Amen Deena re: breastfeeding as a natural hormonal state.

Apparently when WHO was putting together ICD 10 Classification of Mental and
Behavioural Disorders (DSM IV derived from this)  there were big arguments
about whether or not to include postpartum depression (PPD)--not seen very
often in most cultures--kind of a western phenom. They did put in a few
diagnostic codes, but state they prefer that codes come from other sections,
e.g. affective disorder codes.

Hippocrates did mention observing postpartum depression in ?B.C. (too tired
to look up), and he noted it was more common among mothers of twins. Gee,
wonder why?

There are a lot of theories about PPD, but few answers. Some research
indicates that many mothers who show up with PPD demonstrated signs/symptoms
of depression/dysthymia during pregnancy--not much of a surprise I wouldn't
think.

I think we have to look at the transient nuclear family who often is isolated
and unsupported. Also, cultural expectations of the postpartum family,
especially mother are absurd.

"Nuff said.

Karen