A mother's nightmare: perinatal mood disorders

"A mother's nightmare" by Ebeth (CatholicMom.com)

By Toshihiro Gamo (2016) via Flickr, CC BY NC-ND 2.0.

Recently, I  joined the efforts of a fellow parishioner in supporting women suffering with postpartum mood disorders. I suffered depression with my first two births, but had no idea how severe it can be, especially left untreated. This April, I attended a two-day training by an organization called “Postpartum Support International.” I learned more than I ever could have imagined about this devastating hormonal disorder. How critical the effects of this condition are on women, babies, and the entire family!

Having a child is an exciting event in a woman’s life for most. But it also bring a great deal of stress and anxiety as her hormones fluctuate during her pregnancy and postpartum period, considered the fourth trimester. Though this is a normal occurrence in the biological system, a new mother may not have the ability to identify such swings. Coupled with having to handle a crying or colicky newborn at the same time is overwhelming at best. Nearly 35% of reported new mothers suffer from postpartum mood disorder, of one kind or another. If left untreated, this condition can often move into a psychosis, which is the most dangerous condition for the mother and the infant. The problem is, many of these mothers do not know or want to call for help.

Perinatal Mood and Anxiety Disorders, (PMAD) is one of the most under-diagnosed condition in today’s medicine. Over 400,000 infants are born to mothers with depression. Many practitioners do not recognize, or are not equipped, to help these mothers beyond the postpartum period. This lack of information leaves these mothers and families at risk of a more serious problem, a psychosis. Identifying and preparing women for this period is the mother’s lifeline. Many women have no idea how their emotions will change within a day or even a few hours post-delivery. During this time of confusion, she feels overwhelmed and lacks confidence. She may feel that she is not a good mother and become detached from her newborn.

Screening is a must in order to make sure the correct therapy and/or medications are in place for the mom-to-be. We are learning that mood-enhancing drugs such as Zoloft are not toxic for the baby during pregnancy and do not penetrate breast milk, as once thought. We are learning more and more that mothers can be medicated safely during pregnancy and postpartum periods and beyond — even while breastfeeding. Along with this, scientists are finding out that changing medications in the middle of any of these stages of childbirth can detrimentally effect the mother’s depressed condition.

Who is at risk of perinatal mood and anxiety disorder? History is one place to look, both family and personal; look for a diagnosis of depression, anxiety, OCD, eating disorders, or bipolar disorders. Did she have significant mood changes during puberty, experience PMS, or use hormonal birth control? Pre-pregnancy diabetes, thyroid imbalances, and other endocrine disorders also heighten the risk of PMAD. There are many other life situations that can be a precursor, as well.

Is there support for the mother during this time? Women need help through this initial period of parenthood; does she have it within the family? If not, this will have a detrimental impact the mother, infant, and entire family. With support, which could include a postpartum doula, the mother’s ability to care for her newborn will greatly improve. A postpartum doula is trained to help the mother in caring and nursing her baby during the “fourth trimester.”

Finally, the pharmaceutical and obstetrican worlds need to get together more for the women in these situations. Also, women need to know that they can and should call, not wait months enduring their condition until the postpartum period is over. They need to let their practitioner know what’s going on now. Treatment at the onset of PMAD is crucial for the mother, but also the baby, and the entire family.

As I look over my notes from this training, I am overwhelmed myself as to how much to touch on and leave off in this article. We are a prolife community and all phases of life have trials and triumphs. Childbearing is one that needs its own special attention. The postpartum phase of life is a special time with special needs for each individual mother and family. It is my prayer that more physicians, therapists, and family members become aware of this critical time, for helpless infants and the family as a whole.

Copyright 2018 Ebeth


About Author

Ebeth Weidner, a Master Catechist and cradle Catholic who considers herself a Catholic information junkie, writes from her heart about the faith and hope she finds in the Catholic Church. She is the author of “A Catholic Mom Climbing the Pillars” blog. She is the wife of a research science Professor and mom to 3 great young adults people living on the coastal side of North Carolina.


  1. The image heading your article says so much. May I offer my experience? I experienced the fourth trimester (such good wording) a bit different. When the first of my six children was born in 1990, little was said about postpartum moods. I was simply ‘Over the moon’ happy with my son. My husband was too.

    I embraced all of it; Breastfeeding, Nursery all colorful, diapers, baths, baby talk, lullabies, etc…the works! I loved every bit of it.

    But… I was experiencing flashes of abuse. Situations where I would hurt my baby would flash through my imagination. Where was this coming from? It was from the outside. I think it was a spiritual attack. I was not Catholic yet. I was ashamed. It became so frequent, that it about drove me crazy. I told my husband about it. “I need help. I need prayer.”
    The following Sunday, he went up to the altar with me at the end of the service, when the church had an altar call and prayer counseling.
    It helped. The attacks lessened and then stopped.
    What I learned is that so many of my friends had experienced the same thing, but were afraid to tell anyone. Almost like sexual abuse. The shameful feelings often prevent the woman from coming forward and getting help.
    So…that’s my experience with the fourth trimester. I will be praying about your article. I will bring it to Our Lord in the Blessed Sacrament, and to Our Blessed Mother in my rosary. God Bless You, EBeth, for sharing this important information.

  2. Aw!! Thank YOU for sharing your experience!!! The “fourth trimester” is a tricky one at best and each mom is affected differently! the intrusive thoughts play a huge part in this condition and it is your good faith that redirected it through prayer and spiritual battle!! Many are not so fortunate!

    Thank you so very much, Susan, for sharing your important experience. You may help another young momma through her tricky trimester!

    God bless you and your beautiful family!

Leave A Reply

Notify me of followup comments via e-mail. You can also subscribe without commenting.