Postpartum blues vs postpartum depression: which statement best describes onset and duration?

• A. Blues occur within 2 weeks and persist beyond 2 weeks
• B. Blues occur within 2 weeks and resolve within 2 weeks
• C. Depression begins within 4 weeks and persists beyond 2 weeks
• D. Depression always resolves without treatment

Answer: (B)

Postpartum mood changes hinge on when they begin after delivery and how long they last. The blues are a common, mild, self-limited condition that starts within the first two weeks after giving birth and typically resolves within about two weeks without special treatment. This quick onset and short duration is what sets blues apart from postpartum depression, which tends to begin a bit later (often within the first month) and lasts longer than two weeks, often requiring treatment and close monitoring.

So the statement that best describes onset and duration is that the blues begin within two weeks and resolve within two weeks. If symptoms extend beyond about two weeks or are more severe (persistent depressed mood, anhedonia, sleep or appetite changes, feelings of inadequacy, or thoughts of self-harm), that pattern warrants evaluation for postpartum depression and appropriate care.