Peripartum depression - sadness and exhaustion instead of maternal happiness

For most mothers, the birth of a baby is a joyful event. Nevertheless, women can suffer from a depressive disorder during pregnancy and after the birth. The collective term for this is peripartum depression - but it is also referred to as pregnancy or postpartum depression and the baby blues. Sadness, exhaustion and excessive demands are typical symptoms that can occur up to a year after the birth. Depression is caused on the one hand by the extreme hormonal changes during and after pregnancy, and on the other hand by the psychological factor of a woman's entire life being changed by having a child.

Der Babyblues ist nicht ungewöhnlich und dauert ein paar Tage.
Der Babyblues ist nicht ungewöhnlich und dauert ein paar Tage.
(shutterstock)

From hormone-induced baby blues to severe psychosis

Peripartum depression occurs in various forms and degrees of severity. "Peripartum" means "around the time of birth" (lat. partus, "birth") - a distinction is made between prepartum (also: prenatal) and postpartum (also: postnatal) depression before and after birth. They can occur at any time during pregnancy up to a year after the birth.

The baby blues are very common and occur in the first 10 days after the birth. It usually lasts only a short time, passes on its own and manifests itself in emotional sensitivity, sudden mood swings and frequent crying on the part of the new mother.

In postpartum or postnatal depression, which occurs in the first year after the birth, several factors usually come together: The causes are very individual and can be physical, hormonal, genetic, psychodynamic, social or societal in nature. Depression can occur suddenly or gradually and manifest itself through stronger or weaker symptoms.

A special form of pregnancy-related depression is postpartum psychosis, which is a much more severe mental illness than the other forms. Typical symptoms of this psychosis are anxiety, restlessness and agitation, increased drive or apathy, hallucinations and delusions. In extreme cases, postpartum psychosis can be life-threatening for both the mother and her child and must be treated with medication as quickly as possible, usually during an inpatient stay.

Affected women should definitely seek help regardless of the severity of their pregnancy depression - peripartum depression can be treated well in most cases. At Bethesda Hospital, we have many years of experience in this area and are happy to help you.

Important to know

Find out everything you need to know about peripartum depression here and find out about the various treatment options we offer.

How does pre- or postnatal depression manifest itself?

The symptoms of the various forms of peripartum depression can be very different, both in their form of expression and in their severity. Typical symptoms are

  • Tiredness and exhaustion
  • Concentration problems
  • Mood swings, sadness and frequent crying
  • increased irritability
  • Sleep and appetite disorders
  • physical complaints
  • Listlessness, feeling of emptiness and numbness; inability to feel joy
  • negative feelings towards the baby
  • Feelings of guilt and failure
  • anxiety and panic attacks
  • sexual reluctance
  • Obsessive and suicidal thoughts

Are you unsure whether you are suffering from a form of peripartum depression? Then make an appointment for an examination!

Registration: Monday to Friday 8.00-17.00
Consultation hours: Monday to Friday 8.00-18.00

In dialogue together

The earlier the diagnosis of peripartum depression is made, the better it is for mother and child. To make a diagnosis, a specialist from our team at the Department of Psychiatry and Psychosomatics at Bethesda Hospital will take a medical history of the affected person. In addition, a self-questionnaire can be used (screening), which uses the Edinburgh Postnatal Depression Scale (EPDS) to narrow down the severity of the illness.

The psychiatrist then discusses the next steps and therapeutic measures with the patient.

Are you unsure whether you are suffering from a form of peripartum depression? Then make an appointment for an examination!

Registration: Monday to Friday 8.00-17.00
Consultation hours: Monday to Friday 8.00-18.00

What can you do about peripartum depression?

The treatment and therapy options for pregnancy depression vary depending on the severity: In certain cases, outpatient psychotherapy is sufficient; in other cases, additional medication with psychotropic drugs is appropriate.

In very severe cases, which are associated with a risk of suicide and loss of reality, inpatient therapy is essential so that the women affected do not endanger themselves or their child. At Bethesda Hospital, we enable women who have given birth to their baby here and are suffering from postpartum depression to stay in hospital for further treatment. Our two clinics, Gynaecology and Psychiatry and Psychosomatics, work closely together to provide the best treatment with a great deal of empathy.

Are you unsure whether you are suffering from a form of peripartum depression? Then make an appointment for an examination!

Registration: Monday to Friday 8.00-17.00
Consultation hours: Monday to Friday 8.00-18.00

Most mums are familiar with the baby blues

40-80% of all new mothers suffer from the baby blues after giving birth. Postpartum depression affects 13-19% of all women after giving birth. Postpartum psychosis is much rarer, occurring in only 0.1%-0.5% of women with babies.

In total, around 12,000 women in Switzerland suffer from postpartum depression every year. However, men can also be affected in connection with the new life situation and taking on more responsibility.

Are you unsure whether you are suffering from a form of peripartum depression? Then make an appointment for an examination!

Registration: Monday to Friday 8.00-17.00
Consultation hours: Monday to Friday 8.00-18.00

FAQs zur peripartalen Depression

Wir haben die häufigsten Fragen rund um die peripartale Depression zusammengetragen, beantwortet von unseren medizinischen Expertinnen und Experten.

Haben Sie weitere Fragen, die Sie hier nicht beantwortet finden? Sie können uns dazu gerne kontaktieren – wir sind gerne für Sie da.

Ja, auf jeden Fall. Diese Form der Depression schlägt sehr gut auf eine Therapie an.

Ja, es gibt gute Erfahrungen mit ausgewählten Psychopharmaka, die auch während der Stillzeit unbedenklich einsetzbar sind.

Ja, das gibt es – dazu gehören z. B. eine depressive oder psychotische Störung in der Vorgeschichte, Angststörungen in der Schwangerschaft, eine traumatische Geburt, ein Schrei-Baby, ein Mangel an sozialer Unterstützung sowie chronischer Stress.

40–80 % aller frischgebackenen Mütter leiden nach der Geburt am Babyblues.
40–80 % aller frischgebackenen Mütter leiden nach der Geburt am Babyblues.
(Bethesda Spital)

The specialists on the topic of peripartum depression

The clinical picture of peripartum depression falls within the specialism of our Clinic for Psychosomatics and Psychiatry. Our experienced specialists will be happy to help you - let them advise you individually as to which of the Clinic for Psychiatry and Psychosomatics' services is best suited to your needs.

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