Postpartum depression.

what is Postpartum depression ?

Postpartum depression is a mood disorder that affects the mother after the birth of her child, as the mother feels very sad, anxious and exhausted, and it becomes difficult for her to provide the necessary daily care for her child or even herself.

Postpartum depression isn’t a character flaw or a weakness. Sometimes it’s simply a complication of giving birth. If you have postpartum depression, prompt treatment can help you manage your symptoms and help you bond with your baby.


There’s no single cause of postpartum depression, but physical and emotional issues may play a role.

▪️ Physical changes. After childbirth, a dramatic drop in hormones (estrogen and progesterone) in your body may contribute to postpartum depression. Other hormones produced by your thyroid gland also may drop sharply — which can leave you feeling tired, sluggish and depressed.

▪️ Emotional issues. When you’re sleep deprived and overwhelmed, you may have trouble handling even minor problems. You may be anxious about your ability to care for a newborn. You may feel less attractive, struggle with your sense of identity or feel that you’ve lost control over your life. Any of these issues can contribute to postpartum depression.


Signs and symptoms of depression after childbirth vary, and they can range from mild to severe.

Baby blues symptoms.

Signs and symptoms of baby blues — which last only a few days to a week or two after your baby is born — may include:

1. Mood swings.

2. Anxiety.

3. Sadness.

4. Irritability.

5. Feeling overwhelmed.

6. Crying.

7. Reduced concentration.

8. Appetite problems.

9. Trouble sleeping.

_ Postpartum depression symptoms.

Postpartum depression may be mistaken for baby blues at first — but the signs and symptoms are more intense and last longer, and may eventually interfere with your ability to care for your baby and handle other daily tasks.

Symptoms usually develop within the first few weeks after giving birth, but may begin earlier ― during pregnancy ― or later — up to a year after birth.

Postpartum depression signs and symptoms may include:

1.Depressed mood or severe mood swings.

2. Excessive crying.

3. Difficulty bonding with your baby.

4. Withdrawing from family and friends.

5. Loss of appetite or eating much more than usual.

6. Inability to sleep (insomnia) or sleeping too much.

7. Overwhelming fatigue or loss of energy.

8. Reduced interest and pleasure in activities you used to enjoy.

9. Intense irritability and anger.

10. Fear that you’re not a good mother.

11. Hopelessness.

12. Feelings of worthlessness, shame, guilt or inadequacy.

13.Diminished ability to think clearly, concentrate or make decisions.

14. Restlessness.

15. Severe anxiety and panic attacks.

16. Thoughts of harming yourself or your baby.

17. Recurrent thoughts of death or suicide.

Untreated, postpartum depression may last for many months or longer.

Postpartum psychosis.

With postpartum psychosis — a rare condition that typically develops within the first week after delivery — the signs and symptoms are severe.

Signs and symptoms may include:

1. Confusion and disorientation.

2. Obsessive thoughts about your baby.

3. Hallucinations and delusions.

4. Sleep disturbances.

5. Excessive energy and agitatio.

6. Paranoia.

7. Attempts to harm yourself or your baby.

Postpartum psychosis may lead to life-threatening thoughts or behaviors and requires immediate treatment.

_ Diagnosing postpartum depression.

The diagnosis of this condition is based on having a conversation with the woman and clarifying her feelings about herself and the newborn.

The medical team uses a questionnaire to gather information about:

▪️ Thoughts about self-harm.

▪️ Depression.

▪️ carelessness.

▪️ Inability to enjoy daily activities.

▪️ Distress.

▪️ Disturbance of daily functioning at home.

▪️ Difficulty communicating with people and the surrounding environment.

_ Postpartum depression treatment.

Medicinal treatment of postpartum depression can be done by various psychiatric medications.

The drug is chosen according to its safety and of course the mother’s need to breastfeed. In general, it is recommended to start with the usual dose and gradually increase it.

You should continue to take the medicine for 6 months to prevent depression again. If the body does not respond to treatment within 6 months, it is advised to go to a psychiatrist for advice.

All antidepressant medications pass into breast milk, and this issue is an important factor to consider when choosing a medication.

Lustral is the recommended medicine during breastfeeding. Postpartum depression can also be treated with other medications from the Selective serotonin reuptake inhibitors (SSRI) family. In all cases, a doctor who specializes in neonatology should be consulted.

As for treating depression after childbirth, it is done through psychiatric in the hospital and may include treatment with electroconvulsive treatment, knowing that the chances of recovery are high and usually the patient’s condition improves within 2-3 months, but depression may It reappears in the next pregnancy.

Lifestyle and home remedies.

In addition to professional treatment, you can do some things for yourself that build on your treatment plan and help speed recovery.

▪️ Make healthy lifestyle choices.

Include physical activity, such as a walk with your baby, and other forms of exercise in your daily routine. Try to get adequate rest. Eat healthy foods .

▪️ Set realistic expectations.

Don’t pressure yourself to do everything. Scale back your expectations for the perfect household. Do what you can and leave the rest.

▪️ Make time for yourself.

Take some time for yourself and get out of the house. That may mean asking a partner to take care of the baby or arranging for a sitter. Do something you enjoy, such as a hobby or some form of entertainment. You might also schedule some time alone with your partner or friends.

▪️ Avoid isolation.

Talk with your partner, family and friends about how you’re feeling. Ask other mothers about their experiences. Breaking the isolation may help you feel human again.

▪️ Ask for help.

Try to open up to the people close to you and let them know you need help. If someone offers to baby-sit, take them up on it. If you can sleep, take a nap, or maybe you can catch a movie or meet for coffee with friends. You may also benefit from asking for help with parenting skills that can include caregiving techniques to improve your baby’s sleep and soothe fussing and crying.

Remember, taking care of your baby includes taking care of yourself.

References :

اكتئاب ما بعد الولادةPostpartum depression/

Postpartum depression/

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