The Hidden Struggle: Why We Need to Talk About Postpartum Depression

Written By Kyndall Pursley

Having a new baby can be such a joyous and fulfilling time in a mom’s life, but sometimes things can feel “off.”

 

Up to 1 in 7 women suffer from postpartum depression, a common condition that can develop after giving birth. It is different from the “baby blues” that go away within the first two weeks. Tearfulness, mild sadness, and mood swings are common with the baby blues. Postpartum depression is more severe or intense, lasts longer than two weeks, and might have an impact on how you care for yourself or your baby. Although postpartum depression can affect any mom, there are certain factors that could increase your risk. These include a personal or family history of mental health issues, lack of support from others, an unplanned pregnancy, high stress, a traumatic birth, or a stay in the neonatal intensive care unit (NICU). It is important to remember that postpartum depression is caused by changes in hormones, life adjustment, and new stressors – it is not a sign of weakness! 

What are the symptoms of PPD? What should I look out for?

Symptoms of postpartum depression can look or feel different for everyone, but common symptoms include sadness, hopelessness, loss of interest in things you previously enjoyed, irritability, feeling overwhelmed, fatigue (beyond what is expected with an infant), constant worry or anxiety, having a hard time bonding with your baby, isolating yourself from your family and friends, or thoughts of hurting yourself or your baby.

How can I be supportive during their postpartum period?

Family and friends can play a critical role in a mom recovering from postpartum depression. If you are concerned that someone you know may have postpartum depression, there are ways you can help! One of the most important things you can do is know and watch out for the signs and symptoms. Red flags that require immediate professional medical attention include suicidal thoughts, symptoms of psychosis (hallucinations, paranoia, disorganized thinking, etc.), thoughts of harming the baby, and inability to take care of herself or the baby. It’s also valuable to know if she is being screened for postpartum depression by a medical provider. This is done at both the baby’s and the mom’s doctor appointments regularly after birth. Checking in to see how appointments have been going or offering to help at appointments can let the mom know that you care for her. It can be difficult for the mother of a new baby to get to doctor appointments or therapy sessions because of barriers like childcare, transportation, and finances. Asking her how you can help can ensure that she gets the medical care she needs. At home, you can help your loved one by doing some tasks for her so that she can rest or engage in self-care. Getting enough sleep, eating well, and physical activity (after being released to exercise by a provider) are recommended as additional measures to be taken when battling postpartum depression, but can be difficult without help from others. Ask her what her to-do list is and see how you can help. Making dinner, folding laundry, or doing a load of dishes might seem small to you, but they can make a big difference to an overwhelmed mom. 

How can you be truly helpful with your words during the 4th trimester?

Be mindful of the things you say to someone with postpartum depression. It’s crucial that she feels heard and validated without feeling judged. If a mom feels shameful or guilty for feeling depressed after having a baby, she is far less likely to seek care. You can say things to acknowledge that postpartum depression is a medical condition, she is not alone, there are ways to help, and remind her that she is in a safe space to share her thoughts and feelings. Avoid minimizing statements like “just be grateful,” “I don’t know how you could feel like that with a new baby,” or “you should be happy.” If you hear others say these things to her, step in! 

Why is the postpartum period so important?

The postpartum period is one of the most vulnerable times in a woman’s life, and mental health deserves the same attention as physical recovery. Recognizing the symptoms, providing support, and accessible treatment can make a profound difference for a mother and her new baby. Seeking help is never a sign of weakness – it’s the first step in healing. 

Where can I find other resources for PPD?

By Baily Kakalia, MSN, APRN, FNP-C
Certified Family Nurse Practitioner
Bowen Health

 
 

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