Postpartum depression (PPD) presents a significant public health concern, affecting not only the physical and mental well-being of mothers but also that of their infants. Research suggests that approximately 13 million women worldwide are diagnosed with PPD annually (Xu et al., 2023). Mild depressive symptoms are experienced by around 50% to 75% of mothers, with 10% to 15% developing postpartum depression within the first week after childbirth (Xu et al., 2023).
Understanding preventive measures to reduce its prevalence is very crucial.
1. Exercise intervention has proven effective in preventing PPD disorders. In a 12-week exercise intervention study, aerobic exercise was found to relieve postpartum depression symptoms in PPD patients. Engaging in suitable aerobic exercise during pregnancy has been reported to promote pelvic mobility and improve birth canal space to relieve maternal labor pain. However, it also aids in preventing pregnancy complications. Studies suggest that PPD symptoms may manifest during pregnancy, with a similar 12% occurrence rate of depression reported, which indicates that preventive measures during pregnancy may have a significant impact on reducing PPD (Xu et al., 2023).
Moreover, research indicates that the antidepressant effects of exercise can persist beyond the cessation of physical activity. Therefore, research suggested that incorporating aerobic exercise into prenatal care may substantially prevent PPD more than exercise as a postpartum treatment strategy.
Engaging in moderate exercise during pregnancy can reduce the likelihood of developing postpartum depression (PPD) among expectant mothers. Partaking in at least 150 minutes of moderate-intensity aerobic exercise per week significantly enhances the efficacy of physical activity in preventing and treating PPD (Xu et al., 2023). Moderate aerobic exercise prompts the release of endorphins, which uplift mood and alleviate symptoms of anxiety and depression. Additionally, it helps regulate hormone levels, improve sleep quality, and enhance self-awareness and self-esteem, thereby positively influencing the mitigation of postpartum depression (Xu et al., 2023).
Also, social support plays a vital role in maintaining the mental well-being of pregnant and postpartum women, with supervised exercise and team-based exercise serving as effective avenues for providing such support. For instance,
• Team exercise fosters a positive environment for maternal emotional communication, and sharing maternal emotions enhances mothers’ childbirth knowledge and skills, reduces fear of labor pains, alleviates negative emotions, improves interpersonal communication, and enhances self-efficacy (Xu et al., 2023).
• Supervised exercise, which involves physical activities piloted and supervised by healthcare professionals or fitness trainers, ensuring that exercises are safe and suitable for individual pregnant and postpartum women. Participating in supervised exercise classes or programs also offers opportunities for social interaction, which is critical for mental well-being and can lighten feelings of isolation by connecting with other new mothers and professionals in a supportive setting (Xu et al., 2023).
2. Music therapy, when used as an adjunct to conventional psychotherapies, has been shown to improve physiological symptoms and effectively reduce negative emotions without any adverse side effects. It can positively impact and alleviate symptoms of PPD, offering a safe and affordable substitute to standard treatments. Music therapy is considered to reduce the need for pharmacological interventions during PPD treatment. Research has indicated that music therapy interventions such as music listening, improvisation, songwriting, singing, relaxation and meditation, and lyric analysis effectively reduce the risk of prolonged PPD and it can encourage strengths, empower individuals, and foster connections with themselves and others (Patch & Short, 2022).
References
Xu, H., Liu, R., Wang, X., & Yang, J. (2023). Effectiveness of aerobic exercise in the prevention and treatment of postpartum depression: Meta-analysis and network meta-analysis. PLOS ONE, 18(11), e0287650–e0287650. https://doi.org/10.1371/journal.pone.0287650
Patch, M. C., & Short, A. E. (2022). Addressing the “Baby Blues”: Developing a Music Therapy Model for Prevention and Treatment of Postpartum Depression. Australian Journal of Music Therapy, 33(2), 82–90. https://eds.p.ebscohost.com/eds/pdfviewer/pdfviewer?vid=10&sid=e5bc3ad9-8160-4ed8-bb4f-752141ecd9c5%40redis
The four-stage process to regain control of Postpartum DepressionPostpartum depression (PPD) is characterized by a major depressive episode that begins within four to six weeks following delivery, as per international diagnostic criteria. Recurrence rates for PPD are high, with 40% of affected women experiencing depression again in their lifetime and nearly 50% facing another episode in subsequent pregnancies. Symptoms of PPD encompass fatigue, irritability, anxiety, lack of pleasure, feelings of helplessness, sleep and appetite disturbances, indifference towards life events, low self-esteem, and feelings of incompetence as a parent, among others. PPD is considered a multifactorial condition influenced by both environmental and genetic risk factors for depression.
Risk factors for PPD include:
- Previous depression.
- Adverse life events.
- Lack of social support.
- Socioeconomic position.
- Personal and family psychiatry history.
- Stressful experiences (such as trauma).
- Specific pregnancy-related factors.
- Intimate partner violence (IPV) occurring close to or during pregnancy also elevates the risk of postpartum depression.
The impacts of PPD are significant and extend beyond the affected individual. They include poor attachment between the mother and newborn, potential stunted growth and low weight in the child, disrupted breastfeeding, and adverse effects on the infant’s cognitive, emotional, and social development. There is also an increased risk for psychiatric disorders in the child during infancy, childhood, adolescence, and adulthood. Women of color and those with lower incomes are more likely to suffer from postpartum depression and may face barriers to accessing treatment (Gopalan et al., 202).
The four-stage process to regain control of Postpartum Depression
Women experiencing PPD often undergo a four-stage process in an attempt to regain control:
- In the initial stage, mothers grapple with intense worries, persistent obsessive thoughts, and difficulties focusing.
- In the second stage, women feel a sense of loss of their “regular selves,” describing a robotic feeling while caring for their infants. Withdrawal may occur, and thoughts of self-harm or suicide may surface.
- The third stage involves women planning strategies to overcome PPD, such as seeking help from healthcare providers, engaging in prayer, or finding comfort in support groups.
- In the final stage, women regain control of their thoughts and feelings as despair lifts.
The Health Risk Hiding In Your Light Switch and How to Prevent ItLight at night (LAN) refers to the use of artificial or natural light during nighttime hours for visibility purposes.
Deprato et al. (2025) reports that approximately 80% of the global population is exposed to light-polluted skies, and LAN is now considered a major environmental pollutant. Sources include streetlights, vehicles, homes, industries, and even atmospheric reflections.
LAN disrupts the body’s circadian rhythm, the internal 24-hour clock regulated by the brain’s suprachiasmatic nucleus. When artificial light interferes with natural dark–light patterns, it delays the circadian clock and sleep-wake cycle, leading to melatonin suppression, sleep disturbances, and an increased risk of various diseases (Deprato et al., 2025). Blue-rich and bright LED lights cause the most significant disruption (Deprato et al., 2025). The study reports that LAN exposure is linked to higher rates of depression, bipolar disorder, anxiety, and other severe mental disorders, likely due to circadian misalignment, sleep deprivation, and changes in brain chemicals such as serotonin and dopamine.
Implications:
1.The findings suggest that light pollution and artificial light exposure at night are not only environmental/visual concerns but also have mental health implications.
2. Encourages rethinking nighttime habits — including screen use before bed, bedroom lighting, blackout curtains, and managing exposure to streetlights or indoor lights at night.
3.The implications of light at night may vary by culture or by groups
4. Designing homes and neighborhoods that minimize intrusive nighttime lighting in bedrooms, promoting lighting standards that consider human health
Prevention/ Mitigation strategies
1.Reduce screen time before bed: Use “night mode” or blue-light filters on devices, dim the brightness, and avoid stimulating content.
2. Improve bedroom lighting: Use blackout curtains, turn off or dim indoor lights, remove bright electronic indicators, and opt for warm, low-intensity lighting in the evening.
3. Maintain a consistent sleep–wake schedule: Even if artificial light is present, a regular circadian rhythm helps mitigate disruptions.
4. Use lighting design for sleep: In the evening, switch to warmer (red/orange) wavelengths; avoid bright overhead white/blue light late at night.
5.Monitor and adjust ambient outdoor lighting: If streetlights are intrusive, consider using blackout curtains or an eye mask; if indoor lighting spills into the night, turn off non-essential lights.
Source: https://doi.org/10.1016/j.scitotenv.2025.179188
How to Decrease High Cholesterol LevelsHigh cholesterol (hypercholesterolemia) refers to elevated levels of cholesterol in the blood, especially low-density lipoprotein cholesterol (LDL-C)—which is widely regarded as a key modifiable risk factor for atherosclerosis and cardiovascular disease (CVD). LDL-C can deposit in arterial walls, forming plaques that narrow arteries and increase the risk of heart attack and stroke. Meanwhile, high-density lipoprotein (HDL-C) is considered “good” cholesterol because it helps transport cholesterol away from the arteries to the liver for excretion. Several factors can increase the level of cholesterol in the blood, as indicated below
Factors That Contribute to Elevated Cholesterol
- Poor diet
- Lack of Physical Exercise
- Excess body weight
- Smoking increases cholesterol profile, and excessive alcohol increases triglycerides
- Genetic traits
- Chronic stress and poor sleep
- Diet low fiber
To decrease high cholesterol in the blood, it is important to make positive changes to health behaviors by following the strategies below:
Strategies to Decrease High Cholesterol Levels
- Reduce intake of saturated and trans fats, and substitute with MUFA and PUFA-rich foods such as fatty fish(Salmon and Mackerel), olive oil/canola oil, Avocado/nuts
A study by Okobi et al. (2023) found that an avocado-rich diet can lower total cholesterol (TC) and low-density lipoprotein (LDL) levels.
- Increase consumption of food high in soluble fiber, such as oats, fruits, apples, and legumes.
- Regular aerobic exercise for 150 minutes/week lowers LDL and triglycerides and improves HDL.
- Losing excessive weight will improve LDL profiles.
- Quitting smoking will improve cardiovascular health and HDL levels
Contributing factors to the High Obesity Rates Among African American WomenResearch reports that American women are disproportionately affected, with the highest obesity rates among all groups in the U.S. About 80% are classified as overweight or obese.
Disparities in weight loss
Research indicates that African American (AA) women tend to lose less weight compared to their Caucasian counterparts.
Contributing Factors
The contributing factors to the disparities are;
- Limited access to nutritious food
- Inadequate health insurance
- Lack of safe spaces for physical activity
Barriers to Weight Management
Challenges that hinder weight management efforts include:
- Personal beliefs
- Limited time
- Family dynamics
- Lack of motivation
- Financial constraints
Cultural Influence on Body Image
Cultural norms within the AA community, which often embrace larger body sizes and promote a positive body image, can also influence health behaviors. While fostering a positive body image has psychological benefits, it may reduce motivation to maintain a healthy weight. In Black culture, obesity and being overweight are often considered acceptable and carry little to no stigma. Cultural perspective may partially explain why general health promotion efforts are less effective in this community. The study reports that many Black female students aim to embody the culturally valued “thick and curvy” figure, consuming specific foods to shape their bodies while avoiding activities that might result in weight loss.
Why it may be difficult to seek care
A deep-rooted distrust of the healthcare system makes it difficult for many AA women to seek medical advice or treatment.
Physical inactivity as a health risk factor
Underestimating body weight can reduce engagement in healthy behaviors, such as regular physical activity. Physical inactivity is a major contributor to non-communicable diseases and mortality, emphasizing the need to address these issues within the AA community.
Key Strategies to Cope with StressStress has a significant impact on overall health, playing a crucial role in the development of various diseases and placing a substantial strain on the healthcare system (Shchaslyvyi et al., 2024). It is closely linked to numerous long-term health problems, especially cardiovascular conditions, which are often worsened by daily psychosocial pressures like job-related stress (Shchaslyvyi et al.,2024) It is essential to understand the healthy ways to cope with or manage stress.
Various strategies recommended according to the CDC (2025)
- Take Care of Your Mind
Limit news and social media exposure: Excessive exposure to harmful or distressing news can exacerbate stress.
Make time to unwind: Incorporate relaxation practices such as deep breathing, stretching, or meditation.
Keep a journal: Writing can help you process emotions, reflect on your thoughts, and release tension.
Spend time outdoors: Whether you are being active (walking, hiking) or just relaxing outside, nature can be a calming presence.
Practice gratitude: Regularly noting things you are grateful for helps improve emotional well-being.
Connect with others: Talking to trusted friends, family, or community/faith-based groups provides support.
- Take Care of Your Body
Get enough sleep: The CDC recommends 7 hours or more per night for adults and suggests maintaining a consistent sleep schedule.
Move more: Physical activity is one of the most effective ways to reduce stress; even small amounts can help.
Eat well: A balanced diet (fruits, vegetables, lean proteins, whole grains, low-fat dairy) supports both physical and mental health.
Limit alcohol and avoid substance misuse: Moderating alcohol intake, avoiding illegal drugs, and not misusing prescription medication are essential.
Avoid tobacco: Smoking, vaping, and the use of other tobacco products can worsen stress or its effects.
Stay up to date with healthcare: Regular check-ups, screenings, and vaccinations help you maintain your physical health — which can help buffer stress.
- Integrate Physical and Mental Health
The CDC emphasizes that mental well-being and physical health are closely linked. Regular physical activity is not only good for the body but also supports emotional resilience.
It encourages finding a “right combination” of coping techniques that work for you — not everyone copes the same way.
- Know When to Seek Extra Support
The CDC notes that while stress is everyday, chronic stress (long-term) can lead to serious health problems.
If you’re struggling to cope or stress is affecting your daily life, it’s okay to reach out for help. They list resources, including crisis lines.
Sources
CDC. (2025)
International Journal of Environmental Research and Public Health, 21(8), 1077–1077. https://doi.org/10.3390/ijerph21081077
How to Survive During Rising Costs and Government ShutdownWith the government shutdown, many aspects of daily life have been severely impacted. The rate of food insecurity is increasing, and challenges related to housing, transportation, and other social determinants of health are becoming more pressing. SNAP benefits have been frozen, leaving many families struggling to put food on the table. As a result, more individuals and families are turning to food pantries and community resources for support.
At the same time, the cost of food and necessities continues to rise, deepening the struggles faced by countless households. These are difficult times, but I want to encourage everyone affected to stay strong, remain hopeful, and trust that better days are ahead.
Here are some practical ways to cope and survive during the rising costs and government shutdown:
Prioritize Your Needs
- You must focus on needs such as housing, food, transportation, utilities, and medication.
- Decrease or pause non-essential spending, such as new purchases, entertainment, or dining out.
Manage Your Money Wisely
- Avoid any unnecessary debt.
- Prioritize rent/mortgage and food.
- Discuss with your utility company, landlord, or bank to explore any available payment plans or deferments during the shutdown.
Explore any available community resources
- Assess community and faith-based resources (Local food banks, churches, non-profits) for support with food and bills.
- Check your city’s website to find out what supports are available to access.
Protect Your Mental and Emotional Health during the difficult time
- Financial insecurity can be draining. Stay connected with family, friends, and coworkers for emotional support.
- Get good exercise, rest, and be consistent with your routines
- Have faith and be hopeful that the challenges are temporary and will surely pass
- Focus on what’s within your control.
Maintain Perspective
- Use this period to build your financial discipline and strength
- Celebrate each time you pay a bill and make meals; a win is worth celebrating
- Reflect on value by focusing on more relationships, essentials, and faith than on any material things