Postpartum depression is similar to any other form of depression except it presents during postpartum period. Treatment guidelines also are same. However, in view of the breast feeding caution must be taken to prescribe antidepressant least likely to be secreted in breast milk. Other important option is ECT as it is safe and immediate response. Mother can continue breast feeding without worrying about any problem to the baby.
Next Steps
Plan for ECT afer PAC. Antidepressants are second line. CBT also is good option.