Interview: Your Questions Answered – A Deeper Shade Of The Blues For A New Mom

Understanding Postpartum Depression (PPD)

Becoming a mother is often seen as a wonderful event filled with discovery, learning, and joy. Yet, for many women, the journey also brings unexpected challenges. Alongside happiness and excitement, new mothers may face emotional ups and downs, physical exhaustion, and relationship struggles.

To understand this condition—which still carries stigma in India—we spoke with Dr. Jalaja Veronica (Gynecologist/Obstetrician) and Mrs. Olive Nagraj (Counsellor). They share insights into postpartum depression (PPD) and practical ways to cope with it.

Q1. What is postpartum depression (PPD)?

Postpartum depression, also called postnatal depression, is a type of mood disorder associated with childbirth. The postnatal period is a fragile time for a woman. Hormonal changes, combined with stress from caring for a newborn, sleep disturbances, lack of emotional support, and financial pressures, can trigger depression.

Q2. What are some common symptoms of PPD?

• Persistent sadness, anxiety, and frequent crying

• Lack of interest in self-care and baby care

• Overwhelming worry about the baby

• Sleep disturbances and fatigue

• Guilt, worthlessness, hopelessness

• Feelings of hostility or thoughts of harming the baby

• Aggression, hallucinations, or suicidal thoughts

Early detection is critical for the health and survival of both mother and child.

Q3. How long can symptoms last?

Symptoms may last for several months or even up to a year.

Q4. Is PPD common in India?

Yes. Studies show prevalence rates between 11–26% among Indian women. Factors such as age, literacy, socio-economic status, sex of the newborn, mode of delivery, and unplanned pregnancies influence risk. Unfortunately, many cases go undiagnosed or untreated due to lack of awareness and support.

Q5. What are the “baby blues”?

“Baby blues” are temporary mood changes that affect 70–80% of new mothers within the first week or two after delivery. Symptoms include irritability, anxiety, sensitivity, and sleep difficulties. Unlike PPD, baby blues usually resolve within days. If they persist beyond two weeks, it may signal postpartum depression.

Q6. What are some common myths about PPD?

1. “Having PPD makes me a bad mother.” – Not true. PPD is caused by hormonal and emotional changes, not lack of love.

2. “PPD will go away on its own.” – Without support, it may worsen and become chronic.

3. “PPD happens immediately after childbirth.” – It can begin weeks later and last months.

4. “PPD is all my fault.” – Never. Lack of support and stress factors also play a big role.

Q7. What do women with PPD experience?

Here are a few voices from young mothers:

• “I started working from home within 10 days of delivery. Ignoring my health slowly pushed me into depression.”

• “My in-laws didn’t allow me to hold my baby except for feeding in the first two days. I felt unwanted and disregarded.”

• “My husband thought I was possessed by evil spirits and refused to take me to a doctor. I felt helpless.”

Q8. Is medication always necessary?

Not always. Treatment may include:

• Counselling or psychotherapy

• Support groups

• Medication (if prescribed by a specialist)

⚠️ Never self-medicate or stop prescribed medication without consulting a doctor.

Q9. What are some coping tips?

• Awareness is key. Recognize symptoms early and seek help.

• Emotional support. Gentle communication and support from the husband and family make a huge difference.

• Practical help. Ask family/friends to help with daily tasks, giving mom time to rest and recover.

• Self-care. Eat healthy, drink water, and exercise (with doctor’s approval).

• Confidential conversations. Talking with a trusted friend or counsellor helps.

• Seek professional help. Don’t spiritualize or ignore symptoms. God’s grace can come through counselling, medication, and community support.

“Where there is no guidance, the people fall, but in abundance of counselors there is victory.” – Proverbs 11:14

Q10. What advice do you have for husbands?

• Educate yourself about PPD but avoid “lecturing” your wife about it.

• Care for your own health as you support your wife and baby.

• Stay connected with family and friends—don’t isolate yourself.

• Remain emotionally present and gently encourage your wife.

• Remember: PPD is an illness, not a choice.

• Seek counselling if you feel overwhelmed.

• Hold on to hope and depend on God’s strength.