Baby blues or postpartum depression - how to tell?

Many people experience mood changes after giving birth. This is normal and understandable, considering the physical, hormonal, and emotional changes that come with having a baby. However, not all mood changes are the same. Some people have what is called baby blues, while others have postpartum depression. These two conditions have some similarities, but also important differences that affect how they are treated and how long they last. 

Baby blues are feelings of sadness, anxiety, irritability, or moodiness that usually start within a few days after delivery and last for up to two weeks. They are caused by the sudden drop in estrogen and progesterone levels after childbirth, as well as the adjustment to a new sleep pattern, breastfeeding challenges, and the stress of caring for a newborn. Baby blues are very common, affecting up to 85% of new mothers. They usually go away on their own without any specific treatment, other than getting enough rest, support, and self-care. 

Postpartum depression (PPD) is a more serious and persistent form of depression that affects about 1 in 8 new mothers. It can start during pregnancy or anytime within the first year after delivery. It is characterized by intense feelings of sadness, guilt, anger, hopelessness, or worthlessness that interfere with daily functioning and bonding with the baby. PPD can also cause physical symptoms such as fatigue, insomnia, appetite changes, or headaches. PPD is not a sign of weakness or failure; it is a medical condition that requires professional help. The exact causes of PPD are not fully understood, but they may include genetic factors, hormonal changes, previous history of depression, lack of social support, or stressful life events. 

The main difference between baby blues and PPD is the severity and duration of the symptoms. Baby blues are mild and short-lived, while PPD is severe and long-lasting. Baby blues do not affect the ability to care for oneself or the baby, while PPD can impair daily functioning and bonding. Baby blues do not require any specific treatment, while PPD needs medical attention and therapy. If you have symptoms of PPD that last longer than two weeks or worsen over time, you should reach out to your doctor or a mental health professional for help. You are not alone and you can get better with the right support. 

Some signs that you may need additional support when suffering from PPD are: 

  • Having thoughts of harming yourself or your baby 

  • Feeling detached from your baby or unable to bond with them 

  • Having trouble performing basic tasks such as feeding, bathing, or dressing yourself or your baby 

  • Feeling hopeless or worthless 

  • Having panic attacks or severe anxiety 

  • Having trouble concentrating or remembering things 

  • Isolating yourself from your family or friends 

  • Losing interest in activities that you used to enjoy 

If you experience any of these signs, please call your doctor immediately or contact a crisis hotline such as 1-800-273-TALK (8255) in the U.S. or 1-833-456-4566 in Canada. You can also find more resources and information at https://www.postpartum.net/ or https://www.postpartumdepression.org/

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Can baby blues become postpartum depression?