I figured since I wrote about my postpartum depression and had one bah-jillion readers on it that I might as well post what it clinically is and what the difference is between the baby blues and PPD. Here is a very brief, professional, NON-exhaustive overview about the two with the site links attached. At the end, I’ll write a little blurb about my symptoms and experience and when I knew it was beyond normal. Remember that PPD is a spectrum and you could be anywhere from like me to sucidal or somewhere in between. You will know when something isn’t right.
What’s the difference between “baby blues,” postpartum depression, and postpartum psychosis?
The baby blues can happen in the days right after childbirth and normally go away within a few days to a week. A new mother can have sudden mood swings, sadness, crying spells, loss of appetite, sleeping problems, and feel irritable, restless, anxious, and lonely. Symptoms are not severe and treatment isn’t needed. But there are things you can do to feel better. Nap when the baby does. Ask for help from your spouse, family members, and friends. Join a support group of new moms or talk with other moms.
Postpartum depression can happen anytime within the first year after childbirth. A woman may have a number of symptoms such as sadness, lack of energy, trouble concentrating, anxiety, and feelings of guilt and worthlessness. The difference between postpartum depression and the baby blues is that postpartum depression often affects a woman’s well-being and keeps her from functioning well for a longer period of time. Postpartum depression needs to be treated by a doctor. Counseling, support groups, and medicines are things that can help.
Postpartum psychosis is rare. It occurs in 1 or 2 out of every 1000 births and usually begins in the first 6 weeks postpartum. Women who have bipolar disorder or another psychiatric problem called schizoaffective disorder have a higher risk for developing postpartum psychosis. Symptoms may include delusions, hallucinations, sleep disturbances, and obsessive thoughts about the baby. A woman may have rapid mood swings, from depression to irritability to euphoria.
http://www.medicinenet.com/postpartum_depression/page2.htm
Depression after pregnancy is called postpartum depression or peripartum depression. After pregnancy, hormonal changes in a woman’s body may trigger symptoms of depression. During pregnancy, the amount of two female hormones, estrogen and progesterone, in a woman’s body increases greatly. In the first 24 hours after childbirth, the amount of these hormones rapidly drops back down to their normal non-pregnant levels. Researchers think the fast change in hormone levels may lead to depression, just as smaller changes in hormones can affect a woman’s moods before she gets her menstrual period.
Occasionally, levels of thyroid hormones may also drop after giving birth. The thyroid is a small gland in the neck that helps to regulate your metabolism (how your body uses and stores energy from food). Low thyroid levels can cause symptoms of depression including depressed mood, decreased interest in things, irritability, fatigue, difficulty concentrating, sleep problems, and weight gain. A simple blood test can tell if this condition is causing a woman’s depression. If so, thyroid medicine can be prescribed by a doctor.
http://www.medicinenet.com/postpartum_depression/article.htm
STATISTICS:
According to a report published in The New England Journal of Medicine, up to 13 percent of new mothers suffer from postpartum depression (PPD).
Since there are nearly four million births in the U.S. annually, a half million women cope with this disorder every year. For those who have suffered previous bouts of depression, more than one in four are at risk for another episode.
….70-85 % of women experience baby blues…
http://www.ynhh.org/healthlink/womens/womens_8_03.html
MY TURN:
First of all, everyone’s experiences and symptoms are different and only you know when you can’t handle it or need help. Now that we have that out of the way…here’s my experience in bullet points. These intense symptoms let me know that this wasn’t just the blues.
-not eating for several days
-vomitting because of anxiety
-gagging or dry heaving when I put food in my mouth because my anxiety had upset my stomach so badly
-waking up breathing hard and shallow like a panic attack with my mind racing which usually kept me up and then I’d cry and not be able to fall back to sleep again, thus, insomina
-insomnia inspite of being extremely sleep deprived i.e.- go to bed at 4 am and sleep one hour
-bouts of crying spells, many audible sobbing spells due to feeling hopeless, anxiety, defeated, OVERWHELMED and then some
-compulsive thoughts of things happening to my baby. I, personally, didn’t have thoughts of hurting my baby although that is very common. The thoughts I had very compulsive, anxious thoughts of things happening to her like being dropped or us getting in car wrecks etc. In general, things that upset me greatly but the thoughts haunted me even though I didn’t want to have them and they were pretty graphic to me.
-feelings of deadness and not wanting to do it anymore, feeling incapable
-emotional emptiness and withdraw from others. Visitors made me very anxious and I didn’t want to talk to anyone or even listen to voicemails. My phone was on silent for 4 weeks.
-irrational anxious concerns i.e.- worrying about the cats and feeling really deeply sad about not being able to take care of them
-trouble thinking/concentrating/remembering
-feeling hopeless like it would never end and so overtaken by it that I thought it was physically going to kill me if I didn’t have a remedy for my distress
For me, these things developed very quickly and were handled very quickly by seeking my dr.’s help right away. The difference for me between these symptoms and the baby blues was the inability to function and the intensity of the symptoms. I physically couldn’t bring myself to lift my baby to feed her when she was next to me because I was so physically shot by the anxiety and toll it was taking on me. Lance would have to hand her to me when she wasn’t even a foot away.
I always felt love for my baby and wanted to care for her but not all women do in these cases. However, I had feelings of “I don’t want to do this anymore” very frequently. It was as if I wanted my baby and to be her mother but that I wanted someone else to take care of her because I thought I couldn’t do it.
To encourage anyone who reads this, if you feel this way, it is much more common than you think and most women have at least the baby blues which are intense enough. You aren’t crazy! You can get help and get better! You can be and are a good mom. Just get help when you need it. I saved myself by doing so. Like I said, I went down really fast and got really bad but I recovered really fast due to many factors, the Lord above, and medication. My baby is 5 weeks old this Sunday and not only can I do it, I am doing it and I never thought I could. Not only that, I enjoy doing it and I miss my baby when she’s gone for even an hour. I truly love and enjoy being a mom and you can and will too when the fog lifts by whatever means it takes for it to lift. Accept help when it’s offered from ANYONE unless they are unstable or drive a big scary van full of candy for children. =0) Hope this helped someone out there =0)