The birth of a baby is an exciting time for new parents. However, new mothers
often go through periods of both physical and emotional change. Even though
you have prepared for your baby’s arrival, caring for an infant
can be hard work. Many women experience some unexpected “highs”
and “lows.” New mothers are surprised at the energy it takes
to care for their new baby and many may begin to feel anxious, frustrated,
uncertain or overwhelmed. During this adjustment, support from family
and friends can be very helpful. Some new mothers may experience the following feelings:
Postpartum or Baby Blues
The “blues” is a very common reaction occurring in the first
few days after delivery, usually appearing suddenly on the third or fourth
day. It typically lasts a short period of time and the symptoms usually
disappear on their own. This affects 70-85% of women during the first
one to two weeks after birth. While the cause is unknown, it is thought
to be due to fluctuations in hormone levels. Common symptoms include:
Feeling sad, irritable
Little appetite
Headaches
Crying spells
Low energy level
Lack of confidence in mothering ability
Impatience
While waiting for the blues to pass, a new mother should:
Get plenty of rest
Eat plenty of protein-rich foods
Seek support as needed from friends, family and healthcare providers
Sleep when the baby sleeps
Trust her abilities - most parents do what is right for their babies
Postpartum Depression
Postpartum depression can occur within days of delivery or appear gradually,
sometimes up to a year later. It affects 10-15% of new mothers. Symptoms
of postpartum blues usually become more intense and last longer than two
weeks. 20-30% of women will even experience postpartum depression more
than once. Personal or family history of depression is a common risk factor.
Common symptoms include:
Overconcern or negative feelings for the baby
− Appetite and sleep disturbances
− Sadness, depression, hopelessness
− Nervousness, anxiety, panic
− Sluggishness, fatigue, exhaustion
− Poor concentration, confusion, memory loss
A woman suffering from postpartum depression may experience one or a combination
of the above symptoms. She may also experience “good days”
alternating with “bad days.”
Postpartum Psychosis
This is the most severe and, fortunately, the least common postpartum reaction.
It is a serious emergency and requires immediate medical help. Symptoms
are very exaggerated and severe, and may include:
Confusion
Insomnia
Agitation
Bizarre feelings or behavior
Hallucinations
Rambling speech
Hearing voices
Who is Affected?
Any woman who has given birth during the last year can experience confusing
postpartum emotions. Treatment for postpartum distress varies depending
on the type and severity of symptoms, and may include one or several of
the following:
Temporary hospitalization
Counseling
Medications
Psychotherapy
Where can I get help?
You should contact your physician if you think you may be experiencing
postpartum emotional symptoms. There are many professional resources and
help is available.
The following additional resources offer trained healthcare professionals
who will offer confidential services:
