WHAT IS POSTPARTUM DEPRESSION?
After childbirth, many mothers feel more emotional. They may feel sad, afraid, or angry. This is called postpartum blues or the baby blues. For most women these postpartum blues are mild and go away within a week. Postpartum depression lasts longer and is more severe. About 10 to 20% of women, especially very young mothers, have the more severe form.
HOW DOES IT OCCUR?
You may have postpartum depression within a few days to a few weeks after giving birth or having a miscarriage. For about 60% of women, it is their first episode of depression. While hormone changes after giving birth seem to play a part, the full causes are not known. Risk factors that increase your chances of getting postpartum depression are:
· having been depressed sometime before you got pregnant
· having been depressed after a previous pregnancy
· having family members who were depressed, especially after a pregnancy
· returning home with your baby to a very stressful home or relationship
· having a baby with health problems or a baby who cries often
· having a miscarriage late in pregnancy or a stillbirth
If your pregnancy was unwanted you are also at risk for post partum depression
WHAT ARE THE SYMPTOMS?
Besides feeling sad and uninterested in activities, you may also:
· feel unable or unwilling to care for your baby
· think often about bad things that could happen to your baby or feel like harming your baby
· be irritable
· have trouble falling asleep, wake up very early, or sleep too much
· feel overwhelmed by everyday activities such as taking a shower or doing laundry
· have little appetite or eat too much
· be tired and low in energy
· have low sexual desire and function
· feel worthless and guilty
· have trouble concentrating or remembering things
· feel hopeless or just do not care about anything
· have unexplained pain in your back or abdomen, or get headaches
· worry that you will never feel better
Some women also become anxious, have hallucinations, or delusions. If you have hallucinations (hear voices or see things not present) or delusions (thoughts not grounded in reality) this is called postpartum psychosis. This is a medical emergency. Get help right away.
HOW IS IT DIAGNOSED?
Your primary care provider or a mental health professional can tell you if your symptoms are postpartum depression. He or she will ask about your symptoms and any drug or alcohol use. You may be tested to rule out medical problems such as hormone imbalances.
HOW IS IT TREATED?
Do not try to overcome postpartum depression by yourself. It can be successfully treated with either psychotherapy or antidepressant medicine or both. Discuss this with your primary care provider or therapist.
Several types of medicines can help treat postpartum depression. Discuss the use of medicines with your primary care provider if you are breast-feeding. Your primary care provider will carefully select a medicine for you.
You must take antidepressant medicines daily to get full benefit from them. It is recommended that you keep taking the medicine for at least 6 months.
Seeing a mental health therapist is helpful. Therapy may last a short time or may need to go on for many months. Cognitive behavioral therapy (CBT) is a way to help you identify and change thought processes that lead to depression. Replacing negative thoughts with more positive ones can help your depression.
Claims have been made that certain herbal and dietary products help control depression symptoms. Omega-3 fatty acids may help to reduce symptoms of depression. St. John’s wort may help mild symptoms of postpartum depression. It will not help severe cases of depression. It may worsen bipolar disorder. No herb or dietary supplement has been proven to consistently or completely relieve postpartum depression.
Learning ways to relax may help. Yoga and meditation may also be helpful. You may want to talk with your primary care provider about using these methods along with medicines and psychotherapy.
Ask for help with night time feedings so that you can sleep. You may also find it useful to get help with household chores. Take time for yourself without your baby. Hire a sitter, leave your baby with a close friend or your spouse, and get out. Spend time with support groups and friends, and don’t be afraid to share both your fears and your joys.
HOW LONG WILL THE EFFECTS LAST?
In most cases postpartum depression slowly goes away in the first 9 months after birth. For a few women it lasts beyond 1 year. Treatment helps speed the recovery.
WHAT CAN I DO TO HELP MYSELF OR MY LOVED ONE?
Maintaining a healthy lifestyle is crucial. Staying physically and socially active, especially with your partner, is very important. Having regular sleep and eating patterns will also help you. Since you will need to be up during the night with your baby during the first few months, it is important to take naps to keep your energy up.
Certain medicines such as benzodiazepines and levofloxacin (Levaquin) can add to the symptoms of depression. It is important to check with your primary care provider before taking any new prescription or nonprescription medicines.
To help prevent postpartum depression:
· Exercise as appropriate for your physical condition in the days right after giving birth.
· Participate in activities with your significant other and baby.
· Talk to your family and friends.
· Ask for support.
· Avoid alcohol and caffeine.
· Eat a healthy diet.
· Develop a regular sleep and nap pattern.
· Learn ways to lower stress, such as breathing and muscle relaxation exercises
WHEN SHOULD I SEEK HELP?
Do not try to overcome postpartum depression by yourself. Seek professional help if you believe that you or a loved one has the symptoms described here.
Get emergency care if you or a loved one has serious thoughts of suicide or harming your baby, or if you hear voices or see things not present, or have delusions (thoughts not grounded in reality).
FOR MORE INFORMATION
Contact these resources:
· Local Mental Health Services office, private counselor, psychologist, psychiatrist, or social worker
Canadian Mental Health Association Nova Scotia Division
63 King Street
Dartmouth, Nova Scotia, B2Y 2R7
Tel: 902-466-6600 Toll Free: 1-877-466-6606 Fax: 902-466-3300
Web site: http://novascotia.cmha.ca/
Mental Health Mobile Crisis Team (MHMCT)
The Mental Health Mobile Crisis Team provides intervention and short term crisis management for children, youth and adults’ experiencing a mental health crisis .MHMCT responds to phone calls 24/7. They may respond in person to callers within Halifax Regional Municipality only but, answer phone calls province wide.
Tele: 902-429-8167 Toll Free: 1-888-429-8167
Canadian Mental Health Association, Prince Edward Island Division
Box 785 – 178 Fitzroy Street,
Charlottetown, Prince Edward Island C1A 7L9
Phone: (902) 566-3034, Fax: (902) 566-4643
Web site: http://pei.cmha.ca/
Island Help Line 1-800-218-2855
24 hour, bilingual and confidential telephone service that provides information, support or help to Islanders who are in a crisis – feeling depressed or thinking about suicide.