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Afterbirth - Postpartum Depression

In the Philippines, we have this saying; "A mother who is about to deliver a child has her one foot into the grave" and that's absolutely true because giving birth is a serious condition which can lead to complications if not properly monitored. It can be life threatening.

There are several indications that women after childbirth experience changes physically, emotionally, mentally and even psychologically. Such changes may be mild, moderate or severe. These are usually accompanied by depression or mood disorder in which feelings of sadness, anger and frustration interfere with everyday life for a longer period.

The new mother is tired physically and mentally and she may find it hard to reconcile her maternal instinct with her desire as a woman and wife. This may trigger depression on her part, nursing her baby and maintaining intimacy on her spouse. The father may suddenly find himself taking second place in his wife's attention and affection.

Sleep deprivation
Postpartum Depression is a condition when a new mother experience anxiety, overwhelming sadness and emotional disturbances which can cause a psychotic reaction or a loss of touch with reality.

Restless or irritable
Feeling sad or crying a lot
Lack of energy
Head and chest pains
Heart palpitations
Sleeping and eating disorder
Having no interest in the child
Feeling of worthlessness and guilt
Cold flashes
Panic disorder

Overwhelming sadness
If those women who are suffering from postpartum depression do not receive adequate treatment, the illness may worsen and can lead to more serious condition like;

Postpartum Psychosis is the most severe form of depression. It's a psychiatric illness which occurs in approximately 1 to 2 per 1,000 women. Its presentation is often dramatic with onset of symptoms as early as the first 48 to 72 hours after delivery. This disorder exhibits a rapidly shifting depressed or elated mood, disorientation or confusion and erratic and disorganized behavior. Auditory hallucinations that instruct the mother to harm herself or her infant may also occur. Risk for infanticide and suicidal tendencies.

To date, only a few studies have systematically assessed the pharmacological treatment of postpartum depression. Conventional antidepressant medications (fluoxetine, sertraline, fluvoxamine, and venlafaxine) have shown efficacy in the treatment of postpartum depression. In all of these studies, standard antidepressant doses were effective and well tolerated. The choice of an antidepressant should be guided by the patient’s prior response to antidepressant medication and a given medication’s side effect profile. Specific serotonin reuptake inhibitors (SSRIs) are ideal first-line agents, as they are anxiolytic, non-sedating, and well tolerated. For women who cannot tolerate SSRIs, bupropion (Wellbutrin) may be an alternative; although one pilot study suggests bupropion may not be as effective as SSRIs. Tricyclic antidepressants (TCAs) are frequently used and, because they tend to be more sedating, may be more appropriate for women who present with prominent sleep disturbance. Given the prevalence of anxiety symptoms in this population, adjunctive use of a benzodiazepine (e.g., clonazepam, lorazepam) may be very helpful.

The story of Andrea Yates that shocked the world.

Early treatment of postpartum depression (PPD) is important for you, your baby, and the rest of your family. The sooner you start, the more quickly you will recover, and the less your depression will affect your baby. Babies of depressed mothers can be less attached to their mothers and lag behind developmentally in behavior and mental ability.


  1. nagulat naman ako dito sa post na to.. meron pa lang ganito ang mga mother after birth,,,
    thanks for this sharing,

  2. I did go through post partum depression when I gave birth to my child. Good thing my family was there to support me and help me get over it.

  3. I knew how hard it is for a patient having this serious condition. Depressing indeed

  4. luckily i didn't have the PPD when i gave birth to my kids. i was aware of this and i think i've handled my emotions properly.

  5. hair raising and I cried so much, terrible wasted

  6. waaaa... na shock ako sa video! Buti na lang dito sa Philippines close ang family at madaming umaalalay pag bago panganak.

  7. Reading this made me think I'm always having post-partum depression, lols. Kidding, I have 3 to four of those you listed when bouts of sadness come by...remember though that we women are tough...we were able to experience pain through childbirth so ppd with proper help is conquerable. :)


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