Postpartum Depression – What You Need To Know

April 23, 2020
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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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If you're considering the abortion pill, knowing what it actually involves is an important first step as you weigh your decision. Schedule a free, confidential appointment at Collage to talk through your questions and get accurate information at no cost. How the Abortion Pill Works The abortion pill uses two drugs taken at different times. Mifepristone , the first, blocks progesterone, a hormone the body needs to maintain a pregnancy. Without it, the pregnancy stops developing. The second drug, misoprostol , causes the uterus to contract and expel the pregnancy. Risks and Side Effects Cramping and bleeding are expected parts of the process. Additional side effects can include fever, chills, nausea, vomiting, diarrhea, and headaches. Complications include: Incomplete abortion (pregnancy tissue remaining in the uterus) Heavy bleeding that does not stop Infection Without in-person medical care, distinguishing normal symptoms from those requiring urgent attention is difficult. Why Gestational Age and Pregnancy Location Matter The FDA approved the abortion pill through 10 weeks of gestation. It is important to know how far along you are for your health and safety as you move through making your next decisions. A limited OB ultrasound also screens for ectopic pregnancy , a pregnancy outside the uterus that the abortion pill cannot treat and requires urgent care. A positive test alone does not rule out an ectopic pregnancy or miscarriage , since hCG can remain elevated after pregnancy loss. Getting the Full Picture Collage offers free pregnancy testing and limited OB ultrasounds to give you the medical details you need before deciding anything, whether you're considering parenting, adoption, or abortion. Schedule your free, confidential appointment at Collage today. Kindly call the numbers for the branch nearest to you:  Kearney: (308) 234-9880 Grand Island: (308) 675-2217 All abortion information sourced in this blog is based on accurate information at the time of writing. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
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If you’ve recently learned you are pregnant unexpectedly, we understand how overwhelming this might feel right now. If you're considering abortion as an option, taking time to understand how the process works is important so you can make an informed decision. Collage is here to help provide you with confidential support and abortion information at no cost. We offer a safe space, free of judgment, where you can think calmly about your options, receive lab-quality pregnancy testing, and get a complimentary ultrasound so you can get the facts around your pregnancy and learn what options are available to you. Schedule your free appointment today. Medical Abortion Medical abortion, also known as the abortion pill, ends a pregnancy by using two drugs taken at different times. The first pill, mifepristone, works by blocking progesterone and causes the embryo’s death. The second drug, called misoprostol, is usually taken a day or two after and causes the uterus to contract, expelling the pregnancy tissue through cramping and bleeding. Common side effects can include bleeding and cramping, bleeding with blood clots, and a low-grade fever. Medical abortion is only approved through ten weeks of gestation by the FDA . Follow-up care is typically recommended after a medical abortion to make sure the process is complete. Surgical Abortion Surgical abortion terminates a pregnancy in a clinic or medical setting and involves removing pregnancy tissue from the uterus through a suction device or a tool called a curette. This can also be called dilation and evacuation or dilation and curettage . Common side effects of surgical abortions are bleeding and cramps. You may also have a late or early period as your uterus has to build a new lining after the procedure. What Are The Risks Of Abortion? Medical and surgical abortion both have possible risks that you should be aware of. Some women may also experience emotional responses afterward. Complications that can arise from abortion are: Infection. Scar tissue on the uterine wall, known as Asherman's syndrome . Heavy bleeding that may not stop. Diarrhea and digestive pain. An incomplete abortion. Confirm Your Pregnancy With An Ultrasound Before making a pregnancy decision, it is important to verify your pregnancy with an ultrasound. An ultrasound provides important medical details such as how far along you are, the location of the pregnancy, and whether a heartbeat is detected. These details are important since the abortion pill is not FDA-approved for over ten weeks, and it also rules out ectopic pregnancy, which requires urgent medical attention. As many as 26% of all pregnancies end in a miscarriage, and you can still get a positive pregnancy test result for days or weeks after a miscarriage because it takes time for hCG to leave the body. An ultrasound will confirm whether or not you have miscarried. We provide no-cost pregnancy services at our center, including limited OB ultrasounds, so you can get informed about your pregnancy and options. Get Pregnancy Support at College If you're considering your next step after learning you are unexpectedly pregnant, we are here to give you a safe place to ask questions and learn more about your options. Collage provides confidential appointments and no-cost pregnancy services, including medical-grade pregnancy testing, ultrasounds, and STD testing . You don’t have to figure this out alone. We are here to listen. Schedule your free confidential appointment to learn more about your options. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.
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