Do I Have Postpartum Depression? – Common Symptoms & Treatment

By (embryologist), (embryologist) and (fertility counselor).
Last Update: 09/21/2023

Postpartum depression (PPD), also known as postnatal depression, is a mood disorder that typically affects women after giving birth. Common symptoms include extreme sadness.

In general, postpartum depression is a temporary disorder that occurs in about ten percent of women, in spite of having had a normal delivery. It is commonly referred to as baby blues.

Baby blues is characterized by a series of mood swings following the baby's birth, including happiness mixed with sadness, irritability, and crying episodes.

Types of postpartum depression

In most of the cases, women experience mild postpartum depression, typically starting within two or three days after giving birth, and can be extended by two weeks approximately.

No specific treatment is required in cases of mild postpartum depression. Moreover, it rarely has a negative impact on the woman's mental health.

However, a small percentage will develop a severe type of postpartum depression, which can appear after birth and may prolong itself in time.

Phases of postpartum depression

Postpartum depression can be classified into three types: mild, moderate, and severe. Oftentimes, it is present during the three next months after the birth of the baby.

Throughout this time period, women go through three phases that are described below:

First phase
The woman finds her own self again after various months carrying a baby on her belly.
Second phase
The baby becomes the main character, and the mother is pushed into the background.
Third phase
A peaceful situation is recovered progressively, and the woman assumes her new situation, and learns how to live with it.

After childbirth, emotional support from the partner and beloved ones is crucial for the woman's wellbeing. Within a few days, this situation will vanish. Returning home will be such a grateful experience that taking care of the baby will eventually become a normal situation in her daily routines.

Why does postpartum depression occur?

The precise causes of postpartum depression are actually unknown. However, hormonal changes that occur in the woman during pregnancy and after childbirth can have an extremely negative impact on her state of mind.

Moreover, the woman may feel sad due to other reasons aside from the baby's birth itself:

  • Body changes
  • Work and social relationship changes
  • Insufficient sleep
  • Being unable to make time for herself
  • Concerns about the baby and feeling unconfident about caring for the baby

Also, there exist certain risk factors that can increase the chances for a woman to develop postpartum depression, including teenage motherhood, unwanted pregnancy, single motherhood, unsupportive partner and/or family, financial issues, etc.

Symptoms of depression after childbirth

Symptoms of postpartum depression are quite similar to those of a depression, except for some particularities that we will explain in the following paragraphs.

The most common feelings in women who have just given birth are anxiety, irritability, extreme sadness, crying episodes, and restlessness. These symptoms are commonplace amongst women who develop the so-called baby blues. As explained earlier, baby blues is not considered a concerning mood disorder.

When these feelings of sadness persist or become worse, a severe type of depression may develop, which may be extended by several months or even years.

Although real cases of postnatal depression are sparse, they are associated with a series of concerning symptoms or negative signs, including:

  • Feelings of guilt about the reaction to the newborn
  • Lack of interest in daily activities
  • Trouble sleeping, insomnia
  • Loss of appetite
  • Lack of concentration
  • Not being able to complete everyday tasks
  • Over-concern for the baby
  • Fear of harming a baby or herself
  • Being scared to be alone with the baby


When the woman herself or a close relative detects any of these feelings or suspects that the baby is being left unattended, seeking the help of a well-versed professional is essential.

The treatment of postpartum depression is a simple one, and can involve some or all of these options:

As long as they do not have a negative impact on breast milk while breastfeeding the baby.
Psychological support
A handful of sessions with a psychologist that has experience in treating postpartum depression may be enough.
Other non-medical treatments
Doing sports like yoga or acupressure can help as a relief for the symptoms of depression.

In most cases, medical providers recommend a combined approach, that is, following all three treatments.

Tips to cope with postpartum depression

Whether the woman is on treatment or not, there exist a series of recommendations to be followed on a daily basis that may help cope with postpartum depression, including:

  • Exteriorize your feelings and concerns with a close relative, friend, or trusted person
  • Seek help when you feel overwhelmed, whether you need someone to help you take care of the baby or carry out a specific task
  • Go walking, spend time outdoors seeing a friend or doing any other leisure activity
  • Make time to relax everyday and just do nothing
  • Try to avoid staying alone all day with the baby
  • Start planning your post-pregnancy fitness regimen
  • Make time for postpartum sex and intimacy
  • Make an effort to meet other moms, or try to find like-minded moms by participating in support groups
  • Try to keep your old friendships alive

All woman who have just been through childbirth can follow these tips, including those without signs of postpartum depression. All in all, it also helps you to lower the risk of developing it in the future.

FAQs from users

How long does postpartum depression last?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

In most of the cases, postpartum depression manifests in just the form of baby blues and lasts two weeks.

Only 10 percent of women develop more serious symptoms, which can be present for over two months or even years if it is not treated adequately.

What is a dad to do when his wife has postpartum depression?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

Often, when the new mum is struggling with postnatal depression, her partner finds himself in a complicated situation where he doesn't know how to react or what to do. Firstly, it is key to be supportive and never judge her actions. We recommend that they visit a doctor or psychologist as well in order to learn about the best way to react behind baby blues or postpartum depression, and be helpful. For women in such situation, having a supportive patient by their side is essential.

Additionally, some may develop postpartum depression as well (known as Paternal Postnatal Depression or PPND).

What are the effects of postpartum depression on the baby?

By Zaira Salvador B.Sc., M.Sc. (embryologist).

Indeed, mothers can transfer their state of mind to the baby, causing irritability on him or her. For this reason, it is crucial that the mother is not always alone with the baby. Care from other people is also helpful for the baby to feel good.

Breastfeeding can reduce the impact of postpartum depression, although nursing a baby is not easy when self-esteem is so low. In these cases, antidepressants that are compatible with breastfeeding are recommended.

Are there risk factors for postpartum depression?

By Marta Barranquero Gómez B.Sc., M.Sc. (embryologist).

Yes. The exact cause of postpartum depression is not known, but there are some factors that increase the risk of postpartum depression. Listed below are some possible triggers for postpartum depression:

  • Having a history of depression.
  • Bipolar disorder.
  • Previous postpartum depression.
  • Multiple pregnancy.
  • Difficulty breastfeeding.
  • Financial problems.
  • Unwanted pregnancy.
Imagen: risk-factors-for-postpartum-depression

Suggested for you

If you are a first-time mom, it is likely that you wish to learn more about baby care. In such case, you may enjoy some further information reading this: Newborn Baby Growth & Development.

Also, if you need information about breastfeeding, we recommend you to visit the following article: Feeding your newborn baby - breastfeeding or formula feeding?

We make a great effort to provide you with the highest quality information.

🙏 Please share this article if you liked it. 💜💜 You help us continue!


Angeline Ti, Kathryn M Curtis. Postpartum hormonal contraception use and incidence of postpartum depression: a systematic review. Eur J Contracept Reprod Health Care. 2019 Apr;24(2):109-116 (View)

Jennifer L Payne, Jamie Maguire. Pathophysiological mechanisms implicated in postpartum depression. Front Neuroendocrinol. 2019 Jan;52:165-180. doi: 10.1016/j.yfrne.2018.12.001 (View)

José María Ceriani Cernadas. Postpartum depression: Risks and early detection. Arch Argent Pediatr. 2020 Jun;118(3):154-155. doi: 10.5546/aap.2020.eng.154 (View)

Michele L Okun, Roberta A Mancuso, Calvin J Hobel, Christine Dunkel Schetter, Mary Coussons-Read. Poor sleep quality increases symptoms of depression and anxiety in postpartum women. J Behav Med. 2018 Oct;41(5):703-710. doi: 10.1007/s10865-018-9950-7. Epub 2018 Jul (View)

Monika Dominiak, Anna Z Antosik-Wojcinska, Marta Baron, Pawel Mierzejewski, Lukasz Swiecicki. Recommendations for the prevention and treatment of postpartum depression. Ginekol Pol. 2021;92(2):153-164. doi: 10.5603/GP.a2020.0141. Epub 2021 Jan 15 (View)

Pawan Sharma, Sanjay Kalra, Yatan Pal Singh Balhara. Postpartum Depression and Diabetes. J Pak Med Assoc. 2022 Jan;72(1):177-180. doi: 10.47391/JPMA.22-002.

P Gopalan, M L Spada, N Shenai, I Brockman, M Keil, S Livingston, E Moses-Kolko, N Nichols, K O'Toole, B Quinn, J B Glance. Postpartum Depression-Identifying Risk and Access to Intervention. Curr Psychiatry Rep. 2022 Dec;24(12):889-896. doi: 10.1007/s11920-022-01392-7 (View)

S Oztora, A Arslan, A Caylan, H N Dagdeviren. Postpartum depression and affecting factors in primary care. Niger J Clin Pract. 2019 Jan;22(1):85-91. doi: 10.4103/njcp.njcp_193_17.

Taylor A Thul, Elizabeth J Corwin, Nicole S Carlson, Patricia A Brennan, Larry J Young. Oxytocin and postpartum depression: A systematic review. Psychoneuroendocrinology. 2020 Oct;120:104793. doi: 10.1016/j.psyneuen.2020.104793 (View)

FAQs from users: 'How long does postpartum depression last?', 'What is a dad to do when his wife has postpartum depression?', 'What are the effects of postpartum depression on the baby?' and 'Are there risk factors for postpartum depression?'.

Read more

Authors and contributors

 Marta Barranquero Gómez
Marta Barranquero Gómez
B.Sc., M.Sc.
Graduated in Biochemistry and Biomedical Sciences by the University of Valencia (UV) and specialized in Assisted Reproduction by the University of Alcalá de Henares (UAH) in collaboration with Ginefiv and in Clinical Genetics by the University of Alcalá de Henares (UAH). More information about Marta Barranquero Gómez
License: 3316-CV
 Zaira Salvador
Zaira Salvador
B.Sc., M.Sc.
Bachelor's Degree in Biotechnology from the Technical University of Valencia (UPV). Biotechnology Degree from the National University of Ireland en Galway (NUIG) and embryologist specializing in Assisted Reproduction, with a Master's Degree in Biotechnology of Human Reproduction from the University of Valencia (UV) and the Valencian Infertility Institute (IVI) More information about Zaira Salvador
License: 3185-CV
Adapted into english by:
 Sandra Fernández
Sandra Fernández
B.A., M.A.
Fertility Counselor
Bachelor of Arts in Translation and Interpreting (English, Spanish, Catalan, German) from the University of Valencia (UV) and Heriot-Watt University, Riccarton Campus (Edinburgh, UK). Postgraduate Course in Legal Translation from the University of Valencia. Specialist in Medical Translation, with several years of experience in the field of Assisted Reproduction. More information about Sandra Fernández

Find the latest news on assisted reproduction in our channels.