Postpartum Depression – What You Need To Know

A lot of people talk about all the changes that happen to you during pregnancy — all the ways your body is changing, the hormone fluctuations, the things your body is doing to support a developing baby. But we don’t always talk as much about what happens to your body after the baby is born.

Childbirth is followed by a lot of emotions – and not all of them are happiness and joy. Many mothers – 50-75% – experience waves of sadness, fear, anxiety, crying, mood swings, and difficulty making decisions. You might have heard these emotions referred to as “The Baby Blues.” This is really common and will resolve on its own after a couple of weeks — after a little adjustment period. Babies are exhausting and your hormones are adjusting to a new normal, so it makes sense that you’d need a couple of weeks for your body to adjust – physically and emotionally.

You can help yourself during the Baby Blues by giving yourself a little TLC — sleep when the baby sleeps, eat healthy foods, ask for help, seek out support, and exercise. Give yourself some grace while you adjust to a new normal.

But sometimes the sadness and mood swings are more intense and last longer than two weeks. Sometimes The Baby Blues transition into a real depression called postpartum depression. This is a real medical illness.

So what are the signs of postpartum depression?

Persistent sad, anxious, or empty feeling
Irritability
Feelings of guilt, worthlessness, hopelessness, or helplessness
Loss of interest in anything you used to find fun
Fatigue or abnormal decrease in energy
Restlessness or trouble sitting still
Difficulty concentrating, remembering, or making decisions
Difficulty sleeping – even when the baby is sleeping
Oversleeping
Abnormal appetite
Aches, pains, digestive problems – that do not get better with treatment or that have no explained cause
Trouble bonding or forming an emotional attachment with your baby
Thoughts about death, suicide, or harming your baby

There isn’t just one cause for postpartum depression. Any woman can experience it. But some factors can make it more likely for someone to experience postpartum depression — a history of mental illness, past trauma, previous postpartum depression, additional life stresses, and the loss of a baby, either through stillbirth or placing the baby for adoption.

If you’re experiencing signs and symptoms of postpartum depression, it’s important for you to know you aren’t alone. As many as one in five women experience postpartum depression or postpartum anxiety. This means – you probably know someone who can relate to what you’re going through.

What can you do if you’re having symptoms of postpartum depression?

The good news is that you don’t have to suffer alone. There are treatments available. Call your healthcare provider and ask for help. Most healthcare providers will recommend medicine, therapy/counseling, or a combination of both. The FDA has even approved one medication specifically to treat postpartum depression. There are options to help you.

A small percentage of women experience something even more severe than postpartum depression. Postpartum psychosis is a severe mental illness and needs immediate help. Women experiencing postpartum psychosis may have delusions (thoughts that aren’t true), hallucinations (hearing or seeing or smelling things that aren’t real), mania (feeling very elated and out of touch with reality), paranoia, or confusion. Women who have postpartum psychosis may be at risk of harming themselves or their children. Postpartum psychosis is a medical emergency and needs to be addressed immediately. This is a call-911 situation. Recovery from postpartum psychosis is possible with immediate treatment.

If you think you’re experiencing postpartum depression, ask for help. Talk to a trusted friend or family member and call your healthcare provider. If you don’t know who to call for help, call us. We’ll listen and help you find the resources you need.

Pregnancy and childbirth — growing and delivering a baby — That’s hard work! You’ve done hard work! And it makes sense that your body takes time to adjust physically, mentally, and emotionally. You are strong and amazing! And it’s OK to ask for help when you need help.

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What Are My Second-Trimester Pregnancy Options?

July 2, 2025

If you’re in your second trimester (between 13 and 26 weeks of pregnancy), you might be asking, What now? Maybe you just found out you’re pregnant, or maybe this stage of pregnancy is bringing new questions or emotions. No matter where you are in your journey, Collage is here to offer support, information, and a safe place to talk through your options. Understanding Abortion Laws in Nebraska In Nebraska, abortion is not permitted after 12 weeks gestation, with limited exceptions. If you’re considering abortion and believe you may be near or past this point, it’s important to have an ultrasound to confirm how far along you are. If you’re unsure how far along you are, Collage offers no-cost lab-quality pregnancy testing and ultrasounds to provide the medical information you need to understand your next steps. Exploring Your Other Pregnancy Options If abortion is not an option or you’re unsure what’s next, you still have choices. We can talk with you more about each of them. Parenting Parenting might feel like something you’re not ready for or even impossible right now. But with the right support, it may be more achievable than you think. You don’t have to have all the answers today. At Collage, we can connect you with local resources, parenting classes, and support systems that can help you prepare, step by step. You won’t be alone. Adoption If parenting doesn’t seem like the right fit for your current season, adoption is another option that gives you the ability to make a thoughtful plan for your child. Today’s adoption process puts you in control of key decisions, including: Choosing the adoptive family Deciding how much (if any) communication you’d like to have Creating a plan that reflects your goals and values We offer adoption referrals and a confidential space to explore what this might look like for you—no pressure, just information and support. You’re Not Alone Navigating pregnancy in the second trimester can feel heavy, but you don’t have to walk through it by yourself. At Collage, you’ll find compassionate care, medical services, and honest answers to your questions. Schedule your no-cost appointment today. We’re here to listen and support through this process.

My Friends Are Telling Me to Abort, But I'm Not Ready

June 4, 2025

An unexpected pregnancy can leave you with more questions than answers. Especially when friends are urging you to choose abortion, you may be more confused than ever. While their advice might come from care or fear, it’s essential to remember this is your pregnancy, future, and choice. At Collage, we’re here to help you navigate this pressure and find a path that feels right for you so that you can feel informed and confident about your decision. Reach out to us today for no-cost support. Listen to Your Instincts Your friends might be an important part of your life, but your instincts matter most. If abortion doesn’t feel right, take a moment to ask: What’s holding me back? Maybe you’re picturing parenting your child or are curious about adoption. It’s also important to keep in mind that abortion is a serious procedure that your friends may not fully grasp the details of. Physical and emotional risks are involved, making it a more complex decision. Your hesitation is a sign to slow down and explore, not to rush into a choice you’re not ready for. Talk It Out If your friends keep pressing, try a gentle conversation. Let them know you understand they’re worried, you’re not sure about abortion yet. Ask what’s driving their advice. Maybe they’re scared about your finances or future. Maybe they’re simply telling you what they’d do in your situation, but that doesn’t mean it’s right for you. Understanding their side can ease tension without giving in. If they won’t respect your space, set boundaries and let them know you need time to think. You don’t owe them an immediate answer. Find Your Support Surround yourself with people who’ll lift you up, not pull you down. Write down your thoughts or talk to someone neutral. You can find a counselor or even online spaces where you can share your heart with those who won’t push one option over another. Even a trusted family member, a mentor, or a place like Collage can offer perspective without strings. You deserve to make this decision with clear facts and a steady heart, not under pressure. Help is Available If your friends are pushing abortion but you’re not ready, Collage is here with no-cost lab-quality pregnancy testing, limited obstetric ultrasounds, and pregnancy options education to help you decide what’s next. Our trained team offers confidential support to explore parenting, adoption, or abortion without pressure. Contact us for a no-cost appointment today. You deserve to choose your own path.

Hiding My Pregnancy: Would Abortion Be an Option?

May 21, 2025

An unexpected pregnancy can flip your world upside down, and the urge to keep it under wraps might hit hard. Maybe you’re thinking abortion could erase the situation quietly.