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About PMD

Perinatal mood disorders (PMD) are treatable, but many people do not know the facts. They wait too long to get help, or never seek treatment.

PMD is serious. Feelings of depression or sadness may cause a new mom to feel confused and alone. By learning to recognize and understand PMD, a woman can seek support from her family and get medical help. Husbands, partners, friends and family members can help in the process. Often, they recognize there is a problem even before the woman herself.

Perinatal mood disorders affect one in every 8 to 10 women. They usually occur within the first year after childbirth, miscarriage or stillbirth. PMD is not a character flaw or sign of personal weakness. It does not mean that there is anything wrong with your ability to be a mother. The symptoms of PMD range from mild blues to severe depression. The depression may be mild, moderate, or severe.

What Causes PMD?

The exact cause of perinatal mood disorders are unknown. Here are some factors that may contribute:

  • Changes in hormone levels
  • A difficult pregnancy
  • A difficult birth
  • Medical problems (mother or baby)
  • Lack of sleep
  • Feeling alone
  • Loss of freedom
  • Sudden changes in routines
  • Personal or family history of depression
  • Prior experience with PMD
  • High levels of stress

Who Is at Risk?

PMD can affect any woman who:

  • Is pregnant
  • Has recently had a baby
  • Has ended a pregnancy or miscarried
  • Has stopped breast-feeding

Women of any age, race, or economic background may be at risk.

What Are the Symptoms?

Symptoms may appear during pregnancy, after birth, or within the first year of motherhood. Common symptoms are:

  • Trouble sleeping, or sleeping too much
  • Changes in appetite
  • Feeling irritable, angry, or nervous
  • Feeling exhausted
  • Not enjoying life as much as in the past
  • Lack of interest in the baby
  • Lack of interest in friends and family
  • Lack of interest in sex
  • Feeling guilty or worthless
  • Feeling hopeless
  • Crying uncontrollably
  • Feelings of being a bad mother
  • Trouble concentrating
  • Low energy
  • Thoughts of harming the baby or harming herself

Most women experience a brief period of blues after having a baby. Very few women experience extreme symptoms.

Perinatal mood disorders are treatable. But first you have to ask for help.

call the helpline 24/7 at

1-800-328-3838


Department of Health and Senior Services

P. O. Box 360, Trenton, NJ 08625-0360
Phone: (609) 292-7837
Toll-free in NJ: 1-800-367-6543
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Last Modified: Wednesday, 18-Nov-09 15:54:57