Postpartum depression, or PPD, is a form of clinical depression that one in ten women experience after childbirth. Contributing factors of PPD are a plummet in estrogen and progesterone after birth, the emotional stress on families combined with a lack of sleep. PPD is not simply just Baby Blues, which subsides after a few days or weeks. Rather, postpartum depression can persist for months after the birth of a child. This form of depression shares many of the same symptoms as general depression, namely: sadness, anxiety, fatigue, changes in eating and appetite, guilt, mood swings, and a general lack of interest in life. In addition, PPD also includes symptoms such as: thoughts of doing harm to the baby, difficulty bonding with the baby, and feeling that you cannot care for the baby. This form of depression doesn’t just affect you; it can have damaging long-term effects on your relationship with your spouse as well as your baby. Children who have mothers in the throes of PPD are more likely to have behavioral and cognitive problems later in life, so it is important to treat this disease.

Who is at risk?

If you have had PPD after other pregnancies, experienced depression during your pregnancy, had a history of depression, or if this pregnancy was unplanned or unwanted, you may be at risk for postpartum depression. The recent loss of a loved one or a job, or conflicts with your partner are also be contributing factors. It has also been shown that a lack of support from your spouse, family or community can contribute.

Is PPD Preventable?

Having an honest, open relationship with your doctor is important during pregnancy. Disclose concerns you may have with your doctor, and inform him of any history with depression. If you have had postpartum depression with other pregnancies, your doctor may prescribe antidepressants immediately after delivery to prevent another bout of PPD. Eating a balanced diet rich with omega 3 fatty acids and keeping hydrated (especially breastfeeding mothers) has also been shown to help postpartum depression. Exercise as soon as your doctor says it’s safe- the endorphins released during exercise can counteract the effects of postpartum depression.

What is the treatment for postpartum depression?

In some cases, counseling may be enough to help you through your PPD, but your doctor may prescribe antidepressants. There has also been research concerning hormone replacement therapy. Be aware that any medication will be passed through your milk if you’re breastfeeding. If you’re looking for alternative treatments, studies show that acupuncture and massage therapy may lessen the effects of postpartum depression. An important aspect of overcoming postpartum depression is to take care of yourself. Get as much sleep as you can with the new baby. Take at least fifteen minutes every day to do something that you enjoy or helps you relax. Remember that your baby will be happier if you’re happy.