Bringing a baby into the world is a life-changing experience, filled with a whirlwind of emotions and profound physical changes. For new mothers, the postpartum period can be both beautiful and challenging, as their bodies adjust to hormonal shifts, sleep deprivation, and the mental toll of caring for a newborn. Many women experience the “baby blues” in the days following childbirth—a temporary emotional response to these changes. However, in some cases, this can escalate into a more serious condition known as postpartum psychosis (PPP), a severe mental health disorder that can lead to mood instability, delusions, and detachment from reality.
At Aspired Mother, we recognize the importance of compassionate postpartum support. Serving families in Broward and Palm Beach Counties, we provide professional doula services to help mothers navigate the physical and emotional challenges of childbirth and recovery. With care, guidance, and a nurturing presence, we ensure that no mother has to go through this journey alone.
Important note: people with postpartum psychosis have a much higher risk of harming themselves or their children. That’s why PPP falls under the category of a mental health emergency, where people who have recently given birth are having symptoms of PPP or people who are around someone who shows similar signs should call 911 for immediate help.
Why does Postpartum Psychosis occur?
Postpartum Psychosis, like any other mental illness, has no single cause. It occurs due to a complex interplay of hormonal, genetic, and environmental factors that affect a mother’s mental health after childbirth. The rapid hormonal shifts that take place immediately after delivery—specifically the sudden drop in estrogen and progesterone levels—can significantly impact brain chemistry and mood regulation. Additionally, sleep deprivation, extreme stress, and a history of mental health disorders, such as bipolar disorder or schizophrenia, can increase the risk of developing PPP. While the exact cause is not fully understood, research suggests that certain women may have a heightened sensitivity to these physiological and psychological changes, making them more vulnerable to this severe condition. Early recognition and prompt medical intervention are crucial in managing PPP and ensuring the well-being of both mother and baby. Some factors to consider:
- Emotional seesaw
During pregnancy, there is a sharp increase in production of estrogen and progesterone, which rise significantly to support pregnancy development. After childbirth, these hormone levels drop rapidly. Such hormonal imbalances can make the mother irritable and emotionally inarticulate.
- Sleep Deprivation
Insomnia is one of the top ramifications of pregnancy, where the mother, due to changes in her body and turmoil in their mind, finds it difficult to fall asleep, resulting in exhaustion, irritability, and not being able to tend to their child.
- Genetics
Studies show that familial association with postpartum psychosis, especially a major one, increases the chances of the mother exhibiting symptoms of the same.
- Number of pregnancies
There’s an increased probability of individuals who are giving birth for the first time to develop PPP, whereas the chances drop up to 50% for someone who has already gone through childbirth before.
- Diagnosed Health Condition
A history of diagnosed mental and physical health conditions mentioned below increases the onset of the illness. They include :
Mental health conditions
- Bipolar Disorder ( especially bipolar l disorder)
- Major depressive order
- Schizophrenia and related spectrum conditions
Physical health conditions
- Autoimmune diseases
- Systemic lupus erythematosus has been linked to a higher onset of postpartum psychiatric disorders.
- Chronic inflammation may influence neurochemical pathways, potentially increasing the risk of postpartum psychosis.
- Deficiencies in vitamin B1 and B12
- Thyroid Disorders
- Eclampsia
- Preeclampsia
Differences Between “Baby Blues” And Postpartum Psychosis
Postpartum Psychosis is a severe postpartum mood disorder that differs significantly from the more common ‘baby blues’. Unlike the ‘baby blues’, which are mild and transient, postpartum psychosis is a severe psychiatric emergency that requires immediate medical attention and often hospitalization.
Baby Blues
Prevalence: 80% of new mothers succumb to baby blues.
Onset and Duration: Starts within the first 2-3 days after delivery and may last up to two weeks.
Symptoms:
- Mood swings
- Anxiety
- Discontent
- Irritability
- Feeling overwhelmed
- Lack of Concentration
- Appetite issues
- Trouble Sleeping
- These symptoms are mild and transient, often resolving without medical intervention.
Postpartum Psychosis
Prevalence: Occurs in approximately 1 to 2 per 1,000 births.
Onset and Duration: Usually begins within the first two weeks postpartum, often within a few days after delivery.
Symptoms:
- Delusions
- Hallucinations (seeing or hearing things that aren’t there)Severe confusion and disorientation
- Manic behaviour (e.g., hyperactivity, euphoria)
- Paranoia and suspiciousness
- Rapid mood swings
- Difficulty communicating
- Thoughts of self-harm or harming the baby
Postpartum psychosis is a severe psychiatric emergency requiring immediate medical attention and often hospitalization.Understanding these distinctions is crucial for ensuring new mothers receive appropriate care and support postpartum.
Diagnosis & Treatment
Postpartum psychosis (PPP), though rare, is a severe mental health emergency that requires immediate attention from healthcare professionals. It’s crucial to understand that PPP is not a sign of personal weakness or failure; instead, it’s a serious medical condition that can affect any new mother.
Fortunately, postpartum psychosis is a treatable condition. Treatments such as medications and electroconvulsive therapies can help patients overcome PPP and resume their everyday lives. This information can instil a sense of hope and optimism in the audience.
Diagnosis by a healthcare provider is the only way you can go ahead. And since PPP disrupts one’s ability to fathom reality, nothing can be done on your own to manage it. It’s also rare that people with PPP recognize they have it. So extra attention should be paid to the new moms by their family and loved ones to notice the symptoms and immediately seek help.
Get the Support You Need During and Post Pregnancy
Aspired Mother offers concierge doula services in Broward and Palm Beach Counties, providing comprehensive support to mothers during pregnancy and postpartum. While doulas are not equipped to treat postpartum psychosis (PPP), their continuous care and close interaction with new mothers position them well to observe behavioral changes that may signal the onset of PPP. Early detection by a doula can facilitate prompt medical intervention, which is crucial for the safety and well-being of both mother and child. This support system can provide reassurance and a sense of security to new mothers. Contact us today to book a free clarity call.
