What is postpartum depression? 
Postpartum depression, by its abbreviation, "PPD" - a type of depression that affects 1 in 8 new mothers within a year after giving birth. The PPD is a sadness that lasts a long time. If you are a woman with depression, you are not alone. Help is available. 
 These are some of the symptoms of the PPD: 
Loss of interest or pleasure in life 
  Loss of energy and motivation to do things 
  Sleeping too much or too little 
  Feeling like life isn't worth living. 
  Irritability, anxiety or restlessness 
  Feeling worthless and guilty 
  Withdrawal from friends and family 
  Eating too much or too little 
  Having trouble remembering things, concentrating or making decisions 
  Crying a lot 
  Having thoughts of hurting yourself
  Thinking about hurting your baby 
 What PPD is not: 
 PPD is not something to be ashamed of. 
 It is not your fault. 
 It is not a sign of weak personality. 
PPD is an illness that requires medical care just like diabetes is an illnes that requires care. You can take st
eps to deal with PPD and its symptoms.    
Tips for Coping With PPD 

Find someone to talk about your feelings. 
Talk to another mother about your feelings and problems. She may have  "words of wisdom." 
Ask your family for help with childcare, chores and errands. 
Find time for yourself. Try to exercise (walking), take a bath or something else that you enjoy. Give yourself 15 minutes a day! 
Do not worry about being perfect, and know that your feelings are normal. 
Avoid being alone 
Eat a good, healthy diet. Make several meals a day with smaller portions. 
Keep a diary. Write down your emotions. You will notice that what you write in your diary will change and show a better and healthier person as time goes on. 
Remember that it is okay to feel overwhelmed parenting is hard!. 
Talk to your doctor, nurse practitioner or nurse midwife about how you feel. 
Checklist of Symptoms:
Use this list if you think you might have PPD. If you feel you have any of the symptoms listed below, which have lasted more than 2 weeks and are affecting your life, talk to your doctor, nurse or midwife. 
Scary Fantasies
Loss of confidence
Full of doubts 
Mood swings
Appetite changes
Unable to make decisions
Excessive crying
Extremely agitated
Unable to laugh 
Thoughts of hurting yourself or your baby
Strange Visions 
Tired / exhausted  
Poor self-care 
Low self-esteem 
Items in bold print require immediate attention. Please see your doctor. " 


Who can get PPD?  When I can get PPD?  Why should I get PPD? 
Any woman who has had a baby in the past year can get PPD. There is no warning for PPD.

It doesn't matter how old you are, what race you are, or how much money you have.
PPD can occur anytime during the first year after giving birth. Symptoms last 2 weeks and affect your ability to function as breast cancer After giving birth to a baby, breast sometimes go through emotional changes due to a decline in the chemicals in the body called hormones. These changes may include mood swings, sadness, crying spells, changes in appetite, trouble sleeping and feel anxious, irritable or lonely. 
Remember, it is not because of something you did. Depression is caused by a chemical imbalance. 
With whom should I speak? 
Where I can get help? 
Can I keep this private?  What about cost? 
Get help first talking to your doctor, nurse or midwife. They can help and can give you medicine for depression or suggest a counselor. You can also join groups with other mothers like you.  Yes, your medical care is confidential. However, it is a good idea to discuss your treatment with your spouse or a close friend so they can help through this.   Treatment of PPD is equal to the treatment of any medical condition, the costs are covered by insurance or other assistance through federal or state insurance. 
How does PPD affect me and my baby?  How can mothers with PPD get better? Can PPD come back once I feel better? 
When a mom has PPD, she may lack energy and have no desire to play with her baby. She may have trouble paying attention to things. 
She may not be able to meet her babyís needs for love
. This may make her feel guilty and lose confidence in herself as a mother- which makes PPD even worse. 
Good news- treatment is available and it works! 
There are 2 main types of treatment for postpartum depression: medication and therapy. 
You might be at risk following the birth of future children. If you get help for your PPD and still donít feel better, talk to your doctor, nurse practitioner, or nurse midwife.
Do not be afraid to ask for help! You and your baby deserves health and happiness! 
You can learn more about the PPD at the following locations: 
National Women's Health Information Center (National Center for Women's Health Information) 
Phone (800) 944-9662 

American Psychiatric Association
(American Psychiatric Association) 

Phone (888) 35-PSYCH or (888) 357-7924 


Postpartum Support International 
(Postpartum Support International) 

Phone (800) 944-4PPD or (800) -944 to 4773 

Tulare County HHSA Perinatal Wellness Program 

Funded by Tulare County Department of Mental Health 

For more information: 
559-623-0175 or 
You can download a version that can be printed from: 

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