By Alyse Kiyuna OB/GYN Nurse Practitioner, Wilcox Medical Center

Understanding Postpartum Depression

“Asking for help is a sign of strength and the beginning of getting better.”

WELCOMING A BABY CAN BRING JOY, BIG CHANGES AND SOME VERY DIFFICULT DAYS.

Many new parents have mild mood changes called the "baby blues" during the first two weeks after birth.

Postpartum depression is different.

Feelings of sadness, worry or hopelessness may be stronger, last for weeks or months, and make it difficult to get through the day.

Symptoms often begin within a few weeks of delivery, but they can develop anytime during the first year.

There are many factors that may contribute to postpartum depression.

Hormone levels change quickly after delivery.

Healing from childbirth, getting too little sleep and caring for a newborn can also be physically and emotionally exhausting.

While genetics may play a role, even those without a family history of postpartum depression may experience it.

"If you are experiencing symptoms of postpartum depression, it's important to know that you are not alone, you are not to blame and help is available," said Alyse Kiyuna, OB/GYN nurse practitioner at Wilcox Medical Center and Kaua'i Medical Clinic.

The first step is simply telling someone.

Talk with your partner, a trusted friend, family member, or a member of your healthcare team. Let them know how you're feeling.

Healthcare professionals are trained to recognize postpartum depression and can connect you with resources and support.

Help Is Available.

Treatment may include counseling, medication or both. Counseling can give you a safe place to talk, adjust to changes and learn ways to cope. Support groups can remind you that others understand and can relate to what you are going through.

Every person's situation is different, and your healthcare provider can help determine the best approach for you.

The important thing to remember is that postpartum depression is treatable, and early intervention can make a meaningful difference.

SIGNS TO WATCH FOR

  • Prolonged sadness
  • Anxiety or irritability
  • Frequent crying
  • Very low energy
  • Sleeping too little or too much
  • Appetite changes
  • Trouble concentrating or making decisions
  • Loss of interest in people or activities
  • Feeling disconnected from your baby or feeling unable to manage daily tasks

Small Steps You Can Take:

  • Share how you feel with someone you trust.
  • Ask for specific help with meals, errands, laundry or baby care so you can rest and take care of yourself, whether that means attending appointments or tending to other needs.
  • Eat regularly and, with your provider's approval, add gentle activity.
  • Family and friends can help by listening without judgment, checking in often and reminding you that you do not have to navigate this alone.

Symptoms can look different for each person.

One of the challenges with postpartum depression is that new parents may worry about being judged or feel embarrassed to talk about what they're experiencing.

"The truth is that asking for help is a sign of strength and the beginning of getting better," Kiyuna said.

“No parent should have to face postpartum depression alone,” Kiyuna said. “Help is available. There are effective treatment options. Recovery is possible. Speaking up is an important first step toward caring for yourself, your baby and your entire family.”

At Wilcox Medical Center and Kaua'i Medical Clinic, experts in obstetrics and gynecology help care for families before, during and after childbirth. To learn more about services and programs available to the community, visit WilcoxHealth.org.