Peripartum Depression
For many women, having a baby is a very exciting, joyous, and often anxious time. But for women with peripartum (formerly postpartum) depression, it can become very distressing and difficult.
What is peripartum depression?
Peripartum depression refers to depression occurring during pregnancy or after childbirth. The use of the term peripartum recognizes that depression associated with having a baby often begins during pregnancy.
Peripartum depression is a serious, but treatable medical illness involving feelings of extreme sadness, indifference and/or anxiety, as well as changes in energy, sleep, and appetite. It carries risks for the mother and child.
An estimated one in seven women experiences peripartum depression.
Pregnancy and the period after delivery can be a particularly vulnerable time for women. Mothers often experience immense biological, emotional, financial, and social changes during this time. Some women can be at an increased risk for developing mental health problems, particularly depression and anxiety.
Up to 70 percent of all new mothers experience the “baby blues,” a short-lasting condition that does not interfere with daily activities and does not require medical attention. Symptoms of this emotional condition may include crying for no reason, irritability, restlessness, and anxiety. These symptoms last a week or two and generally resolve on their own without treatment.
Peripartum depression is different from the “baby blues” in that it is emotionally and physically debilitating and may continue for months or more. Getting treatment is important for both the mother and the child.
Symptoms of peripartum depression include:
Feeling sad or having a depressed mood
Loss of interest or pleasure in activities once enjoyed
Changes in appetite
Trouble sleeping or sleeping too much
Loss of energy or increased fatigue
Increase in purposeless physical activity (e.g., inability to sit still, pacing, hand-wringing) or slowed movements or speech [these actions must be severe enough to be observable by others]
Feeling worthless or guilty
Difficulty thinking, concentrating, or making decisions
Thoughts of death or suicide
Crying for “no reason”
Lack of interest in the baby, not feeling bonded to the baby, or feeling very anxious about/around the baby
Feelings of being a bad mother
Fear of harming the baby or oneself
https://www.psychiatry.org/patients-families/postpartum-depression/what-is-postpartum-depression