The sudden changes in hormones and way of life after giving birth can bring on a wave of emotions women might have difficulty talking about.
Experiencing baby blues or postpartum depression is very common, and an absolute must to care for because your well-being is just as important as your baby’s.
“Baby blues and postpartum depression have some similarities, but some distinct differences as well,” said Catherine Schiltz, DO, one of Avera’s experts in obstetrics and gynecology. “The main things you need to look for are the severity of symptoms and the length of time symptoms are present.”
These symptoms include:
- Mood swings, which include sadness, irritability, worries and overwhelm
- Fatigue
- Anxiety and depression
- Difficulty sleeping
- Loss of appetite
- Difficulty coping
It’s important to remember you’re not alone if you have these feelings.
The Symptoms of Baby Blues
Nearly 80% of women experience the baby blues. Hormones, overwhelming feelings (“Am I doing this right?”), lack of sleep, stress and more responsibility often drive a wave of frustrating emotions. Emotions might feel like a pendulum.
Baby blues start within days or weeks of baby’s arrival, but fortunately, tend to alleviate as you build confidence, settle into new normals, and implement your support system. This could take a few weeks to just a couple months.
The Symptoms of Postpartum Depression
Postpartum depression shows up a couple months after and can last up to a year. Symptoms are the same as baby blues, but much more severe. You might not feel like yourself, or that you’re losing yourself, with thoughts spiraling out of control.
“It’s profound, characterized by true sadness," said Schiltz. "It will impact all aspects of your life, including your ability to bond with your baby and enjoy things that would normally make you happy."
Removing the Stigma
Let’s be honest, it’s hard to admit we need help, opting for a façade that everything’s OK. However, your doctor absolutely wants to know if you’re struggling.
“Some women think it’s selfish to consider their well-being as they care for their new baby,” said Schiltz. “The reality is you have to take care of yourself first. Post-partum depression is a common office visit. You won’t be met with criticism or judgment, but rather recognition, acknowledgement and support.”
By identifying and making room for your health, you show up and give a healthier self to your child. Treatment is available and is personalized to your needs.
Personalized Postpartum Treatment
If something isn’t right, talk to your primary care provider, OB/GYN, midwife or another trusted health care professional.
“We see postpartum concerns every day,” said Schiltz. “Everyone’s journey is unique, and so we must uncover exactly what’s going on to personalize your care or connect you to resources you need.”
Sometimes these negative feelings might not just be hormones or the newness of caring for a baby; they could be fueled by:
- Relational issues
- Work constraints
- Socioeconomic concerns
- Lack of help at home/support
- Inability to get some personal time
Treatment and resources that could help resolve some of the pressure and negative emotions might include:
- Antidepressant or anti-anxiety medication
- Counseling services
- Doctor’s notes
- Enlisting the help of family or friends
- Information on food pantries and other ministries
- Support group for moms
Avera offers a Fourth Trimester Support Group on Wednesdays at 10 a.m., at Avera Professional Plaza in Sioux Falls. Similar postpartum groups might be available in your community; ask your physician what support groups are located near you.
There’s good news. Schiltz said that when proper care and resources are implemented, many moms found significant improvement in their discomfort, allowing them to find their stride and fulfillment in motherhood.
Lean on Your Support Team
Your partner, family, friends and even neighbors may also be eager to help. It’s OK to say, “Hey, could I ask you for help a couple times in the next few months?” They can communicate the areas which might be a good fit for them.
“In addition, it’s important to remember that your partner is also going through a myriad of emotions and changes,” said Schiltz. “You’re a team and, working together, taking one day at a time, you can succeed.”
Ask your support network for help with things such as:
- Bringing over a few meals
- Babysitting so you can get extra sleep, get a workout in, or the couple can have time to themselves
- Helping with chores like mowing the lawn or running errands
- Checking in to see how you’re doing
“I’m a mom and have struggled as well. If you don’t have someone to talk to, your health care team wants to be there for you,” advocated Schiltz. “If you need to see your health care team quite regularly, we’ll make it happen."
