
Q This is supposed to be a joyful time after giving birth, so I don't understand why I feel so sad and listless. Why does postpartum depression happen?
A Right after childbirth, female hormones drop sharply, which destabilizes emotional regulation; combined with sleep deprivation and the stress of caring for a newborn, this leads to postpartum depression. It is a physical change, not a matter of willpower, so there is no need to blame yourself.
Detailed Answer
Postpartum depression begins when estrogen and progesterone fall sharply within hours to days after childbirth, destabilizing the brain's emotional regulation circuits. On top of this, the sleep deprivation from waking to nurse every night, the pressure of an unfamiliar parenting role, and the body's recovery process all overlap, producing symptoms such as persistent sadness, listlessness, guilt, poor concentration, and indifference toward the baby. It is common enough that 1 to 2 out of every 10 to 15 mothers experience it, and it happens not because of weak willpower but because of changes occurring in the body. Unlike the baby blues, which resolve on their own within two weeks of childbirth, postpartum depression lasts four weeks or longer and interferes with daily life.
Korean Medicine Clinic Perspective
In Korean medicine, when the qi and blood (gihyeol) are greatly depleted after childbirth and the blood that nourishes the Heart becomes insufficient, the Heart-spirit (simsin) that keeps the mind anchored becomes unstable. At Dongjedang, we view this as a state of major qi-blood deficiency (gihyeol-daeheo) compounded by Heart-spirit anxiety (simsin-buran), and we approach it by replenishing the depleted qi and blood to settle the Heart.
Related FAQs
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I've been struggling with postpartum depression for 6 months now. Can I really fully recover? Please tell me honestly.
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My anxiety is worse than my depression, and I can't sleep at all at night. Are anxiety and insomnia also part of postpartum depression?
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I can't tell whether I have postpartum depression or sanhupung. My whole body aches and I'm extremely tired, and my mind is also very heavy.
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Caring for the baby alone and not getting a wink of sleep has become my daily life. Does lack of sleep make postpartum depression worse? What is the best way to rest?
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During postpartum depression, should I do light exercise or go outside? Or is it better to rest at home?
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