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Expert Q&A:
How can I cope with postpartum depression?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


How can I cope with postpartum depression?

Answer


I'm glad you asked this important question. Postpartum depression is a serious illness that can start around four weeks after the baby is born and can last up to a year. Here are some of the symptoms of postpartum depression:


Crying
Insomnia
Change in appetite
Feelings of worthlessness
Loss of energy
Inability to concentrate
Lack of concern for personal appearance
Anxiety
Irritability
Hostility

It's important to know and remember two points. First, postpartum depression is a disease, and you didn't do anything to cause it. Second, you are not alone. Some researchers say it happens to up to 25 percent of all women after having a baby.

Here's what you need to do. If you can't get rid of these feelings, call your doctor right away. Don't beat around the bush. Tell your doctor that you've been doing some research about this, and you think you have postpartum depression. If your doctor brushes you off (unfortunately some do this), then call a different doctor. Call your obstetrician, or your midwife, or another family doctor, but don't let anyone tell you you're fine when you know you're not. This is an illness, and it needs to be treated.

Don't be afraid to talk to a health care professional. For more information, including a list of Web resources, read "Beating Postpartum Depression" on our site.

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