
It involves complex mix of emotional, physical and behavioral state of women after child birth. It is a major depression that begin in 4 weeks after the delivery. The diagnosis of this depression is depending upon the how much severe depression. The analysis of postpartum depression is put together not just with respect to the time allotment among conveyance and beginning yet additionally on the seriousness of the downturn. Postpartum depression is connected to physical, social, and mental changes that happen while having an infant. The term portrays a scope of physical and enthusiastic changes that numerous new moms experience. PPD can be treated with medicine and counseling.
This happens because of lot of physical, chemical and psychological changes that women go through in this time. The levels of hormones like estrogen and progesterone drop significantly and suddenly after delivery. Also, the
psychological perception of a woman changes after giving birth which can contribute to it.
Postpartum generally classified into three types:

1. BABY BLUES
which happen in most ladies in the days directly after child birth, are normal. You may have abrupt emotional things, for example, feeling extremely cheerful and afterward feeling dismal. You may weep for reasons unknown and can feel
eager, bad tempered, fretful, restless, irritate, and miserable. BABY BLUES may last just a couple of hours or up to 1 to about fourteen days after conveyance. A woman can join a care group or she can take the appointment of counselor
or experts for the overcome of depression.
2. Postpartum depression
can happen a couple of days or even a very long time after labor. PPD can occur after the birth of any child, not simply the first kid. You can have sentiments like postnatal depression - bitterness, despair, tension, touchiness - yet
you feel them considerably more emphatically. PPD frequently shields you from doing the things you have to do each day. At the point when your capacity to work is influenced then you need to see doctor or therapist or counselor.
3. Postpartum psychosisis
an intense dysfunctional behavior that can influence new moms. This ailment can happen immediately, frequently inside the initial 3 months after delivery. women can put some distance between the real world, having hear-able mind flights
(hearing things that aren't really occurring, similar to an individual talking) and fancies (firmly accepting things that are obviously nonsensical). Visual mental trips (seeing things that aren't there) are more uncommon. Different
indications incorporate sleep deprivation (not having the option to rest), feeling irritate and abnormal emotions and practices. Women who have postpartum psychosis need treatment immediately.
Causes
PPD can cause not only one factors but it involves multiple factors some of are:
- Physical changes in pregnancy
- No family supports
- Worries about relationship
- Financial difficulties
- Excessive worry about the baby
- Responsibilities of being a parent
- Changes in hormones before and after delivery
And there are many causes which suffer by the women before or after pregnancy.
Risk factors
It includes both Physical factor as well as Emotional factors because it involves hormones and which constantly changes before and after delivery
Physical factor includes:
- Low thyroid hormone levels
- Lack of sleep
- Lacking eating routine
- Medical ailments
- Drugs and liquor abuse
Emotional factors include:
- Lack of family support
- Marital conflicts
- Limited socialization
- Financial problems
- Instantly mood change
- Have baby with special needs
- Younger women as compared to ones in middle age
- Have unplanned delivery
So, these both factors are the risk factor of PPD.
Symptom’s
- Mood Swings
- Exhaustion
- Too much sleep or insomnia
- Anorexia or over eating
- Difficulty in concentrating
- Unexplained pain
- Irritability
- Impatience
- Inability to enjoy things that they liked
- Anxiety
Diagnosis
Doctors or counselors may aim to rule out by asking the individual with suspect PPD by asking a questionnaire
The specialist will regularly ask whether they have felt a low mindset, sorrow, or sadness during the previous month. They will likewise inquiry whether the new parent actually enjoys exercises that would generally satisfy them.
The specialist may likewise inquire as to whether the patient has:
- Dozing issues (sleeping)
- Issues settling on choices and concentrating
- Fearlessness issues
- Changes in hunger
- Nervousness
- Weakness, Laziness, or Hesitance to be engaged with any physical movement
- Become self-basic
- Suicidal thoughts
- When symptoms persist for more than 2 weeks
- Inability to live a normal life and cope
- Thoughts of harming herself or the baby
From these types of questions, doctors can guide the patient that actually what he/she needed. And on that basis doctors can send them to counselors or psychiatrists.
Treatment

1. Communicate:
The person can communicate with another person. Like mother and father can take the help of counselors for communications
2. Fight isolation:
If the person were ready to talk to another person then she can fight with the isolation.
3. Antidepressants
They are the drugs that alter chemistry inside brain and help settle mood disturbances. This takes times (weeks) to take effect and can only be prescribed by your doctors or therapist and should be taken under their
supervision. In this disorder if severe depression is there then only medicines were required otherwise the person can take the counselling and can share his fears.
4. Therapy
Trained psychiatrist or mental health professionals can help with understanding the symptoms and make sense of them. They can also help with the management of these symptoms. They use methods like Cognitive behavioral
therapy which teaches the patient different ways of thinking, behaving and reacting to different situations. Second is Interpersonal therapy which helps the patient to communicate better and develop better relationships.
How can you manage at your own end?
- Women should know it’s okay to ask for help
- Make some lifestyle changes and eat healthy
- Sleep and take rest whenever possible
- Do not expect too much
- Know that this is normal and you are not alone.
And this is how parents overcome from this issue. This issue involves both factors emotional as well as physical. Not only the mothers but also fathers can have this depression.