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Postnatal depression

Depressio postpartalis · Poporodní deprese

female only

What it is

More than one in ten mothers, and it is not baby blues — it lasts and it responds to treatment.

Symptoms & signs

  • Low mood beyond two weeks
  • inability to enjoy the baby
  • guilt
  • anxiety
  • intrusive thoughts
  • sleep problems beyond the baby's

🚩 Get help if…

  • call 112 / 911 now Thoughts of harming yourself or your baby
  • call 112 / 911 now Hearing or seeing things, or strange beliefs, in the first weeks after birth
  • see a doctor soon Unable to sleep, eat or care for yourself or the baby
  • see a doctor soon Low mood or no joy lasting more than 2 weeks after the birth

Where it strikes

Medical treatment

  • Talking therapy
  • sertraline is compatible with breastfeeding
  • health-visitor support
  • zuranolone or brexanolone in severe cases
  • urgent care for psychosis

Natural & lifestyle

  • Practical help with sleep
  • peer support groups
  • exercise
  • honest conversations at the six-week check

Emerging & experimental

  • Digital CBT for perinatal mood

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Omega-3 — trials disagree mixed evidence
  • Saffron — a small trial early / small studies
  • Placenta capsules — a small trial found no effect on mood not confirmed in trials

ICD codes

  • ICD-10 F53.0
  • ICD-11 6E20 Mental or behavioural disorders associated with pregnancy, childbirth or the puerperium, without psychotic symptoms