Women may experience mood changes in the postpartum period that range from mild "baby blues" (lasting about two weeks) to severe depression or anxiety (Postpartum Depression/Anxiety.) Postpartum mood changes are strongly linked to the rapid, drastic drop in estrogen and progesterone immediately after childbirth.These hormones plummet from high pregnancy levels to pre-pregnancy levels immediately after the placenta is delivered. This abrupt hormonal shift, combined with fluctuating cortisol (our stress hormone) and reduced thyroid function, triggers depression in some women. It is not uncommon for women to experience inflammation of the thyroid after delivery (what we call postpartum thyroiditis,) dramatically impacting energy level and mood. There are also studies to suggest that fluctuations in oxytocin and prolactin levels (associated with mother-infant bonding and breastfeeding) have a strong impact on depressive symptoms and maternal mood. Some women are more sensitive to these rapid hormone changes, making them more vulnerable to developing postpartum depression. However, all postpartum women are at heightened risk, as the hormonal crash interacts with other factors like sleep deprivation, any previous history of mood disorders, and social stressors. At NWP, we are experienced in managing these changes through a specialized, integrative approach that combines medical evaluation, medication management, lifestyle modification, and psychotherapy. Careful consideration will be taken with treatments if a woman is breastfeeding to minimize risks.
