Baby blues manifest as a sharp drop in mood, general tearfulness, and increased fatigue in the second week after childbirth [1]. These emotional extremes usually subside on their own. However, postpartum depression (PPD) can develop in about 10-15% of cases [2].
Does everyone have baby blues?
Almost. On average, it affects 85% of women [2]. Following childbirth, estradiol, progesterone, and prolactin levels drop dramatically. Such significant hormonal changes cause mood swings. Baby blues are typically more severe in women who have previously experienced PMS [3]. Add to this the lack of sleep and stress of caring for a newborn. Naturally, you will want to cry!
Can you handle baby blues?
Probably not. Baby blues following childbirth are as unavoidable as sleep deprivation. For a few days (or weeks), you simply have to live it. However, if your mood does not stabilise within two weeks, you should consult your doctor. There is a possibility of developing postpartum depression [2].
If the baby blues pass, does this mean you are no longer at risk for PPD?
Unfortunately no. Depression can start a month or three after childbirth. It is much less likely, but it can develop even in women who have completely recovered from the baby blues [4]. That is, if signs of depression appear two weeks after childbirth and then again later, you should not expect that it will go away on its own.
Can nursing mothers take antidepressants?
Increased fatigue and tearfulness could have physiological causes, such as low iron levels and thyroid issues. Physicians must therefore rule these out [2].
Once the physiological causes have been eliminated, you should consider therapy. The sooner depression is treated with therapy, the more likely it will be possible to avoid medications. In severe cases, mothers may be prescribed antidepressants.
Most antidepressants pass into breast milk. However, some can be used while breastfeeding full-term babies. Ask your doctor about your options. However, if your baby was born prematurely, your doctor will most likely recommend switching to formula before starting antidepressants [2].
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