There is an enormous feeling of relief and gratitude once the delivery is over. After months of waiting and apprehension, when the child is born healthy, the sense of fulfillment is immense. But the first few weeks, even months after childbirth, with the baby can be confusing and emotionally draining. There maybe other reasons for distress as well. If the delivery does not take place as planned. If you have a Caesarean section, or an assisted delivery when all the while you were told it would be normal. All this can have great emotional consequences for the mother. You may feel cheated, angry and very sad.

These events can cause postnatal depression in new mothers. There is still no universal definition for postnatal depression. It is accepted that it is a type of depression that mother's experience weeks or months after childbirth. 10 to 15 percent of all new mothers undergo postnatal depression. But some researchers believe the rate could be higher as a number of cases go undiagnosed. There are three main types of postnatal depression:

* The 'Blues': This is alternatively called 'three-day-blue' or 'baby blues'. More than half the new mothers suffer from this, sooner or later, within the first week after childbirth. The main symptoms are feeling like crying without any reason and feeling down in the dumps. The only treatment this kind of depression needs is a lot of love, support and sympathy from the immediate family of the new mother.
* Postnatal depression: If depression commences weeks or months after delivery, doctors would diagnose it as postnatal depression. But it is likely that the symptoms were present months before the diagnosis. Most new mothers will feel anxious, feel tired, and seem to lack confidence, feel less energetic and feel guilty. A mother with postnatal depression may experience a number of the following symptoms together:

1. Lack of Energy.
2. Breaking down into tears every now and then.
3. Feeling anxious.
4. Feeling of guilty.
5. Increased irritability.
6. Seems to be in constant confusion.
7. Experience sleep disturbance.
8. Indecisive.
9. Lack of self-esteem.
10. Lack of confidence in her ability to be a good mother.
11. Does not enjoy motherhood.
12. Fears that she will harm herself or her baby.
13. Show loss of interest in her sex life.
14. Lose her appetite.
15. Hostile or indifferent to people she loves.
16. Lack of concentration.
17. Feel ashamed at being unable to be happy.
18. Feel helpless.

* Puerperal Psychosis: This is most severe form of this depression and occurs very rarely. There may be one or two cases in every 1000 new mothers and if is different from postnatal depression. In this illness, the mother may seem to lose touch with reality from time to time. She may even have hallucinations and have mood swings. Sometimes she maybe very energetic and at other times very lethargic. This kind of behavior can be upsetting to her family members, who will soon realize that she is ill whereas in postnatal depression the family members may not know that the mother is depressed until she tells them explicitly. In most cases, the mother will have to be hospitalized, preferably with the baby. The patients can recover completely though it may take some time.

Mothers facing postnatal depression must look for support and help from where ever they can get it. Whether it is their family, friends, mother-to-mother support groups or doctors. They must ensure they get help; otherwise, it will affect both the mother and her newborn baby.