Monthly Health Articles Archive

The baby blues or postpartum depression?

The birth of a new baby is generally a joyful occasion, but the addition of an infant to the household can also present many challenges for parents.  New mothers are confronted with the needs of the baby while adjusting to their own physical changes and recovery from the birth.  It’s normal during this time for new mothers to have days when they feel sad, unhappy or “down in the dumps,” as these symptoms are often related to hormone changes, lack of regular sleep and the stress of taking care of a new baby.  When do the “baby blues” become something more serious?  If feelings of sadness, anger or frustration begin interfering with everyday life for an extended period of time, that person may be experiencing postpartum depression.

This type of depression can occur anytime in the first year after the birth of a baby.  After childbirth, a dramatic drop in estrogen and progesterone may trigger depression.   The risk of postpartum depression increases if a person has a history of depression, a history of severe premenstrual syndrome, experienced stressful events during pregnancy (such as a serious illness, difficult delivery, or a premature birth), a difficult marriage or if the pregnancy was unplanned.   Experiencing postpartum depression doesn’t mean that you are a bad person.  Postpartum depression is like heart disease, diabetes or any other serious illness – it requires treatment and should not be left to go away on its own.  Getting help and support will allow you to feel better, manage your symptoms and enjoy your new baby. 

Some common symptoms of postpartum depression may include a loss of interest in life, lack of appetite, decreased energy and motivation, mood swings, feelings of worthlessness, guilt, sadness, anxiety, or restlessness, and having thoughts of hurting yourself or your baby.  Feelings of inadequacy or being overwhelmed by the duties of taking care of the baby are also common. 

Talk therapy, through individual counseling or group support, is often helpful for women experiencing postpartum depression.  Antidepressant medication is commonly used.  Talk with your doctor about the options that would be best for you. 

In addition, there are other things that new mothers can do to help themselves.  Try to make healthy lifestyle choices by getting as much rest as possible, exercising and eating a healthy diet.  Set reasonable goals for yourself and don’t pressure yourself to do too much.  Do what you can, and leave the rest.  Ask for help with household chores and childcare when you need it.  Stay in communication with others.  Talk with your spouse, family and friends about how you are feeling, seek out other mothers for support or find a support organization for women with depression.  For more information about postpartum depression contact your health care provider or Kossuth Regional Health Center at 515.295.2451.

-Dr. Mia Hegarty is a clinical psychologist at Kossuth Regional Health Center