Peripartum mood disturbances history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunita Kumawat, M.B.B.S[2]


During pregnancy, it is common for women to experience changes in their mood, such as feeling more fatigued, irritated, or anxious. While modest mood changes are typical during pregnancy, mood problems can occasionally become severe enough to warrant medical attention. The peripartum mood disturbances present as a wide spectrum of symptoms.

History and Symptoms

Postpartum blues are the most common peripartum mood disturbances and are present for few days to 1-2 weeks after delivery. [1] While postpartum depression is quite frequent, postpartum psychosis is a very uncommon condition that affects about 0.1 percent of new moms. In moms with bipolar illness, this percentage climbs to 30%.
We can divide the postpartum mood disorders into Postpartum depression, postpartum psychosis and postpartum blues. Numerous signs and symptoms specific to each of these can find out while looking at the patients known to be having a concern for postpartum depression. The specific signs and symptoms to each of the different entity is described ad below:[2]

The symptoms of postpartum blues are[3]

Signs and symptoms of postpartum depression
Difficulty bonding with the baby
Fear that she is not a good mother
Thoughts of harming herself or her baby
Panic attacks and severe anxiety
Depressed mood or severe mood swings
Crying excessively
Insomnia or excessive sleeping
Feelings of guilt or inadequacy
Loss of interest
Withdrawing from friends and family
Intense anger and irritability
Loss of energy or overwhelming fatigue
shame or worthlessness
Loss of appetite or excessive eating
Repeated thoughts of death or suicide
Reduced concentration

Most common symptoms of postpartum psychosis include:[4][5]


  1. "Postpartum depression - Symptoms and causes - Mayo Clinic".
  2. Agnafors S, Sydsjö G, Dekeyser L, Svedin CG (April 2013). "Symptoms of depression postpartum and 12 years later-associations to child mental health at 12 years of age". Matern Child Health J. 17 (3): 405–14. doi:10.1007/s10995-012-0985-z. PMID 22466717.
  3. Seyfried LS, Marcus SM (August 2003). "Postpartum mood disorders". Int Rev Psychiatry. 15 (3): 231–42. doi:10.1080/0954026031000136857. PMID 15276962.
  4. Bergink V, Lambregtse-van den Berg MP, Koorengevel KM, Kupka R, Kushner SA (November 2011). "First-onset psychosis occurring in the postpartum period: a prospective cohort study". J Clin Psychiatry. 72 (11): 1531–7. doi:10.4088/JCP.10m06648. PMID 21903022.
  5. Wisner KL, Peindl K, Hanusa BH (February 1994). "Symptomatology of affective and psychotic illnesses related to childbearing". J Affect Disord. 30 (2): 77–87. doi:10.1016/0165-0327(94)90034-5. PMID 8201128.

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