Red flags & when to go in person for Postpartum Depression - Triage

Audience: adult

Postpartum depression (PPD) is a mood disorder that can affect people after childbirth. It often includes feelings of sadness, anxiety, and fatigue that may interfere with daily life and caring for the baby. Many people find support and treatment through telemedicine, which can provide counseling and guidance remotely. However, some symptoms may signal a need for in-person care. Recognizing these red flags is important to keep both the parent and baby safe. This guide helps you understand when telemedicine is appropriate and when to seek urgent or emergency in-person care. Remember, this information is educational and not a diagnosis. If you or someone you know is struggling, reaching out for help is a strong and important step.

Red flags — go in person / ER

• Thoughts of harming yourself or your baby — seek emergency in-person care immediately.
• Severe mood swings, confusion, or hallucinations — go to an emergency room or urgent care.
• Inability to care for yourself or your baby, including not eating or drinking — get urgent medical help.

What telemedicine can do

• Mild to moderate symptoms of postpartum depression.
• Providing counseling and emotional support.
• Medication management with stable symptoms.
• Monitoring progress and offering education.

What telemedicine cannot do

• Severe symptoms with risk of harm to self or baby.
• Psychosis or hallucinations.
• Need for physical examination or urgent medical tests.
• Emergency situations requiring immediate intervention.

What is Postpartum Depression?

Postpartum depression is a type of depression that can happen after having a baby. It may cause feelings of sadness, worry, tiredness, and trouble bonding with your baby. These feelings are more intense and last longer than the "baby blues," which usually go away within two weeks after birth.

Common Symptoms to Watch For

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If you notice these symptoms lasting more than two weeks, it may be time to get help.

Red Flags That Need In-Person Care

Some signs mean you should see a healthcare provider in person right away:

If you or someone you care for experiences these, seek emergency care immediately.

How Telemedicine Can Help

Telemedicine can provide support through video or phone visits. It often includes:

Telemedicine is convenient and can be a good first step for many people.

When Telemedicine May Not Be Enough

Telemedicine may not be suitable if:

In these cases, in-person evaluation is important for safety and proper treatment.

How to prepare for your tele-visit

• Find a quiet, private space for your telemedicine visit.
• Have a list of your symptoms and how long you've had them.
• Prepare any questions or concerns you want to discuss.
• Make sure your device is charged and has a good internet connection.
• Have a trusted person nearby if you feel you may need support during or after the visit.

After your tele-visit

• Follow the treatment plan provided by your healthcare provider.
• Schedule follow-up appointments as recommended.
• Reach out immediately if symptoms worsen or new red flags appear.
• Engage in self-care activities like rest, nutrition, and support from loved ones.
• Consider joining support groups for postpartum depression.

FAQs

Can postpartum depression go away on its own?

Sometimes mild symptoms improve without treatment, but postpartum depression often needs support or treatment to get better. Early help can prevent symptoms from worsening.

Is postpartum depression the same as the "baby blues"?

No. The baby blues are common and usually last less than two weeks after childbirth. Postpartum depression is more intense and lasts longer, often requiring treatment.

Can I use telemedicine for my first postpartum depression visit?

Yes, telemedicine can be a good option for initial visits, especially if symptoms are mild to moderate. However, if you have severe symptoms or safety concerns, in-person care is important.

What should I do if I have thoughts of harming myself or my baby?

This is a medical emergency. Contact emergency services or go to the nearest emergency room immediately. Do not wait to seek help.

Are medications safe to use while breastfeeding?

Some medications are considered safe during breastfeeding, but this depends on the specific medicine. Discuss your options with a healthcare provider to find the safest choice for you and your baby.

Sources

1. Postpartum Depression — MedlinePlus, U.S. National Library of Medicine / National Institutes of Health.
2. Depression Among Women — Centers for Disease Control and Prevention (CDC).
3. Postpartum Depression — Mayo Clinic.
4. Postpartum Depression: Overview and Treatment — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care. If you have concerns about postpartum depression or experience any red flags, please seek immediate in-person evaluation and treatment.