Disorders and Treatments Guide: Postpartum Disorders

By Maria Colenso

Signs & Symptoms

Symptoms of postpartum disorders (PPD) are similar to those of a major depressive episode and include a persistent depressed mood or loss of interest in pleasurable activities. Symptoms may also include:

Significant appetite and weight changes (a change of more than 5 percent body weight in one month)
Chronic insomnia or hypersomnia
Chronic fatigue, restlessness or feelings of being slowed down
Indecisiveness and difficulty concentrating
Intense mood swings
Persistent feelings of worthlessness or inappropriate guilt
Recurring thoughts of death, dying and suicide
Trouble bonding with your new baby

A woman suffering from several of these symptoms for more than two consecutive weeks following the birth of her child should seek medical attention. A doctor will consider your symptoms and administer a questionnaire such as the Edinburgh Postnatal Depression Scale (EPDS) to evaluate your condition and consider a diagnosis of PPD.

For more information, visit Mental Health America's factsheet about postpartum disorders:
http://www.mentalhealthamerica.net/go/postpartum

Therapies

PPD is highly treatable -- about 90 percent of women suffering from PPD are successful with a combination of psychotherapy for talking through fears and feelings, emotional support and coping strategies. Support groups with other new mothers or mothers also suffering from PPD may be helpful, as well as yoga, controlled breathing techniques and meditation.

Antidepressants may also be helpful in PPD treatment. New mothers who are breastfeeding may be concerned about taking antidepressants because some antidepressants secrete very small amounts in breast milk, but many doctors and patients find that the benefits outweigh the risks -- believing that a healthy mom equals a healthy baby.

In cases of severe PPD or postpartum psychosis, hospitalization may be required.

Resources