Understanding Post-Partum Depression

Bringing a baby into the world is often portrayed as a joyful and fulfilling experience. But for many new mothers,

the reality can feel very different. Post-partum depression (PPD) is a serious mental health condition that affects thousands of women in South Africa every year, yet it remains widely misunderstood and deeply stigmatised. Post-partum depression can develop any time within the first year after childbirth. Unlike the short-lived “baby blues,” which typically resolve within two weeks, PPD lasts longer and is more intense. It can affect a mother’s ability to bond with her baby, take care of herself, and perform daily tasks.

Recognising the signs

• PPD doesn’t look the same in every woman, but common symptoms include:

• Persistent sadness, hopelessness, or frequent crying

• Fatigue or loss of energy

• Anxiety or panic attacks

• Difficulty bonding with the baby

• Changes in appetite or sleep patterns

• Feelings of guilt or worthlessness

• Thoughts of self-harm or harming the baby (in severe cases).

Mothers may feel ashamed or fear being judged as “bad” parents, which prevents many from seeking help. Cultural expectations, lack of support, and limited awareness also contribute to the silence around PPD, especially in communities where mental health is not openly discussed.

Where to get help

In South Africa, several resources are available for mothers who may be struggling:

• Public clinics and community health centres offer mental health screening and counselling services. Don’t be afraid to ask your nurse or midwife for a referral.

• The South African Depression and Anxiety Group (SADAG) runs a toll-free helpline (0800 456 789) and WhatsApp support (076 882 2775). They provide support specifically for post-natal depression.

• Moms Support Groups in cities like Johannesburg, Cape Town and Durban offer a safe space for mothers to share experiences and find encouragement.

• Online platforms like B-Wise and Parent Sense also provide mental health tips and check-in tools for new parents.

You are not alone

Post-partum depression is not a weakness or a failure, it is a medical condition, and help is available. Talking about it is the first step toward healing. If you or someone you know may be suffering, reach out. The sooner support is accessed, the sooner recovery begins, for both mother and child.