Baby blues or postpartum depression? How to tell, and where to get help
Feeling overwhelmed after having a baby is common. Knowing the difference between the baby blues and depression helps you get the right support.
The baby blues
Up to about 80 percent of new mothers have the baby blues. They usually start two to three days after birth and fade within two weeks. Signs include:
- Mood swings and crying spells.
- Feeling anxious, irritable or overwhelmed.
- Trouble sleeping, even when the baby sleeps.
Rest, food, help with the baby and time usually ease the baby blues.
Postpartum depression
Postpartum depression (PPD) is more intense and lasts longer. ACOG notes that it affects about 1 in 7 women. It can start any time during pregnancy or in the first year after birth. Signs include:
- Feeling sad, hopeless, empty or numb most of the day, for two weeks or more.
- Losing interest in things you used to enjoy.
- Feeling worthless or guilty, or like a bad mother.
- Trouble bonding with your baby.
- Big changes in sleep or appetite.
- Severe anxiety or panic attacks.
- Thoughts of harming yourself or your baby.
What we mention
PPD is a medical condition, not a weakness or a sign you're doing something wrong. It's treatable with therapy, support and, if needed, medicine, including options that are compatible with breastfeeding.
Partners can be affected too
Fathers and partners can also have depression after a baby arrives. Signs may show up as irritability, withdrawal or working more. The same support and treatment help.
What helps
- Tell someone: your partner, a friend, your OB, midwife or your baby's pediatrician. Pediatricians often screen parents at well-baby visits.
- Rest: trade night feeds with a partner, or ask someone to watch the baby while you sleep.
- Eat regularly and get outside, even for a short walk.
- Connect with other parents. Many hospitals and communities have new-parent groups.
Get help now if
If you have thoughts of harming yourself or your baby, call or text 988 (Suicide & Crisis Lifeline) or call 911.
The National Maternal Mental Health Hotline is free, confidential and available 24/7: call or text 1-833-TLC-MAMA (1-833-852-6262).
For partners, family and friends
Watch for signs, listen without judging, and help with practical things like meals, laundry and a few hours of sleep. Encourage the new parent to talk with a provider, and offer to go with them.
