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The Baby Blues

by Lisa Rodriguez, R.N. and Marjorie Greenfield, M.D.
reviewed and revised by Marjorie Greenfield, M.D.
Congratulations on being a new mom. This is an exciting new time when, it is hoped, you're feeling on top of the world. But unfortunately, it's possible that you're not in such an optimistic mood. Perhaps you are tearful and can't imagine why. Or maybe you've been bothered by mood swings or feelings of sadness, inadequacy, anxiety, or lethargy. If this describes your situation, you may have the postpartum blues. If so, you're not alone; these feelings can occur in up to 80 percent of new moms.

What causes postpartum blues?
Postpartum blues are probably caused by changes in the levels of the pregnancy hormones after delivery, but its exact cause is unknown. It usually develops about two to four days after childbirth and lasts 10-14 days. Several other factors may be contributing to your feeling down--for instance, lack of sleep. Being up half of the night, every night, with your new baby would be difficult for anyone to endure, let alone the person who just went through the rigorous process of giving birth. Maybe you feel overwhelmed or apprehensive about your new role.

It's important to know that for centuries, women in the postpartum period have felt the same way you feel now. In fact, some experts have come to think of baby blues as something that is normal in the postpartum period. That may not necessarily make you feel better. But the good thing is, this down mood goes away on its own and doesn't tend to last long.

What can I do to feel better?
  • Keep the lines of communication open with your family and friends. Let them know how you are feeling.

  • Ask for help in caring for the baby or other children in your family, so you can get some rest.

  • Try to eat a balanced, nutritious diet to help your body heal from delivery and to keep you feeling physically strong.

  • Exercise. It can make you feel better about yourself and, as a result, better about everything else.

  • Talk with other women who understand or perhaps have experienced the baby blues themselves.
How can I tell baby blues from postpartum depression?
If your mood interferes with daily activities or lasts more than a few weeks, you may be experiencing something more severe than the blues. Postpartum depression affects 10-15 percent of new mothers and can include feelings of hopelessness and panic. Women sometimes feel that they don't love their new baby, and some even feel like harming the baby or themselves. Some women have difficulty sleeping, while others feel like sleeping all the time. The worst part is how the new mom becomes convinced that these feelings are inevitable and that she will never feel like herself again. If you think you may be suffering from postpartum depression, call your practitioner.

It's important to know that postpartum depression is treatable, but you will need the help of a trained professional and you may require medication. Don't let postpartum depression make a time that should be full of joy into a nightmare for you and your family--seek out the help you need.


 RELATED INFORMATION
*  Depressed Feelings in New Mothers
*  Postpartum Fatigue
*  Emotions During Pregnancy


Created March 15, 2001
Reviewed and revised August 24, 2004
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