Postpartum Depression  
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This Care Guide Covers:

Postpartum (less than one year having a baby) and

  • Feeling depressed
  • Feelings of sadness or have no hope
  • Decreased joy from or interest in daily activities

When to Call Your Doctor

Call 911 Now (you may need an ambulance) If
  • Suicide attempt
  • Feeling like harming yourself or killing yourself
    • ...or call a suicide crisis line NOW
    • ...or call the National Hopeline Network NOW for help: 800-784-2433.
  • You think you have a life-threatening emergency
Call Your Doctor Now (night or day) If
  • You feel weak or very sick
  • You feel severely depressed
  • You are thinking of hurting your baby
  • Acting strange, bizarre, or confused
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think you need to be seen
  • You want to talk with a mental health worker, psychiatrist, or counselor
  • You are afraid to be left alone with your baby
  • Your symptoms keep you from taking good care of your baby
  • Your symptoms keep you from working or going to school or other activities
  • Alcohol or drug use
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Depression symptoms and it is more than 1 month after delivery
  • Depression symptoms last more than 2 weeks
  • Had a past psychiatric illness (manic-depression, schizophrenia)
Self Care at Home If
  • Baby Blues (mild depression) and it is less than 1 month since delivery
Causes & Health Information

Some Basics...

Symptoms

People with depression have a sad mood. They often describe decreased joy from or interest in daily activities. They have less energy. Sometimes people may have one or more of these:

Treatment

CARE ADVICE

Care Advice for Postpartum Depression
  1. What You Should Know:
    • Nearly half of all women feel sad or depressed after delivery. This is called "Baby Blues."
    • Women with Baby Blues do get better. Even women who feel as bad as you feel now. You can be helped.
    • Healthy living habits can help you to feel better.
    • Here is some care advice that should help.
  2. Tips for Healthy Living: There are things you can do to feel better. These include:
    • Eat healthy: Eat a well-balanced diet. Drink 8-10 glasses of water a day.
    • Get more sleep: Try to take naps while the baby is sleeping. Ask for help from friends, family, or your community. If someone comes over to help, then you can take a longer nap. Have the baby sleep in a different room. This will help you sleep more soundly.
    • Communicate: Share how you are feeling with someone. Make sure that your husband, family, or friends know how you are feeling.
    • Exercise: Take a daily walk.
    • Stay active: Spend time outside of your home. Go on an outing with a family member or a friend. Go to the store. Go to a movie.
    • Avoid alcohol.
  3. What to Expect: Most of the time, Baby Blues will last 2-14 days.
  4. Call Your Doctor If:
    • Sadness or depression lasts more than 2 weeks
    • You want to talk with a mental health worker, psychiatrist, or counselor
    • You feel like harming yourself
    • You get worse
Internet Resources and Referral Phone Numbers
  1. United States Hotline and Helplines - NAMI Information HelpLine:
    • National Alliance on Mental Illness
    • The NAMI HelpLine is a source for finding community mental health programs. National toll-free phone number: 800-950-NAMI (6264). You can call this number Monday through Friday from 10 am- 6 pm (Eastern Time).
    • http://www.nami.org
  2. United States - Substance Abuse Treatment:
    • Substance Abuse & Mental Health Services Administration
    • http://www.samhsa.gov/
    • National referral hotline for substance abuse treatment: 800-662-4357 (24 hours a day)
  3. United States - Mood Disorders Organizations:
    • Anxiety Disorders Association of America (ADAA)
    • There is a FIND A THERAPIST link on the home page.
    • http://www.adaa.org/
    • Telephone: 240-485-1001
  4. Canada Hotlines and Helplines:
    • New Brunswick: Offered by region
    • Northwest Territories - Nats'ejée K'éh Treatment Centre crisis line: 800-661-0846
    • Ontario - Centre for Addiction and Mental Health (CAMH): 800-463-6273
  5. Canada - Mood Disorder Organizations:

Remember! Call your doctor if any of the "When to Call" symptoms occur.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: David A. Thompson, M.D.

Last Reviewed: 9/1/2012

Last Revised: 2/11/2013

Content Set: Adult Symptom Checker

Copyright 2000-2012. Self Care Decisions LLC; LMS, Inc.