Postpartum depression (or other serious mental disorders) is diagnosed if women have ≥ 5 symptoms for > 2 weeks; symptoms include depressed mood and / or loss of interest or pleasure and Significant weight loss, loss of appetite, or weight gain Insomnia or hypersomnia Psychomotor agitation or retardation Feeling of worthlessness or guilt Diminished ability to concentrate Suicidal or homicidal thoughts (women should be asked specifically about such thoughts) Because of cultural and social factors, women may not volunteer symptoms of depression, so health care providers should ask women about such symptoms before and after delivery.