Can You Prevent Postpartum Depression?

Between prenatal appointments at Gwinnett Medical or Northside Hospital, preparing for baby's arrival, and trying to get rest, pregnancy can feel overwhelming. For many expecting mothers throughout Metro Atlanta, worrying about postpartum depression (PPD) adds another layer of concern. About 1 in 9 new mothers experience PPD—but understanding your risk factors and taking proactive steps can help.

What Is Postpartum Depression?

Many new mothers experience "baby blues"—heightened emotions, mood swings, and sadness in the weeks following birth. These feelings are common and typically resolve within two weeks.

Postpartum depression is different. It's a specific type of depression that can appear as early as 4 weeks after delivery or up to 6 months later, with more severe symptoms that can affect both mother and baby's health.

Symptoms of PPD

• Persistent feelings of sadness, hopelessness, or emptiness
• Excessive crying
• Difficulty bonding with your baby
• Withdrawing from family and friends
• Changes in appetite and sleep (beyond normal newborn-related changes)
• Intense irritability or anger
• Feeling like a failure as a mother
• Thoughts of harming yourself or your baby

If you're having thoughts of harming yourself or your baby, call 988 or go to your nearest emergency room immediately.

What Causes Postpartum Depression?

PPD doesn't have a single cause. Researchers believe hormone fluctuations—particularly the dramatic drop in progesterone after birth—play a significant role. Genetics may also contribute, though specific genes haven't been identified.

Risk Factors for PPD

While any new mother can develop PPD, these factors increase risk:

• History of depression during or before pregnancy
• Personal or family history of depression or mood disorders
• History of abuse or trauma
• High stress levels
• Lack of social support
• Difficulty breastfeeding
• Traumatic or complicated birth
• Relationship problems
• Financial stress

Strategies to Reduce Your Risk

While you can't completely prevent PPD, these approaches can help reduce your risk:

Stay Connected with Your Healthcare Providers

Attend all prenatal and postnatal appointments. Your doctor will screen for PPD—be honest about how you're feeling, even if symptoms seem mild. Your child's pediatrician may also check in about your mental health.

Build Your Support Network

Reach out to your partner, family, and friends who can support you after delivery. Be specific about how they can help—whether that's preparing meals, taking night shifts, or simply listening. Having support has been shown to improve mental well-being during the postpartum period.

Find a Support Group

Connect with other new mothers through prenatal classes, mom groups in Lilburn or Lawrenceville, or walking groups at local parks. Sharing experiences with others who understand can provide crucial support.

Continue Mental Health Treatment

If you have a history of depression, maintain your treatment plan during pregnancy. Many antidepressants are safe during pregnancy and breastfeeding. Dr. Aneel Ursani can work with your OB/GYN to find a medication that's right for you.

Practice Self-Care

This can feel impossible while pregnant, but prioritize rest when you can, gentle movement, and stress-reducing activities. Even small moments of relaxation can help.

Prepare for Motherhood

If you're having doubts about your ability to parent, address them before baby arrives. Talk with your partner, work with a therapist, read parenting books, or take a prenatal class. Building confidence in advance can help reduce PPD risk.

Treatment for Postpartum Depression

If you do develop PPD, effective treatments exist:

• Talk therapy: Particularly cognitive behavioral therapy (CBT)
• Medications: Many antidepressants are safe while breastfeeding
• Support groups: Connection with other mothers experiencing PPD

PPD isn't something you can will away—it requires professional treatment. The sooner you get help, the sooner you can feel like yourself again and bond with your baby.

Perinatal Mental Health Care in Gwinnett County

At Next Step Psychiatry, we provide compassionate psychiatric care for mothers during pregnancy and postpartum. Whether you're concerned about preventing PPD, currently struggling, or supporting a loved one, Dr. Aneel Ursani and Fathima Chowdhury PA-C are here to help.