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Postpartum Depression

Do you think you have postpartum depression? If you're like most women, you probably think you don't. But experts estimate that 1 in 10 women suffer from some level of PPD -- and that most of them don't know it.

 

The bottom line is this: If you're feeling overwhelmed or depressed, get help. Although you and your spouse or partner might be able to muscle your way through PPD, it won't be a pleasant experience, and it can even be dangerous for you and your family. It also can take up to two years for PPD to resolve itself. So don't wait. Get help now.

 

Remember and believe these words: It's not your fault. You're not weak. You're not a failure. You're not alone. You can be treated. You can get better.

 

 

Who is at risk of postpartum depression?

Although experts estimate that about 1 in 10 women suffer from some level of postpartum depression -- and 1 in 1,000 from postpartum psychosis -- it's still relatively misunderstood, and the exact cause of it isn't known. Some say that a combination of factors might be to blame -- or that certain factors are correlated with a greater predisposition to PPD:

     

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history of hormonal or thyroid imbalances

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exhaustion

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overwhelming home or work conditions (including death in family, job change or layoff or a move)

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personal or family history of depression, PPD or other mental problems

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unrealistic expectations (including tendencies toward perfectionism)

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physical problems following delivery

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baby who is sick, colicky or has other problems

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little or no support from spouse, family members or friends

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isolation

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personal or family history of abuse, physical or emotional abandonment, and/or neglect

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What is postpartum depression?

The blues:  Many new parents experience "the blues" shortly after arrival of a new baby. Symptoms might include crying jags, irritability, erratic sleep (outside of the demands of a new baby), anxiety and moodiness. The blues come quickly, and they typically go away quickly.

Postpartum Depression:   Postpartum depression isn't fleeting. Symptoms often don't appear until several months after delivery (thereby contributing to lack of diagnosis). They can include some or all of the following: exhaustion, sadness, hopelessness, confusion, memory loss, uncontrollable crying, lack of interest in the baby (or obsession with the baby), feelings of being overwhelmed, feelings of guilt and inadequacy, fear of harming yourself or the baby, resurgence of past emotional issues. See your doctor for help in treating your symptoms (and if these or other symptoms are interfering with your ability to care for yourself and/or the baby, seek immediate medical help).

Postpartum Psychosis:   Postpartum psychosis is much more rare, but it's an emergency and requires immediate medical attention. Symptoms usually appear within the first two weeks after delivery, and might include some or all of the following: severe agitation, hyperactivity, bizarre feelings and behavior, aggressive and/or suicidal tendencies, delusions, paranoia, confusion, hallucinations, severe insomnia.

Remember that 1) symptoms and severity vary from woman to woman, 2) you don't have to be a danger to yourself or your baby to be suffering from postpartum depression, and 3) a new mom who's had other children still can suffer from postpartum depression.

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Moms With PPD Can Have Trouble Getting Help:

Mothers with postpartum depression sometimes have trouble getting the support, information, and compassionate ear they need -- in part because it probably won't occur to most of them that postpartum depression is what they have. Women are strong; they make things work. They can read a thousand articles about postpartum depression -- never once dreaming that they're reading about themselves.

Additionally, a great many mothers might feel they've failed if they "can't handle" a new baby, or they might worry the child will be taken away if they confess to having bewildering -- even frightening -- feelings. The good news is that postpartum depression is better understood today than it's ever been. Information is plentiful, and health care providers are much better informed.

A good way to obtain information and resources on PPD is to get them before you need them. But if you're feeling in need of help right now, and your doctor isn't giving you the information or support you need (you're getting brushed off or being given unhelpful advice), do consider seeing another doctor. Take this condition seriously, and do something about it. Postpartum depression isn't "just in your head," it isn't something you need to just "get over," and it is treatable.

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 Links for information and support:

bulletPostpartum Support International
bulletPostpartum Education for Parents
bullet Depression after Delivery (D.A.D.)
bulletWebMD - do a search under postpartum depression
bulletMedem - do a search under postpartum depression (has a nice piece called "Especially for Fathers")
bulletOnline PPD Support Group
bulletAmerican Academy of Family Physicians
bulletPacific Post Partum Support Society - Canadian site
bulletKidsHealth - do a search under postpartum depression.
bulletBehind the Smile: My Journey Out of Postpartum Depression - a book by Marie Osmond - chronicles her struggle with postpartum depression
bullet Safer Child Preventing Abuse pages

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