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BCReproductiveMentalHealthProgram
Thefirstfewweeksafterthebirthofababycanbeexciting.But Youcanlearnmorebyreadingthisfactsheetbutitisalwaysa
thistimecanalsobeverystressfulforawoman.Herbodyis goodideatotalktoyourhealthcareproviderifyoure
goingthroughchangesinhormones,dailyroutinesandsleeping concernedaboutyourmood.
patterns.
Thereishelpavailableforpostpartumdepression.With
Itsnotsurprisingthatmanywomenfeelsad,overwhelmedand
treatment,mostwomenimprovealotandareabletodomuch
tearful.Sometimesitishardtoknowifthechangestoyour
betterinallareasoftheirlives.
moodareduetonormalbabybluesoramoreserious
postpartumdepression.
DepressioninPregnancy Loseinterestinthingssheusedtoenjoy
Sleepalotmoreoralotlessthanusual
Weusuallyhearaboutpostpartum(afterbirth)depression,but Eatmoreorlessthanusual
depressioncanactuallybegininpregnancy. Withdrawfromfamily,friendsandcontactwithother
812%ofpregnantwomenexperiencedepression people
1016%ofwomenexperiencedepressioninthefirstyear Cryfornoapparentreason
afterbirth(postpartum) Berestless,orhavelittleenergy
Findithardtoconcentrateormakedecisions
Ifyouarepregnantandworriedaboutyourmood,talktoyour Haveheadachesorupsetstomachorotherphysical
doctor.Treatingdepressioninpregnancycanreducetheriskof symptoms
depressionafterthebabyisborn. Havethoughtsthatsheisaterriblemother
BabyBlues Havefrighteningthoughtsthatkeepcomingbackabout
harmingherselforherbaby
About80%ofmothersfeelthebabybluesorpostpartum
Onlyadoctorcandiagnosedepression.Awomanmaybe
blues35daysaftergivingbirth.Theymay:
diagnosedwithpostpartumdepressionifthesymptoms:
feelhappyoneminuteandsadthenextrapidmood
lastformorethantwoweeks
swings
areveryupsettingtothewoman
feelhelpless,worried,irritableoranxious
makeitdifficulttocarryoutherdailyactivitiesandcarefor
cryforwhatseemslikenoreason
herbaby
haveproblemssleeping
Thesearenormalfeelingsandresponseswhenwomenhavethe IfIamdepressed,whydoIfeelsoanxious?
postpartumblues.Usuallythesesymptomsgetbetterorgo ManywomenwhoexperiencePPDwillalsoexperienceanxiety.
awaywithinaweekortwoanddonotrequiretreatment.But, Somesymptomsofanxietyarearacingheart,feelingonedge,
ifyourmooddoesnotimproveafter2weeksofgivingbirth, toomuchorunrealisticworry,andupsettingthoughtsor
youmaybeexperiencingpostpartumdepression. imagesofharmtothebaby.Othertimeswomenwillexperience
symptomsofanxietywithoutbeingdepressed.
PostpartumDepression(PPD)
Itsimportanttotellyourhealthcareproviderallofthe
Depressionaffectsawomansmood,behaviour,thoughtsand symptomsyouareexperiencing.Thatwayyoucanbothdiscuss
physicalwellbeing.Somewomenmightstartfeelingdepressed allofthesupportandtreatmentsthatareavailabletoyou.
withinthefirstfewdaysafterthebabyisborn.Othersmight
notfeeldepresseduntilweeksormonthslater.Awomanwho
isexperiencingPPDmay:
Feeldepressedorextremelysad,mostofthedayand
nearlyeveryday
Feelirritableorangry
Feelguiltyorworthless
Feelhopelessandoverwhelmed UpdatedAugust2011
PostpartumPsychosis Partner&FamilySupport
Inextremelyrarecases,womenwilldeveloppsychosisafterthe Familiesandpartnerscanlistentoyourconcerns,helpyou
deliveryoftheirbaby.Somesymptomsofpsychosisare: makedecisionsandcomfortyou.Youmayneedtosharethe
responsibilitiesoflookingafterotherchildrenanddaily
feelingextremelyconfusedandhopeless houseworklikecookingorcleaning.
notabletosleep
distrustofotherpeople SelfCare
seeingthingsorhearingthingsthatarenotthere
Selfcareisawaytomakesomepositivechangesinyourlife
thoughtsofharmingyourself,yourbabyorothers
thatwillhelptolessenyourdepression.Aneasywayto
Womenwithahistoryofbipolardisorderorothermental rememberthebasicstepsinselfcareistothinkoftheword
illnesses,likeschizophrenia,maybeathigherriskof NESTS.Eachletterstandsforoneareaofselfcare:
developingpostpartumpsychosis.Ifthishappens,contacta
healthcareprofessionalimmediately. NutritionTrytoeatnutritiousfoodsthroughouttheday.
ExerciseGetregularexercisetoreducestressandfeel
WhyMe? better.Evenalittlephysicalactivitycanhelp!
Somewomenhaveahigherriskofdevelopingpostpartum Sleep&RestSleepisveryimportantforbothyour
depression.Themostcommonreasonsarewhenawoman: physicalandmentalhealth.Itisworththeefforttowork
ongettingagoodnightssleep.
hasexperienceddepressionoranxietyinthepast TimeforYourselfTakesometimetocareforyourself
hasafamilymember(s)whohashaddepressionoranxiety eachday,evenifitisjustforafewminutes.
tookmedicationfordepressionoranxietyandstoppedbe SupportAllnewmomsneedsupportfromothers.Dont
foreorduringpregnancy beafraidtoaskforhelpandinformation!Thisincludes
hastoolittlesupportfromfriends,familyandcommunity practicalsupportlikechildcare,emotionalsupportlike
someonewhocanremindyouofyourstrengthsand
informationalsupportsuchasfindingoutaboutresources
Myths&Facts inyourcommunity.
Myth:YoucanjustsnapoutofPPD.
Fact:PPDisahealthissue.Ifyouhavemoderatetosevere WhoshouldItalkto?
PPDyouneedtoreceivehealthcare. Ifyounoticetheabovesymptomsinyourself,yourpartner
Myth:PPDaffectsme,butnotmybaby. orafamilymember,pleasecontactyour:
Fact:Whenamomisdepressed,shecanhaveahardtime familydoctor,obstetricianorpsychiatrist
interactingandbondingwithherbaby.Thiscanaffectthe midwife
babysdevelopment.Thebestwaytomakesureyourbaby publichealthnurse
hasahealthystartistogethelpforyourself. aregisteredpsychologist18007300522
aregisteredclinicalcounselor18009096303
Myth:Onlyweak,lazyorbadmomsgetPPD.
PacificPostpartumSupportSociety(providestelephone
Fact:Allkindsofwomenfromallwalksoflifecan
support)6042557999orwww.postpartum.org
experiencePPD.Youmayfeeltiredorwithdrawnandnot
realizeyouaredepressedbecauseyouaresobusycaring Resources
foryournewborn.PPDisanillness;itisnotaboutthekind
ofpersonyouareoryourmotheringskills. BCReproductiveMentalHealthProgram.Visit
www.bcmhas.ca(Programs&ServicesReproductive
MentalHealth).Thissitehasarangeofinformationon
Istherehelp? womensmentalhealthduringpregnancyandthe
postpartumperiod.Youwillfindfactsheets,worksheets,
Yes!OftenthebestwaytotreatPPDistocombineanumberof
theEdinburghPostnatalDepressionScale,andother
differenttreatmentslikecounseling,medication,support
resources.
groupsandselfcare.Counselingincludeseducationaboutyour
BCPartnersforMentalHealth&Addictions
illness,supportandhelpwithdevelopingwaystocope.
Information.Visitwww.heretohelp.bc.ca
Ifyourdepressionissevereorcounselingdoesnotdecreasethe YourLocalCrisisLine.Thesephonelinesarentonlyfor
symptoms,adoctormayprescribemedication.Thedecisionon peopleincrisis.Youcancallforinformationonorifyou
whethertotakemedicationshouldbebasedonathoughtful justneedsomeonetotalkto.Ifyouareindistress,call
discussionofrisksandbenefitswithyourhealthcareprovider. 310678924hoursaday.Donotadd604,778or250
YoumayfindithelpfultofillouttheEdinburghPostnatal beforethenumber.
DepressionScaleandshowittoyourdoctorormidwife.This 1800SUICIDE.Ifyou'rethinkingaboutsuicide,call
simpletoolwillhelpyoufigureoutifyouarestrugglingwith 1800SUICIDE(18007842433)togethelprightaway,
depression.Youmayalsowantsomeoneyoutrusttogowith anytimeofdayornight.Itsafreecall.
youtoappointmentsforsupport. HealthLinkBC.Call811orvisitwww.healthlinkbc.cafor
free,nonemergencyhealthinformationforanyoneinyour
ManywomenwhoareexperiencingPPDknowthereissomething family,includingmentalhealthinformation.Through811,
wrongbutdontgoforhelpbecausetheyareembarrassedor youcanspeakwithanurse,apharmacistoradietitian.
afraidtotalkaboutit.PPDisamedicalconditionitsOKtoask Translationservicesareavailableinover130languages.
aboutit! Fordeaf&hearingimpairedassistance(TTY),call711.