Frequently Asked Questions (FAQ)
Q. What is perinatal depression?
A. This is depression and/or anxiety that can occur throughout the whole "perinatal" period. i.e. from pregnancy to the first postnatal year. If left untreated mental health problems in pregnancy may carry over into the postnatal period.
Q. What are the "baby blues"?
A. Many women experience a brief episode of mood swings, tearfulness, anxiety and difficulty in sleeping in the first week after the birth of a baby. This episode, known as the "baby blues", is thought to be linked with the stresses associated with late pregnancy, labour and delivery, along with the rapid hormonal changes that accompany the birth.
Symptoms generally settle during the first week after birth and require no special treatment other than adequate rest and support. Only when symptoms are severe or do not clear spontaneously within the first two weeks is it important to seek medical assessment to find out if another condition is present.
Q. What is postnatal depression?
A. After the birth of a baby, approximately 15 per cent of women experience a mood disorder that can have symptoms of anxiety and depression that last more than a week or two and interfere with ability to function in day to day activities. This is called postnatal depression and there are different types that vary in timing of onset, nature and severity of symptoms, as well as response to treatments.
Q. If you have postnatal depression after one baby will it happen again after the next?
A. There is an increased risk of postnatal depression following a subsequent birth in some women. However, this risk varies depending on the type of postnatal depression, the severity, previous history and the response to treatment. Steps can be taken to minimise the risk. Speak to your doctor to ensure any symptoms are identified and treated early.
Q. Do I have to see a psychiatrist if I get postnatal depression?
A. If you are concerned that you may be experiencing symptoms of postnatal depression you need to see your GP. They will be able to advise you about the need for treatment. There are different types of postnatal depression that respond to different treatment approaches. Some types are more likely to require specialist help, medication and possibly care by a psychiatrist.
Q. Are drugs used to treat depression during pregnancy and the postnatal period?
A. When a woman is pregnant or breastfeeding, careful consideration is given to the nature and severity of any symptoms before a decision is reached about the use of medications. However, in some cases it is essential for medication to be prescribed. Your GP or psychiatrist will know the safest medications and dosages to be used.
Q. Does postnatal depression run in families?
A. Some types of postnatal depression have a genetic basis and are more likely to run in families. Your doctor will be able to advise you further about this.
Q. Will my baby be affected if I get depression during pregnancy or after the birth?
A. When a mother becomes depressed this can affect her ability to cope with normal routines including caring for her baby, herself, other young children, home and work demands and relationships. For these reasons it is important to seek help early if you think you are becoming depressed. Seeking practical help, emotional support and appropriate treatment can help control symptoms and reduce the impact of the depression on all members of the family.