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General Information Postpartum Depression Overview Postpartum depression is moderate to severe depression in a woman after she has given birth. It may occur soon after delivery or up to a year later. Most of the time, it occurs within the first 4 weeks after delivery. Symptoms Most of the symptoms are the same as in major depression. In addition to depressed mood, you may have the following symptoms nearly every day: Agitation and irritability Decreased appetite Difficulty concentrating or thinking Feelings of worthlessness or guilt Feeling withdrawn, socially isolated, or unconnected Lack of pleasure in all or most activities Loss of energy experienced Negative feelings toward the baby Thoughts of death or suicide Trouble sleeping Treatment The treatment for depression after birth often includes medication, therapy, or a combination of both. There are several types of antidepressant medications that may be given to breastfeeding mothers, including nortriptyline, paroxetine, and sertraline. If you are thinking of harming yourself or your infant, seek immediate medical help. If depression is diagnosed, you may need to be followed closely for at least 6 months. Causes Expected Mood Changes Women commonly have mood changes during pregnancy. They are caused by changes in hormone levels. Many mood changes are normal and even expected, since having a baby can lead to several lifestyle changes. Support from your family and friends can help. Postpartum Blues More than half of women may have depression for a short time after pregnancy. These are feelings of anxiety, irritation, tearfulness, and restlessness that are often called “the postpartum blues.” This generally occurs in the first few weeks after pregnancy and goes away soon, without the need for treatment. Postpartum Depression Postpartum depression is a more serious condition that affects between 8 - 20% of women after pregnancy, especially the first 4 weeks. It is necessary to seek medical attention to treat postpartum depression. You may have a higher chance of postpartum depression if you: Are under age 20 Currently abuse alcohol, take illegal substances, or smoke (these are also serious medical health risks for the baby) Did not plan the pregnancy or do not want the pregnancy Had a mood or anxiety disorder prior to pregnancy, including depression with a previous pregnancy Had something stressful happened to you during the pregnancy, including illness, death or illness of a loved one, a difficult or emergency delivery, premature delivery, or illness or abnormality in the baby Have a close family member who has had depression or anxiety Have a poor relationship with your husband, boyfriend, or significant other or are unmarried Have financial problems (low income, poor housing) Have little support from family, friends, and a significant other Previously attempted suicide Received poor support from your parents in childhood