Postpartum depression

Synonyms

baby blues, postpartum depression (PPD), puerperal depression

Definition

In most cases the terms “postpartum depression“, baby blues and postpartum depression are used equally. Strictly speaking, however, the “baby blues” only refers to an emotional, slightly depressive instability of the mother (also known as crying days) in the first two weeks after delivery, which only lasts for a short time. This has no disease value and does not need to be treated.

On the other hand, there is postpartum depression, postpartum depression or even postpartum psychosis, which is much more severe, longer lasting and requires treatment. This can also occur several months (up to a year) after delivery. For many women, the strong anticipation for the new generation, which exists during the nine months of pregnancy, turns into a low mood after delivery.

Instead of pride, happiness and great affection, affected women often experience deep fear of failure and excessive demands. In most cases, the mood of the “newly-born” mothers lifts in one to two weeks without therapy. However, if the depressive basic mood persists for a longer period of time, a therapy in the form of psychological discussions up to and including drug treatment is necessary.

In most cases, postpartum depression begins within 2 weeks after birth. By definition, however, the occurrence of depressive symptoms up to 2 years after delivery is considered postpartum depression. Signs of postpartum depression can be depressed mood, lack of joy or increased irritability.

Ambivalent feelings towards the child can also occur. In addition, postpartum depression can lead to symptoms such as concentration disorders, sleep disorders, lack of energy and drive, headaches and dizziness, hopelessness, increased anxiety and even panic attacks. Which symptoms appear as the first signs varies greatly from woman to woman.

At the beginning, for example, an increased irritability or the feeling of feeling emotionally little can be regarded as indications. The possible occurrence of suicidal thoughts in the context of postpartum depression should not be underestimated. It can also occur that the woman concerned thinks about taking her own life and that of her child (extended suicide). Therefore, if suicidal thoughts occur, a doctor should always be consulted very promptly, and relatives should also be informed so that they can offer security and guarantee the presentation to the doctor.