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Understanding Postpartum Depression -- Symptoms

What Are the Symptoms of Postpartum Depression?

Symptoms of postpartum depression (PDD) can be divided into three categories:

  • Postpartum blues (baby blues). Very short in duration, may not require formal treatment but supportive care only
  • Postpartum depression. Lasts longer, is more debilitating, and requires medical care
  • Postpartum psychosis. Most severe form, requires aggressive psychiatric care

There are many possible symptoms of postpartum depression, including the following:

  • Inability to sleep or sleeping a lot  
  • Change in appetite  
  • Extreme concern and worry about the baby or a lack of interest or feelings for the baby  
  • Feeling unable to love the baby or your family  
  • Anger toward the baby, your partner, or other family members  
  • Anxiety or panic attacks  
  • Fear of harming your baby; these thoughts may be obsessive, and you may be afraid to be left alone in the house with your baby.  
  • Irritability  
  • Sadness or excessive crying  
  • Difficulty concentrating or remembering  
  • Feelings of doubt, guilt, helplessness, hopelessness, or restlessness  
  • Lethargy or extreme fatigue  
  • Loss of interest in hobbies or other usual activities  
  • Mood swings marked by exaggerated highs and lows  
  • Feeling emotionally numb  
  • Numbness or tingling in your arms or legs  
  • Hyperventilating  
  • Frequent calls to the pediatrician with an inability to be reassured  
  • Recurrent thoughts of death, which may include thinking about or even planning suicide  
  • Obsessive-compulsive thoughts and behaviors that are intrusive

 

 

Call Your Doctor About Postpartum Depression If:

  • You have hallucinations and delusions about yourself or your baby; this is an emergency.
  • You have thoughts about hurting yourself or your baby  
  • You have symptoms or signs of depression that have lasted longer than two weeks after childbirth or that began within two months of giving birth

WARNING:

Suicidal (intent or attempt to kill self) and homicidal (intent or attempt to kill the new born) thoughts and/or attempts are very serious and are real risks of postpartum depression. These symptoms are not a myth and/or imaginary, as several cases have been well publicized.

 

WebMD Medical Reference

Reviewed by Joseph Goldberg, MD on April 29, 2012

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