Robert Kennedy, Kelley Suttenfield

Disclosures
In This Article

Diagnosis

The criteria used to diagnose depression is the same in postpartum states. In addition to these criteria, other symptoms may include fear or feelings of guilt about being a "bad" mother, or possibly extreme fear that some harm will come to the baby. These thoughts help distinguish postpartum from other kinds of depression (Table 1).

Women with postpartum major depressive episodes may also have severe anxiety, panic attacks, spontaneous crying long after the usual duration of "baby blues" (ie, 3-7 days postpartum), disinterest in the new infant, and insomnia (manifested as difficulty falling asleep).

When assessing whether a symptom is a sign of depression or a normal postpartum reaction, the individual's circumstances need to be considered. A woman's level of exhaustion or irritability may be quite normal when her infant is 2 weeks old and nursing frequently, but may not be normal when her baby is 4 months old and sleeping soundly through the night. Sleep deprivation can cause fatigue and poor concentration, but the degree of these symptoms needs to be carefully assessed.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....