1. A personal history of a mental illness in your lifetime, such as depression, anxiety, PTSD, OCD, bi-polar disorder. This could be undiagnosed or untreated through a personal decision not to take medication or seek treatment.
2. A history of depression or anxiety disorders in your family. These could have gone undiagnosed.
3. A personal history of premenstrual syndrome, perhaps indicating a heightened sensitivity to hormonal changes, indicating you may have:
4. A sensitivity to hormonal fluctuations of childbirth
5. Lack of social support
6. Trouble in the marriage relationship
7. Mental illness, such as addiction, in your spouse
8. Poverty is a an indicator for postpartum depression
9. Financial difficulties, such as the recession has brought to many households
10. Being in a abusive relationship, even “just” verbally or emotionally abusive
11. A past history of sexual abuse or sexual assault
12. Experiencing a past traumatic birth, such as a protracted labor involving multiple medical interventions, even if they were medically indicated. Many factors feed into a woman feeling traumatized during her childbirth experience.
13. Having a infant born with a disability
14. Having a stillborn infant
15. Being the mother of a premature infant
16. Having had extensive infertility treatments
17. Feelings around a personal choice to terminate a past pregnancy
18. Unresolved issues from childhood regarding parenting and being parented
19. A previous episode of postpartum depression. A mother who has had a previous episode of PPD has a 50 to 80 percent risk of developing it again with her second baby (compared to a 10 to 20 percent chance without a prior episode).
Befrienders Worldwide is a a great organization to call if you are feeling you may harm yourself or if you need immediate assistance.
More from YourTango: Coping with Pregnancy Loss & Miscarriage
Postpartum Support International has information and support available as well.
The Organization of Teratology Specialists has free information and phone support regarding pregnancy, breastfeeding and medications.
More from YourTango: Postpartum Doula Can Help Lift Your Mood Postpartum
Kleiman, K. & Wenzel, A. (2011). Dropping the baby and other scary thoughts. Routledge:New York.
Nonacs, R. (2006). A deeper shade of blue. Simon & Schuster: New York.