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The Financial Impact of Postpartum Depression

Reviewed by: HU Medical Review Board | Last reviewed: October 2023

For many new parents, the first few months after childbirth are marked by sleepless nights, overwhelming emotions, and a rollercoaster of hormones. While these feelings are a common part of the postpartum period, they can escalate into a more severe condition known as postpartum depression (PPD).1,2

PPD takes a toll on a person's mental and emotional well-being. But it also can have a significant financial impact.1,2

The cost of PPD

About 1 in 7 mothers in the United States will experience postpartum depression. One study followed mother and child pairs in the United States for 5 years. Researchers found that untreated anxiety and mood disorders (including depression) cost about $14.2 billion. The average total cost per mother-child duo was nearly $32,000.1-3

More than half of the costs occurred within the first year. Some of the biggest expenses came from:1-3

  • The mother’s loss of income
  • The mother’s reduced productivity at work
  • Higher healthcare costs for the mothers and babies due to preterm birth, complicated pregnancy, or other medical issues

Loss of income

One of the most immediate financial consequences of PPD is the potential loss of income. Many mothers take maternity leave. But many employers do not cover maternity leave. This means many new mothers have no income during the time they take off work to have a baby.1-3

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If a mother develops PPD during this period, it can extend the time she needs to be away from work. This further impacts her financial stability. Some moms might have to quit their jobs altogether to focus on their mental health.1-3

Reduced productivity

PPD can affect a mother's ability to function at her best, both at home and at work. Decreased productivity at work may lead to missed promotions, fewer opportunities for advancement, or even job loss. All of these consequences can have a long-lasting impact on a mother's earning potential.1-3

Medical expenses

The costs of PPD treatment can add up. Therapy sessions, medicines, and doctor's visits all come with price tags. Even for people with health insurance, treatment for PPD can be a financial burden. This can be especially challenging for mothers who are already struggling with reduced income.1-3

Long-term financial impact

A 2022 study found that childbearing people with PPD were more likely to face money problems and have trouble finding a job for up to 15 years after having a baby. Mothers with PPD were also more likely to be jobless during the first 3 years after having a baby.4

The following factors played a role in these mothers’ financial problems:4

  • Medical costs
  • Food and housing costs
  • Utilities and other bills

The importance of screening and early detection

A lot of financial concerns arise in the first year after childbirth. Because of this, early PPD screening and detection is crucial.5

The American College of Obstetricians and Gynecologists (ACOG) recommends screening at least once during pregnancy and/or after delivery to assess whether a mother is at high risk for PPD. This is to ensure that high-risk mothers receive care before PPD symptoms arise.5

Reduced long-term costs

Early detection can help prevent severe symptoms. This can decrease costs and improve overall feelings of wellness.5,6

Improved quality of life

By addressing the condition early on, people with PPD can regain their emotional well-being, enjoy their role as parents, and maintain their relationships.5,6

Support is vital

For working parents, employers can help by creating a more supportive work environment for those dealing with mental health challenges. For instance, they can:7

  • Encourage open dialogue about mental health
  • Offer flexible work arrangements
  • Provide access to employee assistance programs (EAPs)

Postpartum depression is challenging. It affects not only parents’ mental and emotional well-being but also their financial stability. The financial impact of PPD can be big. But early detection and treatment can make a world of difference.