The birth of a baby is generally considered a joyful time, but it is also a time when women face an insidious mental health condition postpartum depression (PPD). This disorder typically occurs two to eight weeks after giving birth, with symptoms similar to those of depression, such as sadness, lack of enjoyment in usual activities, exhaustion, difficulty focusing, sleep problems, and appetite changes.
In India where cultural norms and societal expectations play a crucial role, understanding and addressing PPD is essential. World Health Organization (WHO) has estimated that around 20% of women in developing countries experience postpartum depression after childbirth, often leaving them struggling with profound sadness, and anxiety, and experiencing difficulties forming a bond with their infant.
According to the National Institute of Health (NIH) in India, a comprehensive study involving 20,048 women across 38 studies found that 22% of new mothers in India suffer from postpartum depression (PPD). Despite its high prevalence, PPD often goes undiagnosed and untreated, particularly in rural areas. The pervasive stigma around mental health, reluctance to visit psychiatrists, cultural norms, and insufficient support from partners and family members make it very challenging for many women to seek help. Additionally, societal norms in India often emphasize the baby’s well-being over the mother’s mental health, further silencing discussions about PPD.
Dr. Natisha Ozha, a psychiatrist who has personally experienced PPD and was born and raised in Rajasthan, emphasizes that PPD has multiple causes: biological, psychological, and social. Biologically an immediate decline in the hormones estrogen and progesterone in your body and an increase in prolactin and oxytocin. Psychologically, the loss of personal control due to a newborn demand can cause stress and a disturbed sleep cycle. Socially, the birth of a female child, inconsistent support, domestic violence, marital conflict, and financial worries can worsen PPD. For Dr. Ozha this subject is profoundly personal. “Whenever postpartum depression is discussed, I feel anxious and unable to sleep” she shares. Married into a traditional family, she faced additional challenges. When her symptoms emerged during pregnancy, her initial reaction was steeped in cultural beliefs. “Someone has cast a negative influence on you,” her family insisted. Various rituals and chants were prescribed, but they brought no relief. Even as a trained psychiatrist, accepting that she had PPD took immense courage.
We focus so much on the babies and physical health, but often neglect the mother’s emotional well-being, she explains. Empathetic, non-judgmental listening can make a significant difference. Sharing personal experiences and encouraging new mothers to seek help from professional mental health experts is vital.
Contrary to common misconceptions, there are effective ways to overcome postpartum depression. As a variant of depression, professional help is essential for PPD. Psychiatrists and psychologists can evaluate the severity and provide appropriate treatments, including counseling for mild to moderate symptoms and potentially hospitalization or medication for severe cases.
To enhance maternal mental health care, Dr. Ozha proposes two innovative solutions. First, she suggests implementing a mental health report card for pregnant women, which would be attached to their antenatal records to track mood, sleep, appetite, anxieties, and pre-existing mental health conditions. This would aid in early identification of high-risk individuals. Second, she advocates for the creation of one-stop centers that integrate gynecologists, pediatricians, psychiatrists, and lactation consultants. According to her, “Every postpartum follow-up should include a compulsory PPD screening by a psychiatrist,” to reduce the stigma associated with seeking mental health support.
Addressing postpartum depression (PPD) in India calls for a revision in our approach towards maternal mental health support. Highlighting the significance of mental well-being alongside physical health during postpartum care can break down societal barriers and cultivate a more empathetic atmosphere for new mothers. Through these inclusive measures, we enable mothers to navigate the complexities of PPD, thereby fostering their personal growth and ensuring the welfare of their children.
Written By Aparna Verma for DSF



























