From Pamela Prindle Fierro,
Your Guide to Twins & Multiples.
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Many women confuse baby blues with postpartum depression. Postpartum depression (PPD) may initially begin as the "Baby Blues," but over time develops into depression. Recent research pinpoints hormonal imbalance as the cause of PPD, making mothers of multiples particularly at risk for this condition due to the increased hormonal fluctuations that accompany their pregnancies. The intensified demands of caring for two, three or more infants make it even more likely that a mom of multiples will feel overwhelmed, drained or depressed after her babies are born.

"Baby Blues" is a hormonal and physical condition, which often occurs within the first week of childbirth. These feelings are normal and usually subside within 2 to 3 weeks. It is estimated by medical professionals that as many as 85% of mothers of multiples experience Baby Blues to some degree.

Baby Blues are characterized by:

• Crying often, and not always understanding why
  

• Feeling tired and exhausted
  

• Experiencing insomnia
  

• Feeling easily irritated

Postpartum Depression (PPD) is any depression that extends beyond 2 to 3 weeks following birth. Contrary to popular belief, PPD can begin anytime up to twelve months following a delivery. It occurs more frequently than many other pregnancy conditions, such as pre-eclampsia, gestational diabetes, and pre-term labor. Yet, new mothers are not as educated on PPD as they are on these common pregnancy conditions.

Postpartum depression is reported to medical professionals in 10 to 15% of deliveries. Actual cases are probably much more common. There are many mothers who never seek medical attention for PPD and thus are not included in these figures.

PPD is characterized by:

• Baby Blues that just don't seem to go away
  

• Stronger depression, experiencing feelings of hopelessness, of being completely overwhelmed, doubt, or guilt
  

• Marked change in appetite
  

• Chronic fatigue
  

• Recurrent thoughts of death/suicide
  

• Previous history of PPD

If you are feeling these symptoms, tell your doctor. Your physician can help you dramatically hasten the symptoms and lead you to a place of wellness much more quickly.

Andrea Yates made many of us painfully aware of Postpartum Psychosis. Fortunately postpartum psychosis is a rare condition that affects a very small segment of the population.

Postpartum Psychosis is characterized by:

• Hallucinations or delusions
  

• Urge to injure child or others
  

• The presence of other disorders as well such as bipolar illness, schizophrenia and other disorders.

If you are feeling any of the symptoms listed above, do not hesitate to contact your physician immediately. There is help available.

Suzie Chafin is a Dallas, Texas mom of four children, including identical twin boys. She writes and lectures about family topics such as postpartum depression, managing multiples and Christian parenting. She can be reached by emailing suzie@novocoat.com.

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