· By Amy Suzanne Upchurch, Founder + CEO of Pink Stork, Certified Health Coach, INHC
What is the difference between matrescence and postpartum depression?
Matrescence is the normal developmental transition into motherhood. Postpartum depression is a medical condition that a healthcare provider evaluates and treats. The two can feel alike, and they can happen at the same time, so you cannot sort them out by yourself. If you feel persistently low, hopeless, or unable to cope, contact your provider.
What is matrescence?
Matrescence describes the biological, psychological, social, and existential changes that come with becoming a mother. It is a descriptive concept, not a diagnosis. Our pillar guide on what matrescence is explains the idea in full.
Feeling changed, tearful, unsure of yourself, or grateful and grieving at once can all be part of this transition. Our guide on feeling like a different person after having a baby looks at what that experience is like.
What is postpartum depression?
Postpartum depression is a mood condition that can begin during pregnancy or after birth. The National Institute of Mental Health explains that it is common, that it is treatable, and that it is different from the short-lived "baby blues." The Centers for Disease Control and Prevention also offers an overview of depression during and after pregnancy.
Only a provider can diagnose it. Providers often use short screening questionnaires at postpartum visits, and the American College of Obstetricians and Gynecologists offers patient guidance on postpartum mood changes and when to seek care.
How do the two compare?
| Question | Matrescence | Postpartum depression |
|---|---|---|
| What is it? | A normal developmental transition | A medical condition |
| Is it a diagnosis? | No | Yes, made by a provider |
| Who can help? | Friends, family, peer groups, counselors, providers | Your provider and mental health professionals |
| What should you do? | Name the change, share it, and ask for support | Contact your provider |
Which signs should you bring to your provider?
This is not a checklist for diagnosing yourself. It is a guide to the kinds of experiences worth sharing with a provider.
- Mood that stays low: Sadness, emptiness, or hopelessness that lasts more than a couple of weeks.
- Worry that takes over: Anxiety or fear that is hard to set aside.
- Trouble coping: Feeling unable to manage daily tasks or care for yourself or your baby.
- Changes beyond newborn life: Sleep or appetite changes that do not match what a new baby explains.
- Distance from your baby or the people you love: Feeling numb, detached, or unable to enjoy what used to matter.
Many mothers feel unsure whether what they feel "counts." You do not have to be certain. If something feels wrong, that is enough reason to ask.
Can matrescence and postpartum depression happen together?
Yes. A normal transition and a medical condition are not either/or. A mother can be moving through matrescence and also need care for her mood. That is one reason a provider's evaluation matters more than a label you give yourself.
"Coming prepared with questions can really help. What are the two or three that are most important? Because we can't do 15 questions."
— Dr. Tosin Odunsi, MD, MPH, FACOG, Obstetrics and Gynecology Physician
Where can you get help right now?
You do not have to wait for a scheduled visit.
- Your provider: Call your OB, midwife, or primary care provider and say how you have been feeling.
- National Maternal Mental Health Hotline: Free, confidential support is available at 1-833-852-6262, as described by the Health Resources and Services Administration.
- Peer support: Postpartum Support International offers help lines and support groups for new and expecting parents.
- Emergency: If you have thoughts of harming yourself or your baby, call 988 or your local emergency number now.
Our list of 10 questions to ask at your 6-week postpartum checkup can help you plan what to say.
"Every mother deserves to be heard. Asking for help is not weakness, and no mother should carry the hard days alone."
— Amy Suzanne Upchurch, Founder and CEO of Pink Stork
Frequently asked questions
How do I know if it is matrescence or something more?
You cannot tell on your own, and you do not have to. If low mood, worry, or trouble coping lasts more than a couple of weeks or interferes with daily life, contact your provider.
What are the baby blues?
The baby blues are a brief period of tearfulness and mood swings after birth that often ease within about two weeks. Contact your provider if feelings last longer or grow stronger.
Can postpartum depression start months after birth?
Yes. It can begin during pregnancy or at any point in the first year after birth. Contact your provider whenever you notice a change that worries you.
Is it safe to tell my provider how I feel?
Providers see these concerns often, and sharing them is how you get the right care. Bring a few notes if it helps you find the words.
† These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Always consult your healthcare provider before starting any new supplement, especially during pregnancy, breastfeeding, or while managing a medical condition. Keep out of reach of children.
