Sometimes a mother who is depressed may believe that breastfeeding is causing her problem. Although some studies indicate that depression is more prevalent among nursing mothers, these studies don't screen for other factors, such as social isolation or lack of support from family members. Breastfeeding is not a contributing factor to postpartum depression. In fact, the hormonal changes after birth occur more gradually when a mother breastfeeds. Until there is a definitive cause found for all cases of PPD, it seems reasonable to assume that it has many causes, and that reasons may vary from individual to individual.
Mothers expect it to hit while they are in the hospital.
Some even plan for it, warning husbands and older children. Still others may not be aware of it, or may not believe it will happen to them. Mothers often contact us during the first week after birth, when they are most likely to be experiencing the blues. We can be sensitive to the possibility that mothers' feelings about breastfeeding and mothering in general may be affected by the blues. Patience, willingness to repeat information several times, and gentle supportive reinforcement of her nurturing skills are all helpful.