Dr. Pamela Smith, ND 

Dr. Pam has a family practice at The Nest Family Wellness Centre which offers naturopathic and midwifery care. She combines science-based natural medicine with conventional medical therapeutics. Learn more about Dr. Pam and the services offered by her clinic here, or book an appointment at www.drpamelasmith.com.

Check out the latest Ask Dr Pam Q&A and posts by topic below as well as her health and wellness posts.

Ask Dr Pam   

Why don't I mentally feel like my normal self postpartum?


The period after delivery is often considered the “fourth trimester” and can last between 30 days and three months. There are many changes that occur in a woman’s body during this time including hormone fluctuations where estrogen levels drop approximately 300%. This hormonal shift generally takes an average of 10 days to balance out.  With the hormone changes that occur post-pregnancy coupled with sleep deprivation, adapting to the demands of a newborn, and fulfilling countless other responsibilities, it is normal for a new mom or even a seasoned mom to have multiple changes in mood over the course of a day. After the much anticipated arrival of the new baby and the excitement of birth, it may come as a surprise for new moms to experience emotions such as sadness and anxiety. It's a good idea to talk to your healthcare provider about how you feel physically and emotionally postpartum. 

This Q&A discusses the difference between low mood or "baby blues", postpartum depression, and postpartum psychosis. 

This post includes tips for helping women avoid exhaustion and low mood postpartum.