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Postpartum Depression

WHAT YOU SHOULD KNOW

Many women feel sad, afraid, and unable to cope in the first few days after having a baby. This feeling is called postpartum (post-PAR-tum) blues, or baby blues. It usually goes away within two weeks. When it doesn't go away or gets worse, you may find yourself unable to care for the baby or yourself. This is called postpartum depression. Treatment can relieve even the worst of such depressions. Without treatment, however, the condition could get worse and lead to dangerous thoughts about hurting yourself or your baby.

Causes

Fast changes in the body's hormone levels are partially to blame. Stress, lack of sleep, poor diet, and lack of help from family and friends also can bring on depression. Women who have emotional problems before the baby is born are more likely to develop the problem.

Signs/Symptoms

You may feel sad, nervous, irritated, or moody. Sometimes women feel angry at their baby, their partner, or their other children. Trouble sleeping, eating, or making decisions is common. In very bad cases, self-destructive thoughts may emerge.

Care

Many cases of postpartum blues will go away if a woman can get rest and help from family and friends. However, if the depression continues, medications and counseling may be needed.

WHAT YOU SHOULD DO

  • Remember that it's normal to feel sad or worried right after your baby is born. This is a very big change in your life. Don't feel guilty.
  • Rest is important. Don't try to do everything. Do only what is needed and let everything else go. Ask your partner, family, or friends to help, especially if you have other children.
  • Try to nap when the baby naps. Ask your partner's help with night feedings or other baby care.
  • Share your feelings with your partner, a friend, or another mother. Often just talking things out with someone you trust can be a big help.
  • Take good care of yourself. Shower and dress each day. Don't forget to eat. Try to get out of the house a little each day. Go for a walk or meet with a friend. Get a baby-sitter or take the baby with you.
  • Call your doctor, a hospital emergency department, or a mental health center if you need to talk about your problems. They will help you sort through your feelings. They also may be able to help you find a support group.

Call Your doctor If...

  • You feel you are getting worse, or your depression does not go away.

Seek Care Immediately If...

  • You feel like hurting yourself, your baby, or others.

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