Postpartum period
During the subacute postpartum period, psychological disorders may emerge. Among these are postpartum depression, posttraumatic stress disorder, and in rare cases, puerperal psychosis. Postpartum mental illness can affect both mothers and fathers, and is not uncommon. Early detection and adequate treatment is required. Approximately 25% – 85% of postpartum women will experience the "blues" for a few days. Between 7% and 17% may experience clinical depression, with a higher risk among those women with a history of clinical depression. Prevalence of PTSD following normal childbirth (excluding stillbirth or major complications) is estimated to be between 2.8 and 5.6% at 6 weeks postpartum.
Effects of adoption on the birth mother
Some birth mothers may have difficulty forming and maintaining relationships post an adoption. This could be because of persisting feelings of loss and guilt, or due to the fear of becoming pregnant again and repeating the process. Some birth mothers may try to replace the loss quickly by beginning a new relationship, or giving birth again—without dealing with the grief of the adoption. For some birth mothers, the capacity to establish a successful long-term relationship may be conditional on the openness with which they can relate their past experiences of the adoption to their partner. The eventual acceptance of this loss does not mean that a birth mother has forgotten the child, but instead means that she has integrated the loss into her life.