression Complications\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EPostpartum depression that isn’t treated can weaken your ability to bond with your baby, and affect the whole family:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cstrong\u003EYou.\u003C\u002Fstrong\u003E Postpartum depression that’s not treated can last for months or longer, even turning into a \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fchronic-depression-dysthymia\"\u003Echronic depressive disorder\u003C\u002Fa\u003E. Even with treatment, postpartum depression can make you more likely to have episodes of depression in the future.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EThe baby’s father.\u003C\u002Fstrong\u003E When a new mother has depression, the father may be more likely to have depression too.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EChildren.\u003C\u002Fstrong\u003E Children of mothers with postpartum depression are more likely to have problems with sleeping and eating, crying more than usual, and delays in language development.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"6\" \u002F\u003E\u003Csection_header\u003EPostpartum Depression Prevention\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003EIf you have a history of depression, tell your doctor as soon as you find out you’re pregnant, or if you’re planning to become pregnant.\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cstrong\u003EDuring pregnancy.\u003C\u002Fstrong\u003E Your doctor can monitor you for symptoms. You can manage mild \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fdepression\u002Fdepression-symptoms-causes\"\u003Edepression symptoms \u003C\u002Fa\u003Ewith support groups, counseling, or other therapies. Your doctor may prescribe medications, even while you’re pregnant.\u003C\u002Fli\u003E\u003Cli\u003E\u003Cstrong\u003EAfter your baby is born.\u003C\u002Fstrong\u003E Your doctor may recommend an early postpartum checkup to look for symptoms of depression. The earlier you’re diagnosed, the earlier you can begin treatment. If you have a history of postpartum depression, your doctor may recommend treatment as soon as you have the baby.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cstrong\u003EManaging after childbirth\u003C\u002Fstrong\u003E\u003C\u002Fp\u003E\u003Cp\u003EHere are some tips that can help you cope with bringing home a newborn:\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003EAsk for help. Let others know how they can help you.\u003C\u002Fli\u003E\u003Cli\u003EBe realistic about your expectations for yourself and baby.\u003C\u002Fli\u003E\u003Cli\u003EExercise , within the limits of any restrictions your doctor may place on your level of activity; take a walk, and get out of the house for a break.\u003C\u002Fli\u003E\u003Cli\u003EExpect some good days and some bad days.\u003C\u002Fli\u003E\u003Cli\u003EFollow a sensible diet; avoid \u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fmental-health\u002Faddiction\u002Falcohol-withdrawal-symptoms-treatments\" crosslinktype=\"Article\" crosslinksource=\"ICLT\"\u003Ealcohol\u003C\u002Fa\u003E and caffeine.\u003C\u002Fli\u003E\u003Cli\u003EFoster the relationship with your partner -- make time for each other.\u003C\u002Fli\u003E\u003Cli\u003EKeep in touch with family and friends -- don’t isolate yourself.\u003C\u002Fli\u003E\u003Cli\u003ELimit visitors when you first go home.\u003C\u002Fli\u003E\u003Cli\u003EScreen phone calls.\u003C\u002Fli\u003E\u003Cli\u003ESleep or rest when your baby sleeps.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E \u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E"},"citations":{"#cdata-section":"\u003Cp\u003ESOURCES:\u003C\u002Fp\u003E\u003Cp\u003ENational Institute of Mental Health: \"What is Depression?\" \"Depression: What Every Woman Should Know,\" “Postpartum Depression Facts.”\u003C\u002Fp\u003E\u003Cp\u003EMedlinePlus: \"Medical Encyclopedia: Post-partum Depression.\"\u003C\u002Fp\u003E\u003Cp\u003ENational Institutes of Health: News in Health: \"Understanding Post Partum Depression, Common but Treatable.\"\u003C\u002Fp\u003E\u003Cp\u003EAmerican Psychiatric Association. \u003Ci\u003EDiagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR\u003C\u002Fi\u003E, American Psychiatric Pub, 2000.\u003C\u002Fp\u003E\u003Cp\u003EFieve, R, MD. \u003Ci\u003EBipolar II,\u003C\u002Fi\u003E Rodale Books, 2006.\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EThe Journal of the American Medical Association\u003C\u002Fi\u003E: “Recommendations for Screening Depression in Adults.”\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan id=\"docs-internal-guid-d618f931-7fff-44b2-9ae5-e0f43147f21e\"\u003EMayo Clinic: “Postpartum depression.”\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003EAmerican Psychiatric Association: “What is Postpartum Depression?”\u003C\u002Fp\u003E\u003Cp\u003EAmerican Psychological Association: “What is Postpartum Depression and Anxiety?”\u003C\u002Fp\u003E\u003Cp\u003EMary Jane Minkin, MD, professor of obstetrics, gynecology, and reproductive science, Yale University School of Medicine.\u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EPsychiatry\u003C\u002Fi\u003E: “Sad dads: paternal postpartum depression.\" \u003C\u002Fp\u003E\u003Cp\u003E\u003Ci\u003EJournal of Pediatric Health Care\u003C\u002Fi\u003E: “Paternal Postpartum Depression: What Health Care Providers Should Know.” \u003C\u002Fp\u003E\u003Cp\u003E \u003C\u002Fp\u003E"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}}}},"staticPublicPath":"\u002Fstatic_vue\u002F091e9c5e81e52376\u002Fclient\u002F","isInteractivePage":false},"flow":{"flowInfo":false},"quiz":{"rmq":{}}}</script> <script>window.__INITIAL_STATE__.route.hash = window.location.hash; 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