Along with the joy of giving birth to a baby, many mothers experience some kind of emotional change. This may range from baby blues to clinical depression.
The difference lies in the nature and intensity of these feelings as well as how long they last. Studies have shown that women are more likely to develop these problems following the delivery of a baby than at any other time in their lives.
Risk Factors for Postpartum Mood Disorder
Hormonal changes after delivery
Sleep deprivation
Unplanned pregnancy
Financial problems
Tension in relationships
Medical complications
Unrealistic expectations about mothering
Prior loss of baby
Fussy or difficult baby
Fertility problems prior to pregnancy
Baby Blues
Many mothers may doubt themselves and their ability to be good mothers to their newborns. They wonder what is wrong, they may be tearful or easily irritated, or anxious and ultra-sensitive. They may be exhausted, have trouble concentrating or sleeping, and may feel overwhelmed by their responsibilities. Such feelings occur in almost all women who have delivered a baby (89%). The “blues” usually begin around the third or fourth day after delivery and can last from a few hours to a week. Such feelings usually fade without treatment.
When the “blues” continue beyond two weeks and worsen, postpartum depression is probably developing. This is not uncommon and happens to 10-20% of postpartum women. Postpartum depression symptoms can appear any time during the first few months and up to one year after delivery. Symptoms of Postpartum Depression may include:
Loss of identity
Complete loss of control
Feeling withdrawn, isolated, and lonely
Change in appetite
Overwhelming exhaustion
Nightmares
Thoughts of hurting your baby or self
The need to keep moving or pacing
Feelings of hopelessness
Mood swings
Incapacitating anxiety or doubt
Difficulty focusing or concentrating
Overly concerned about cleanliness/germs and the health and safety of your baby
Feeling the need to “jump out of your skin”
Uncontrollable crying
These feelings and experiences may lead you to become possessive of your baby or disengage from your baby. This poses a risk to the physical and emotional safety of your baby. If untreated, these symptoms can last up to one year.
There are several treatment options including psychotherapy, medication and/or support groups. Mothers who receive treatment usually respond extremely well.
This reaction is rare (found in only 0.1% of new mothers) and involves a major disturbance in how the mother views reality. Symptoms include:
Extreme confusion
Refusal to eat
Delusions
Auditory hallucinations
Agitation
Rapid or nonsense speech
These signs usually start within 3 to 14 days after delivery. The mother’s ability to care for her baby is greatly impaired, placing the infant at serious risk. Immediate medical attention is necessary involving anti-psychotic medication, usually in an inpatient setting.
When you or someone you know shows signs of postpartum mood disorder, it is important to seek professional help. If untreated, this can negatively affect your functioning and your baby’s development.
A new mother needs support to believe in herself and her abilities as a mother. Your spouse, partner, extended family, friends, and even hired help can provide support during this time.
Discuss any symptoms you are experiencing with a medical professional. You should ask for a referral to a mental health professional who works with postpartum adjustment challenges.
A list of mental health providers can be found at
www.ppdsupport.org
Individual Support
Postpartum Support Charleston offers email, phone, and 1 on 1 support.
Warm Line: 843-410-3585
Email: contact@ppdsupport.org
Postpartum Support International: 800-944-4773
Emergency Resources
Palmetto Lowcountry Behavioral Health: 843-747-5830
Lowcountry Transitions at Trident Medical Center: 843-847-3010
MUSC Women’s Health: 843-792-5300
Emergency Services: 911
JAMES ISLAND
776 Daniel Ellis Dr. Bldg 2, Ste A
Charleston, SC 29412
MOUNT PLEASANT
1952 Long Grove Dr. Suite 202
Mount Pleasant, SC 29464
SUMMERVILLE
2015 2nd Ave, Suite 101
Summerville, SC 29486
WEST ASHLEY
2067 Charlie Hall Blvd.
Charleston, SC 29414
Office 843.573.2535
Fax 843.573.2534