Pregnancy and Postpartum Mental Health Disorders
Pregnancy and postpartum mental health disorders are common, treatable medical conditions. One in five women will experience distressing emotional reactions during pregnancy and the first year after childbirth. These emotional conditions also effect fathers and those who have adopted or suffered perinatal loss.
The Edinburgh Postnatal Depression Questionnaire helps mothers and fathers determine whether they are suffering from a pregnancy or postpartum mental health disorder. You complete the questionnaire anonymously online. Scores over 10 indicate the likelihood of anxiety or depression. Answers other than “never” to question 10 suggest you should call your healthcare provider or WellMama (1-800-896-0410) for an assessment. Here it is in Spanish.
Common pregnancy and postpartum mental health disorders include:
- Baby Blues: Symptoms include weepiness, irritability, exhaustion, and feeling overwhelmed. The baby blues resolves or dramatically improves within the first three weeks after childbirth. Up to 80% of women will experience the baby blues.
- Prenatal and Postpartum Depression and Anxiety: Symptoms include feeling anxious, agitated, sleeping too much or not at all, trouble falling asleep after waking, excessive worrying, irritability, anger, guilt, shame, feeling disconnected from your family and/or baby, appetite changes, difficulty concentrating, and possible thoughts of harming the baby or yourself. Up to 25% of mothers and approximately 10% of fathers will experience prenatal or postpartum depression or anxiety.
- Panic and Generalized Anxiety: Symptoms include feeling worried, anxious, or very nervous most of the time. Recurring panic attacks include heart palpitations, shortness of breath, chest pain, nausea or vomiting, and fear of dying. Panic and anxiety affects 10% of pregnant women and new mothers.
- Posttraumatic Stress Disorder (PTSD): Symptoms include distressing memories, irritability, difficulty sleeping, nightmares, hyper vigilance, and efforts to avoid reminders of the trauma. PTSD can occur during pregnancy or following a traumatic childbirth. Symptoms may be related to a prior traumatic experience or the birth itself. 3-6% of pregnant women and new mothers experience PTSD.
- Obsessive Compulsive Disorder (OCD): Symptoms include intrusive, disturbing thoughts and/or images of harm coming to the baby and a sense of horror about having these thoughts. These symptoms are usually accompanied by a preoccupation with keeping the baby safe through repetitive actions to reduce the fear and obsessions. Women disturbed by these thoughts are very unlikely to ever act on them. 3-5% of pregnant and new mothers experience OCD.
- Postpartum Psychosis: Symptoms include having strange beliefs, hallucinations, irritability and agitation, inability to sleep, rapid mood changes, and poor decision-making. Women with psychosis are not disturbed by the nature of their thoughts or find them unusual. This condition affects .1-.3% of new mothers and usually occurs within the first few days or weeks after birth. Women with psychosis are at significant risk for harming themselves or their infants and need immediate crisis intervention.
- For women with bipolar disorder: Women with bipolar disorder are at a significantly higher risk of experiencing psychosis, particularly if they are not taking medication and are extremely sleep deprived. It is important to develop a wellness plan with a practitioner familiar with postpartum illnesses. Having adequate support is a must.
If you are experiencing any of the symptoms listed above, remember that you are not alone and you are not to blame With treatment and support, you will feel like yourself again.
Seek help when:
- Your symptoms affect your relationship with your baby and your family.
- You feel alone, ashamed, or the support of family and friends is not enough.
- You believe that things are getting worse, not better.
Contact WellMama at 1-800-896-0410 or Postpartum Support International at 1-800-944-4773 for free support and information on getting help.
Our Packet Materials in English and Spanish Updated 10/05/16
- PMDs Fact Sheet PSI
- Parent Handout–10 Facts
- EPDS with release form
- Eugene-Springfield Maternal Health Resource Guide
- Postpartum Risk Assessment with New Moms
- Types of Perinatal Mood Disorders
- Tips for Postpartum Dads and Partners
- Ways Other Can Help a New Mother
- Spanish Information with Illustrations
- PMDs Fact Sheet PSI Spanish
- EPDS Spanish
- Postpartum Checklist Spanish