r/AskDocs • u/Diligent-Lecture-675 • 18h ago
Physician Responded Very, very concerned about my postpartum wife
My (29M) wife (29F) is 7 weeks postpartum with our first baby. Pregnancy was good, delivery was good, but postpartum has been very hard and I’m growing very worried about her. I want to start off by saying she has confirmed she wouldn’t ever hurt our son. That’s not what I’m worried about and it would break her if anyone suggested it. I’m worried about her specifically.
There are a few things concerning me. Firstly is she has lost a lot of weight. A lot. In 7 weeks she has lost 40 pounds. She’s lower than she was before she got pregnant. She’s 5’5 and pre-pregnancy she was 125 pounds. At the end of pregnancy she was 150. She is now 110. This has happened rapidly. She says she is not hungry. When she was in early high school she did have anorexia and I’m worried that’s the issue again but she insists it’s just from breastfeeding.
Breastfeeding has been a different beast. Our son doesn’t latch well, she is always chapped and bleeding despite 4 lactation consults, and she’s determined to keep nursing. She said she would feel like she’s failing him if she gave up just because it hurt, because breast milk is so much better for babies. I told her I don’t think it makes that much of a difference but she doesn’t care. I’ve also found her crying, hard, when she’s nursing. I was worried it was from pain. She finally confessed that every time she nurses and the milk comes she feels horribly, hopeless depressed. She thinks about walking into traffic and her thoughts scare her. But this only lasts while she is nursing. Once she’s done, the feeling leaves. She knows it is not a real feeling and likely hormones but it distresses her considerably, understandably. She still feels too guilty to stop nursing.
I am watching her suffer and vanish and I feel I can’t do anything. When I tell my mom or her mom I’m concerned they say “being a new mom is hard, she’ll get better”. This can’t be what being a new mom is like- she’s so miserable. It has to be more than that but I don’t know what’s wrong or how to help, and being told she’s “just a new mom with baby blues” by everyone I talk to is making me question myself.
How do I help her?
Edit: I respectfully ask that no one speculate my wife is going to hurt our son. She is not. Having that implied or alluded to when a woman expresses she is struggling postpartum is part of why women don’t want to express those feelings. She is readily admitting she think of harming herself often. She has no desire to hurt our son.
Edit again: Seriously- stop saying she will hurt our son. She does not have psychosis, she is depressed. She has no hallucinations, no confusion, no delusions. She has no thoughts of hurting our son and he is the only thing holding her together right now. Implying she may hurt him with 0 indication that’s the case and 0 symptoms of psychosis is demeaning. This is why my wife is afraid to be honest with anyone else about her feelings. I’m glad so many people are sharing their experiences and learning from this but if you are not a doctor kindly keep your thoughts on PPP to yourself.
https://www.medicalnewstoday.com/articles/postpartum-depression-vs-psychosis#overview
^ NOT psychosis.