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Postnatal Depression: Causes and Symptoms

September 30, 2024

Postnatal Depression

Mostnew mothers have postpartum "baby blues" after giving birth, whichcan include mood fluctuations, crying episodes, anxiety, and problems sleeping.Baby blues often appear during the first two to three days after delivery andcan stay up to two weeks. However, some new mothers developa more severe type of depression, namely postpartum depression, also referredto as postnatal depression (PND).

PND is defined as the onset of depression during the postpartum period, although it can occur anytime within the first year of childbirth. Feeling sad and down for a long time is one of the symptoms of depression a person can have.

Postnatal depression (PND) can occur at any point throughout the first year following childbirth. A prolonged sensation of sadness and feeling down are symptoms of depression. Signs of postpartum depression may include a lack of joy and interest in the larger world. Lack of energy and constant fatigue, difficulty sleeping at night and daytime sleepiness, difficulty caring for yourself and your infant, withdrawal from social interactions, problems in concentrating and making decisions, frightening ideas—for example, thoughts of harming your baby, loss of appetite, and low sex drive. Many women are unaware they have postpartum depression because it can develop gradually. Postnatal depression is most frequent following the first pregnancy. If you believe you are dealing with postpartum depression, it's important to seek support as soon as possible.

Causes of Postnatal Depression

The actual causes of PND are still unknown. Some contributing elements may include:

Hormonal Changes

Estrogen, progesterone, and thyroid hormones increase during pregnancy and decrease quickly after birth. This drop in hormonal levels can cause postpartum depression.

Physical Demands of Childbirth

Babies require 24-hour care; therefore, it is typical for new mothers to feel exhausted or overwhelmed at times. Postpartum depression can be identified by significant mood changes, anxiety, or dissatisfaction that lasts more than two weeks following delivery.

Sleep Deprivation

Caring for a baby can cause a lack of sleep, making it difficult to tackle challenges.

Lack of Support

Lack of support has been linked to postpartum depression, which can harm both the mother and the infant.

Previous Mental Health Conditions

A history of anxiety and depression, premenstrual syndrome, or sexual abuse may raise the likelihood of developing postpartum depression.

Other Contributing Factors

The other contributing factors include stress, relationship issues, pregnancy complications, baby factors, and the gender of the baby.

Symptoms of Postnatal Depression

Emotional Symptoms

Persistent sadness, feeling hopeless, or having severe mood swings; feeling guilty, shameful, or worthless; severe anxiety, panic attacks, or irritability; thoughts of harming yourself or your baby; and reduced ability to think, concentrate, or make decisions

Physical Symptoms

Having trouble sleeping, waking up early, or oversleeping; abnormal appetite changes or unexpected weight fluctuations; constant tiredness or loss of energy; headaches and stomachaches.

Behavioural Symptoms

Feeling anxious, angry, or unpleasant toward your infant, partner, or other children; withdrawing from friends and relatives; losing interest in the world around you or not appreciating things you used to enjoy; having problems bonding with your baby?

Cognitive Symptoms

People with PPD may have difficulty concentrating, remembering, or making decisions.  PPD may induce impaired concentration or confusion.

Treatment for Postpartum Depression

If you're depressed after your baby's delivery, you may be hesitant or ashamed to confess it. But if you have any signs of postpartum depression or a case of baby blues, do not hesitate to ask for your doctor.

Professional Help

Striking up a conversation with an experienced mental health professional can assist you in getting to the root of your feelings and how to deal with them. Psychotherapy may be classified as cognitive-behavioural, interpersonal, and parent-infant psychotherapy. For PPD, antidepressants are often the initial treatment. Your doctor can support you choose a safe drug if you are breastfeeding.

Support Groups

Joining a support group might help you find comfort and understanding from other people who have PPD.

Self-Care Strategies

Making time for oneself is essential. You can ask a trustworthy individual to monitor the infant so you can leave the house. Moderate-intensity physical exercise for a minimum of 30 minutes daily, five days a week, can help treat mild to moderate depression. Ask family, friends, or other people you trust for advice or support.

Book an online appointment with Dr. Pavithra Balaji for Pregnancy & Gynecology related issues.

Conclusion

Women suffering from postnatal depression can get a variety of solutions. Support and patience from family and friends are perhaps the most significant factors in a woman's rehabilitation from PND.

The opportunity to discuss her feelings in groups with other women or with a specialist should help. In the worst cases, a GP or perinatal psychiatrist may prescribe antidepressants and other medicines to help with mood swings. It is essential to remind oneself that PND is not a permanent illness that has to be endured; it is, in fact, a disease that has to be coped with in the early weeks and months after childbirth and gradually fade away.

If you’re wondering, how long does postpartum depression last? It varies, but with appropriate treatment and support, many women start to feel better within a few months.

FAQs

How is postnatal depression diagnosed?

There is no specific test for identifying postpartum depression. However, a healthcare provider can evaluate you based on your symptoms and other variables.

What causes postnatal depression?

Hormonal changes, sleep deprivation, lack of support, physical demands of childbirth, a history of mental disorders, and other contributing factors can cause PND.

How do you know if you have postnatal depression?

Most new mothers have postpartum "baby blues" after giving birth, which can include mood fluctuations, crying episodes, anxiety, and problems sleeping. Baby blues often appear during the first two to three days after delivery and can stay for up to two weeks. However, some new mothers suffer from a more severe, long-term form of depression called postpartum depression, also known as postnatal depression (PND).

What are the three types of postpartum?

Postpartum blues, postpartum depression, and postpartum psychosis.

What treatments are available for postnatal depression?

Treatments for postnatal depression include seeking help from professionals, support groups, and self-care strategies.

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