About half to three-quarters of new mothers experience some anxiety, mood swings, and sleep problems for a few days or even a few weeks after giving birth. This is commonly referred to as the “baby blues.” However, postpartum depression is a more intense and prolonged condition that can interfere with a mother’s ability to take care of her child.
What is Postpartum Depression?
Depending on the state where the mother resides, postpartum depression affects 1 in 5 to 1 in 8 new mothers. Women who have previously experienced depression, especially postpartum depression, or who have family members treated for depression are particularly susceptible. While the exact causes are not fully understood, several factors are believed to contribute:
- Hormonal Changes: Lowered levels of estrogen and progesterone after birth.
- Thyroid Hormone Levels: Decreased thyroid hormone can cause fatigue.
- Stressful Situations: Multiple births, marital problems, sick infants, birth complications, and being a teenage mother can increase the risk.
Signs and Symptoms of Postpartum Depression
Recognizing the signs and symptoms is crucial for seeking timely help:
- Depressed mood, severe mood swings, feelings of hopelessness
- Inability to bond with the baby
- Fear of inadequacy or not being a good mother
- Changes in appetite: either poor appetite or overeating
- Frequent crying
- Intense anger
- Restlessness or insomnia
- Feeling tired or sleeping too much
- Thoughts of harming oneself or the baby, or thoughts of death
- Severe anxiety or panic
- Withdrawal from family and friends
- Loss of pleasure in formerly interesting activities
- Difficulty concentrating
If these symptoms persist for more than two weeks, or if there are thoughts of suicide or harming the baby, it is essential to seek help immediately.
The National Suicide Prevention Hotline number is 1-800-273-8255, or you can chat online at suicidepreventionlifeline.org/chat.
Treatment Options for Postpartum Depression
Here are common treatment options for those with postpartum depression.
Zulresso (Brexanolone)
In 2019, the U.S. Food and Drug Administration (FDA) approved the first drug specifically for treating postpartum depression. Zulresso (brexanolone) is administered intravenously (IV) over 60 hours in a hospital setting. Studies have shown significant improvement in patients treated with brexanolone compared to placebo, with the improved mood lasting at least 30 days post-treatment.
Other Antidepressants
Several antidepressants used for major depressive disorder have also been effective in treating postpartum depression. These are primarily serotonin reuptake inhibitors (SSRIs), which increase serotonin levels in the brain, aiding cell communication. Examples include:
- Prozac (fluoxetine): 10 to 60mg/day, by mouth
- Zoloft (sertraline): 50 to 200mg/day, by mouth
- Paxil (paroxetine): 20 to 60mg/day, by mouth
- Celexa (citalopram): 20 to 60mg/day, by mouth
- Lexapro (escitalopram): 10 to 20mg/day, by mouth
Where to Get Help for Postpartum Depression
If you or someone you know is experiencing postpartum depression, seeking professional help is crucial. QuickMD offers telemedicine counseling services, providing access to licensed providers who can offer guidance, prescribe medications if necessary, and support you through your recovery journey.
Get Professional Help with QuickMD Counseling
QuickMD ensures that seeking counseling and medical support is easy and stress-free. Our telehealth counseling services allow you to access professional help from the comfort of your home. If you are struggling with postpartum depression, book a consultation with QuickMD today and let our experienced providers assist you in managing your mental health effectively.
