Puerperal (postpartum) depression
About Puerperal (postpartum) depression
Depression occurring in the first few weeks after the baby is born. The term `puerperal' refers to the six week period immediately following childbirth. This condition is identical to major depression except that it occurs right after delivery. The disorder affects 1 woman in every 500 who have given birth. The symptoms can be severe enough to impair normal functioning and can interfere with parent-to-baby bonding or in some cases may put the mother or baby's life at risk.Symptoms
Trouble sleeping or excessive sleeping, a dramatic change in appetite, often with weight gain or loss, fatigue and lack of energy, feelings of worthlessness, self-hate, inappropriate guilt, extreme difficulty concentrating, agitation, restlessness, irritability, inactivity and withdrawal from usual activities, a loss of interest or pleasure in activities that were once enjoyed , feelings of hopelessness and helplessness, thoughts of death or suicide.Tests & Diagnostics
A history and physical exam will be performed. The diagnosis is made by taking a history. A thyroid blood test and complete blood count may be done to rule out other causes of the symptoms.Prescription medications
Conventional treatment summary
The depression is most effectively treated with medications and counseling. Medications include selective serotonin re-uptake inhibitors (SSRIs) and other antidepressant drugs. The mother and baby's safety should be ensured. Any patient who feels life is not worth living needs to seek medical care immediately. Help is available for patients 24 hours a day at the National Suicide Prevention Lifeline: 1-800-273-TALK (1-800-273-8255); TTY: 1-800-799-4TTY (4889).Medical specialties
Psychiatry
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Puerperal (postpartum) depression.