Why Do Mothers Experience Postpartum Depression?

Supporting you with knowledge, compassion, and expert care

Bringing a baby into the world is a beautiful journey—filled with love, excitement, and new beginnings. But for many mothers, it also comes with emotional challenges. One of the most serious and often misunderstood conditions is Postpartum Depression (PPD).

Understanding what causes PPD, how it shows up, and how to support someone who’s experiencing it is vital for mothers, families, and communities alike.

What Is Postpartum Depression?

Postpartum Depression is a serious mental health condition that can affect women after childbirth. It’s different from the short-lived “baby blues,” which usually go away within a few days. PPD lasts longer, is more intense, and can interfere with daily functioning (Mayo Clinic, 2023).

The CDC estimates that about 1 in 8 women experience symptoms of postpartum depression (Centers for Disease Control and Prevention, 2022).

Morning Sickness vs. Hyperemesis Gravidarum

There isn’t one clear cause of PPD. Instead, it’s usually a mix of hormonal, emotional, physical, and social changes:

  • Hormonal Changes

After birth, estrogen and progesterone levels drop rapidly. These hormonal shifts can trigger changes in mood-regulating brain chemicals.

  • Sleep Deprivation

Newborns wake often, and interrupted sleep can take a toll on emotional stability. Sleep loss affects brain function and can worsen depression symptoms.

  • Emotional Pressure

The pressure to bond instantly with the baby or be a “perfect mom” can lead to guilt, frustration, and feelings of failure—especially if expectations don’t match reality.

  • Mental Health History

A personal or family history of depression, anxiety, or trauma increases the risk of developing PPD.

  • Lack of Support

Not having help with the baby, household, or emotional needs can increase feelings of loneliness and hopelessness.

  • Life Stress

Financial stress, job insecurity, or relationship struggles can contribute to emotional overwhelm.

What Are the Symptoms?

Symptoms of PPD can vary but often include:

  • Persistent sadness, anxiety, or crying spells

  • Difficulty bonding with the baby

  • Loss of interest in activities

  • Sleep issues (too much or too little)

  • Appetite changes

  • Feelings of guilt, shame, or worthlessness

  • Withdrawal from loved ones

  • Thoughts of self-harm or harming the baby

If these symptoms last longer than two weeks, a healthcare provider should be consulted.

How Is Postpartum Depression Diagnosed?

A healthcare provider may perform a mental health evaluation, review medical history, and use screening tools like the Edinburgh Postnatal Depression Scale. Blood tests may be done to rule out physical issues such as thyroid dysfunction.

How Is It Treated?

  • Therapy

Evidence-based therapies like Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) are often the first line of treatment. These therapies help mothers manage thoughts and improve emotional well-being (National Institutes of Health, 2023).

  • Medication

Antidepressants can be effective and are often safe for breastfeeding moms when prescribed carefully (American Psychiatric Association, 2020).

  • Support Network

Support from partners, friends, or a postpartum doula can ease the emotional load.

  • Lifestyle Changes

Regular walks, nutritious meals, time for self-care, and enough sleep can help promote healing.

Long-Term Impact If Untreated

When left untreated, PPD can:

  • Affect a baby’s development (reduced bonding and emotional connection)

  • Increase the risk of chronic depression in the mother

  • Strain relationships and family life

  • Raise depression risk in partners and caregivers (Centers for Disease Control and Prevention, 2022)

Can PPD Be Prevented?

While PPD can't always be prevented, some steps can reduce the risk:

  • Educate yourself during pregnancy

  • Create a postpartum care plan

  • Talk openly with loved ones and healthcare providers

  • Ask for help early, especially if you've experienced depression before

A Final Word from The Necessary Nurse

Postpartum Depression is more common than most people realize—and it’s nothing to be ashamed of. Recognizing the signs, knowing when to seek help, and building a supportive environment can make all the difference.

At The Necessary Nurse Concierge Company, we’re here to walk with you—offering trusted care, emotional support, and expert guidance for every step of your journey into motherhood.

 

You're not alone in this.

Whether you're navigating the baby blues or deeper postpartum struggles, our expert team is here to support you every step of the way. Book Your Free Consultation.

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“Is This Normal?”: A Deep Dive into Morning Sickness + What Actually Works