Becoming a new mother is an amazing joy, but it also comes with a lot of challenges. There are a lot of new responsibilities, but sleep is very limited. It is very normal to feel a lot of emotions during this time, and sometimes it feels like a heavy burden. So don't worry. Take care of yourself, because it is also very good for your baby. But if you think that this sadness is a little more serious than the usual 'baby blues', maybe this could be postpartum depression, talk to your doctor right away.
What is the difference between 'Baby Blues' and Postpartum Depression?
Many mothers experience a little sadness, a tendency to cry unnecessarily, and a sense of restlessness in the first two weeks after having a baby. We usually call this the 'baby blues'. This is a temporary condition caused by hormonal changes and the time it takes to adjust to a new life. This usually goes away on its own in a few days.
But Postpartum Depression is a more serious condition. To be precise, it is a severe form of clinical depression that occurs during pregnancy and childbirth. It is more common than you might think. If this sadness, anxiety, and lack of interest in anything lasts for weeks or months, it may not be the 'baby blues', but Postpartum Depression.
Remember, this is not your fault or weakness. This is a medical condition that can be completely cured with treatment.
Am I at risk of developing this condition?
In fact, some mothers are more likely to develop this condition than others. If you have one or more of the risk factors below, it's a good idea to be a little more careful.
| Risk Factor | A simple explanation |
|---|---|
| Having had previous depression | If you have ever had depression before or postpartum depression during a previous childbirth. |
| Family history | If a close family member, such as your mother or sister, has depression or other mental illnesses. |
| Traumatic events during pregnancy | For example, something deeply affecting you, such as the death of a family member or the loss of a job, may happen during this time. |
| Drug or alcohol use | Having an addiction to drugs or alcohol. |
| Health problems during childbirth or with the baby | Complications during childbirth, premature birth, or a health problem with the baby. |
| Mixed feelings about pregnancy | Having an unplanned pregnancy or having both joy and fear and anxiety about the pregnancy. |
| Lack of a strong support system | Not having enough support from your husband, family, or friends to help you and give you strength. Feeling like you're doing everything alone. |
If you think these things are relevant to your life, it is very important to tell your doctor as soon as you find out you are pregnant, or if you are planning to become pregnant. He or she can then direct you to take steps to reduce your risk of this condition. If the baby is already born, your doctor can help you start treatment as soon as possible and get back to your normal life.
What kind of help do you get from the doctor?
When you see your doctor, he or she may ask you to fill out a questionnaire to assess your mental health. This can help determine if you have symptoms of depression.
During pregnancy
If you have symptoms, you and your doctor will discuss the best treatment options. There are several options for this:
- Counseling: Talking about your feelings with a trained counselor.
- Group Therapy: Talking to other mothers who have similar experiences to yours.
- Medication: If necessary, your doctor can prescribe antidepressants that are safe during pregnancy.
After having a baby
Even after you have your baby, your doctor will check you for signs of postpartum depression. You can use a questionnaire here too. The sooner you recognize this condition, the sooner you can start treatment and recover. This is very important for you and your baby.
If you are diagnosed with postpartum depression, your doctor will often recommend medication.
- There are now medications specifically approved for postpartum depression. For example, a drug called `Brexanolone (Zulresso), which is given intravenously over three days, has been found to provide immediate relief from symptoms. `Zuranolone (Zurzurvae)` is a pill that can be taken by mouth.
- In addition, there are other types of antidepressants that are commonly used and are also suitable for breastfeeding. Examples:
- Sertraline (Zoloft)
- Paroxetine (Paxil)
- Fluoxetine (Prozac)
- Escitalopram (Lexapro)
- Buspirone (Buspar)
Very important: Any of these medications should only be used on the recommendation of a doctor. They should be taken exactly in the dosage and for the duration prescribed by him. Do not use these on your own for any reason.
What can I do on my part?
While you are receiving treatment, there are some things that can help you to calm down.
- Rest: Take a nap whenever possible. Sleep when your baby sleeps. Ask others to help with household chores.
- Eat a good diet: Eat a nutritious, balanced diet. Don't skip meals.
- Exercise: Ask your doctor for some simple exercises that are appropriate for you every day. Just getting outside and walking around is also very good for your health.
- Ask for help: Talk to your husband, family, or a trusted friend about your feelings. It's a great way to feel like you're not alone.
Take-Home Message
- Although it's normal to feel sad and anxious after having a baby ('baby blues'), if it lasts for more than two weeks, it could be postpartum depression.
- Postpartum depression is an illness. It is not your fault or weakness.
- If you experience these symptoms, don't be afraid or embarrassed, but talk to your doctor immediately.
- The sooner treatment begins, the sooner you and your baby can recover.
- The support of your husband, family, and friends is invaluable at this time. Don't hesitate to ask for help.
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