Postpartum depression and perinatal mental health

Many new parents feel tearful, overwhelmed, or on edge in the first week or two after birth. These baby blues usually ease on their own. If the feelings last past two weeks, get stronger, or make it hard to care for yourself or your baby, it is time to talk to someone.

Signs to bring up with us or with your OB-GYN:

• Sadness, emptiness, or crying that is hard to stop.
• Worry that never seems to switch off, often about the baby's health or safety.
• Trouble sleeping, even when the baby is asleep.
• Feeling numb or distant from your baby, or from yourself.
• Irritability or anger that feels out of character.
• Low mood or anxiety during pregnancy, not only after birth.

Postpartum anxiety and postpartum OCD often bring sudden, unwanted thoughts about something bad happening to the baby. They can be very upsetting, and many parents keep them to themselves.

These thoughts are a well-known part of perinatal anxiety, and it is safe to talk about them here. Sharing them helps us find the right care for you.

Your mental health and your pregnancy care belong together. With your permission, we coordinate with your OB-GYN, midwife, or pediatrician so everyone is working from the same plan for you and your baby.

Many medications have been well studied during pregnancy and breastfeeding, and there are good options. We talk through what fits you and decide together.

If you or someone close to you notices confusion, several days without sleep, or thoughts that seem out of touch with reality after birth, call 911 or go to the nearest emergency room. This is rare, and quick care makes a difference.

For support at any time of day, call or text 988. Postpartum Support International also offers a helpline at 1-800-944-4773.