![]() ![]() Pharmacists should note that some new mothers are breastfeeding and may be hesitant to take medication. These include group or individual psychotherapy and psychoeducational support groups. 16Įarly treatment is crucial and starts with nonpharmacologic strategies in women with mild to moderate depressive symptoms. 15 Affected individuals may also have ambivalent feelings, obsess about the baby, or think about hurting her children or herself. As with other kinds of depression, symptoms occur along a continuum. PPD manifests as anhedonia, appetite disturbance, depressed mood, fatigue, insomnia, recurring thoughts of death, suicidal thoughts, and tearfulness. Conversely, PPD is persistent and interferes with the mother’s ability to care for herself and others and may not resolve spontaneously. Generally, these symptoms spontaneously diminish over 2 weeks. Postpartum blues-anxiety, fluctuating mood, irritability, and tearfulness-are real and tend to develop around the fourth or fifth day postpartum in about half of women. ![]() 4,14 Sadly, many women do not seek prompt treatment, thinking they are just tired or finding other excuses, such as “it’s just postpartum blues.” In addition, tremendous stigma accompanies this condition. 12,13 Symptoms can last 1 year or longer, with 25% of women having symptoms at 1 year. Subject matter experts indicate that biologic, hormonal, and psychosocial issues are risk factors for postpartum mood disorders (table 5-11). ![]() 1 Among those women, about 15% will have a disabling, persistent condition, and a small percentage will develop postpartum psychosis. Recent discoveries concerning PPD’s pathophysiology offer tremendous hope to the approximately 400,000 women who develop it annually in the United States. Maternal postpartum depression (PPD), although common, disabling, and sometimes life-threatening, often remains undiagnosed and undertreated. ![]()
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