Delivery Blues--Postpartum Depression/Postpartum thyroiditis


© Sharon L. Cohen

Cassandra was thrilled. This was her first pregnancy and everything was going well-both physically and mentally. She was in good shape and hadn't gained too much weight. Her spirits were sky high, anticipating with pleasure all that the baby would bring.

The delivery went well, no complications and a shorter time than expected. Cassandra looked forward to coming home and spending time with her new baby Carolyn. About three weeks later, all hell broke loose. Cassadra began to feel depressed, lethargic and even had thoughts of suicide. No matter what she tried, she couldn't shake these negative feelings. Her problems went well beyond the "baby blues," a short-term mild state of depression.

And, indeed, postpartum depression is much more severe than the baby blues. Typically, the mother is inexplicably sad, has mood swings, weeps for no reason, and displays irritability and fatigue. How do you tell if the sadness you feel is a minor problem or a more severe concern? Answer the questions below, which were developed by the Postpartum Stress Center. The more questions you answer "yes," the more likely you are to be suffering from postpartum depression. And, the more important it is to seek help. Do you...

Have trouble sleeping?

Find you're exhausted most of the time?

Notice a decrease in your appetite?

Worry about little things that never used to bother you?

Wonder if you'll ever have time to yourself again?

Think your children would be better off without you?

Worry that your husband will get tired of you feeling this way?

Snap at your husband and children over everything?

Think everyone else is a better mother than you are?

Cry over the slightest thing?

No longer enjoy the things you used to enjoy?

Isolate yourself from your friends and neighbors?

Fear leaving the house or being alone?

Have anxiety attacks?

Have unexplained anger?

Have difficulty concentrating?

Think something else is wrong with you or your marriage?

Feel like you will always feel this way and never get better?

It is believed that 20 percent of women get postpartum depression, but in different degrees of seriousness. There are several possible reasons. A hereditary predisposition (i.e. family history of depression or anxiety), chronic sleep problems from all-night feedings, major hormonal changes, medical complications in either mother or infant, tendency to have a lower self-esteem, previous postpartum or other clinical depression, absence of support from family and friends, and isolation. Postpartum depression typically occurs one to three months after the birth, but may appear right after or up to one year after the birth of the child.

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Here's the follow-up discussion on this article: View all related messages

5.   Oct 5, 2002 4:37 PM
I had the depression after my first child was born 36 years ago. Though it's long since gone away, I really feel for women who are experiencing it now. I just want to extend my support to you.

He ...


-- posted by Helen50


4.   Jul 21, 2002 7:19 PM
I am very depressed. I just recently came out from the hospital from a breakdown. I have had 3 pregnancy in the last 2.5yrs. Two of which were miscarriages. I lost the first pregnancy at 5mos and the ...

-- posted by Proc


3.   Jul 16, 2002 11:12 AM
How long can post partum depression last? I did not feel this way when my daughter was a newborn, not even until she was about a year old, and she is 2 now. But now, I get so frustrated with her that ...

-- posted by missbettiepage


2.   May 6, 2001 1:54 PM
At 38 after the birth of my third child, I was severely depressed, tired, and not handling any aspect of life well at all. Hadn't experienced anything like this with my other two kids. I just wrote ...

-- posted by tmeloy


1.   Oct 10, 2000 11:41 AM
This truly is a frightening experience. One that is difficult to be prepared for. I wish there were more support groups to help women know they aren't alone. Depending on the severity, it truly can ...

-- posted by windy30





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