Postpartum Depression is not the “baby blues”
As we’ve talked about before, there is a lot that occurs in the days, weeks and months after a baby comes. Because of the change in hormones (among other things), most new moms will experience the “baby blues” after childbirth: mood swings, crying, loss of appetite, spiking anxiety and difficulty sleeping. These symptoms usually begin 2-3 days after delivery and can last for a couple of weeks.
Info on PPD:
However, up to 15% of new moms may experience a more severe and longer-lasting version called postpartum depression (PPD). PPD may occur if the “baby blues” extend longer than that initial two week period – and may occur for up to a year after birth. Unlike the “baby blues,” PPD does not go away on its own. Postpartum depression can make it hard to get through the day and may affect your ability to take care of your baby – and yourself! Although more research is needed about what causes PPD, there is some thought that the sudden drop in estrogen and progesterone (from 10x their level during pregnancy) may be a contributing factor. They return to pre-pregnancy levels within 24 to 72 hours after birth. Additionally, childbirth may lower thyroid levels. The thyroid is responsible for a lot of things hormone-related including how your body uses energy (e.g., mood regulation, metabolism, sleep, etc). It may not hurt to get your thyroid levels checked after delivery.
Risk Factors for Postpartum Depressoin
Although PPD can affect anyone in the population – with an “easy” or “difficult” pregnancy, with a “smooth” delivery or difficult C-section, first time or experienced moms – there are certain risk factors that may predispose you to developing this condition. These can include:
Having a person history of depression, postpartum depression, or PMDD (premenstrual dysphoric disorder)
Limited social support or relationship conflict
Ambivalence about the pregnancy or had an unplanned pregnancy
Difficulty with breastfeeding
Pregnancy complications
Having a baby with special needs or who cries a lot
Being a single parent or under the age of 20
Common Signs and Symptoms of PPD
Although a PPD is very common, many moms feel ashamed of their feelings and symptoms. These may include:
Feeling sad, angry, hopeless, or mood
Worrying excessively or feeling on edge all the time
A loss of interest in things or activities that previously gave you pleasure
Changes in appetite (not eating or eating more)
Loss of energy and motivation
Changes in sleep (not sleeping enough or wanting to sleep all the time)
WIthdrawing from family and friends or even your baby
Difficulty concentrating/focusing or brain fog
Thoughts of harming yourself or your baby
If you notice any of these symptoms (and they last longer than two weeks), it is important to contact your healthcare provider. PPD can have an affect on your ability to bond with your baby, which may lead to sleeping and feeding issues as well as affect social development later on. The good news is that many providers screen for PPD within two to three weeks of delivery. Your healthcare provider can also assist you in treatment options, such as psychotherapy or prescribed medication.
Important coping strategies for Postpartum Depression
In the meantime, it is important to take care of your mental, emotional, and physical health. Some coping strategies may include:
Leaning on family or friends for support
Joining a new parents support group
Doing exercise or movement that you enjoy
Fueling your body with nutrient rich foods
Prioritizing rest for yourself as well as self care (doing things you enjoy)
Going out with friends
Overall, if you are worried you are experiencing *more* than just the baby blues, it is important to get help as soon as possible. Lean on your support system, including your pelvic floor PT, for help and resources!
<3 The Recharged Performance Therapy Team
(321) 802-1630
https://www.rechargedperformancetherapy.com
References
https://womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression
https://www.mayoclinic.org/diseases-conditions/postpartum-depression/symptoms-causes/syc-20376617
https://my.clevelandclinic.org/health/diseases/9312-postpartum-depression
https://www.apa.org/topics/women-girls/postpartum-depression