Postpartum depression in mothers

Postpartum depression may involve sadness, emptiness, irritability, guilt, hopelessness, worry, or feeling disconnected from the baby. Sleep can be difficult even when the baby is resting, and appetite, concentration, confidence, or interest in intimacy may change. It can begin soon after birth or develop later. This is a health condition, not a sign that you are a bad mother, and needing help does not mean you will lose your role as a parent.

Tell a trusted person and contact your midwife, obstetrician, family doctor, or mental health professional. Treatment may include talking therapy, practical support, medication, or a combination tailored to breastfeeding, medical history, and preferences. Small practical steps such as accepting meals, sharing night care when possible, and attending follow-up appointments can reduce isolation while treatment begins. Perinatal mental health support can help with assessment and a care plan.

Seek urgent help if you think about harming yourself or the baby, feel unable to keep either of you safe, hear or see things others do not, feel unusually confused, or become intensely agitated and unable to sleep. These symptoms can be signs of a psychiatric emergency. Stay with a trusted adult and contact local emergency services or the nearest emergency department.

Ask whether your symptoms fit postnatal depression, what treatment is compatible with feeding plans, how quickly support can begin, and who to contact outside appointments if your safety worsens.