LearnPostpartumFourth Trimester (0–3 months)

Baby blues and pinks: What they are, and when should you be concerned

Mood swings in the first weeks after birth are common. What's behind them, what helps and when to check in.


The first few weeks: What's common, and why

Tearfulness, mood swings and emotional tenderness in the first two weeks after birth are among the most common experiences new parents describe. We commonly refer to this as the “baby blues.” On the other hand, some parents experience moments of euphoria, a reduced need for sleep and a lot of energy. This is referred to as the “baby pinks.” Both of these experiences are part of how the body and mind settle after one of the biggest physical and emotional events a person goes through.

While the baby blues and baby pinks are almost polar opposites, they’re both caused by the sharp hormonal drop that takes place in the first days after birth. Sleep is hard. Your body is physically recovering at the same time as you’re meeting your baby and figuring out who you are as a postpartum person. All of that lands somewhere.

These feelings often show up as waves of emotion that arrive without a clear reason, moments of irritability or a kind of restless sadness alongside joy. Some people feel lonely even when surrounded by people they love. Some feel anxious about doing things right. Some just feel tender in a way they can't fully explain. Usually these mood swings don’t interfere with a new parent’s ability to function on a day-to-day basis with support.

What can help in these early weeks

It is understandable that the first weeks are often very overwhelming, and while you’re probably trying to create some sort of routine, this is often difficult and not really realistic in these early days of parenting.

Some things you can ask yourself when things feel overwhelming:

Do I have the support I need to ensure my baby’s needs are met?

Now is not a time to place pressure on yourself to do more than what’s needed.

The key is to tune into yourself and communicate to others what you want and need to support yourself during this time.

If feelings deepen or stay past the two-week mark, that’s something to take seriously, especially if you notice periods of euphoria and lack of need for sleep in yourself or your loved one for long periods of time. Use our Service Finder to find available support.


When the heaviness stays: A signal, not an alarm

For most parents, these mood swings disappear after the first days/weeks. But when heavy or confusing feelings start to crowd out daily life — making it hard to sleep even when there's a chance to rest, or making it difficult to find moments of connection or relief — that might be a good opportunity to talk with your care provider.

This can look different for different people. Some feel a persistent low that sits underneath everything. Some feel anxious in a way that doesn't ease up. Some feel irritable in ways they don’t recognize, or find themselves withdrawing from people they'd normally want near them. Some have thoughts that feel intrusive or upsetting, unwanted thoughts they don't want to have and wouldn't act on, but that keep returning.

All of these feelings are worth talking about, and none of them means you are dangerous or doing something wrong. Support is available, and this is a good time to reach for it. Many parents find that a single conversation with a trusted care provider can help.

When the euphoria intensifies/lingers

If you or a loved one experience intense periods of euphoria or limitless energy and don’t seem to need any sleep at all, during the first weeks but especially beyond, urgent medical care may be needed. You should seek assessment by a medical professional as soon as possible.


Some experiences need same-day support

If you are experiencing any of the following, reach out to a healthcare provider or crisis line immediately:

  • Persistent thoughts of harming yourself or others
  • Feeling disconnected from reality, or hearing or seeing things others don't
  • Intense, unrelenting despair or hopelessness
  • Extreme mood swings — including periods of euphoria followed by deep lows
  • Feeling completely unable to care for yourself

Understanding where you might be

Postpartum mood sits on a continuum. Most parents move through more than one part of it. You can use these categories as a way to notice where you might be right now:

References

This article was developed using sourced educational content from Canadian Perinatal Mental Health Trainings (CPMHT), and informed by the collective knowledge and expertise of CPMHT professionals and Karen Clarke, BA, MSW, RSW, Doula (Open Book Doula, Counselling and Consulting Services), as well as the following cited research and clinical practice guidelines:

1
External

Canadian Network for Mood and Anxiety Treatments (CANMAT). A Clinician Pocket Guide: Management of Perinatal Mood, Anxiety and Related Disorders. CANMAT: 2024.

2
External

Canadian Network for Mood and Anxiety Treatments (CANMAT). Seeds of Hope: Nurturing Mental Health and Managing Perinatal Mood, Anxiety, and Related Disorders. Patient and family guide. CANMAT: 2024.

3
External

Shea, A. et al. "Guideline No. 454: Identification and Treatment of Perinatal Mood and Anxiety Disorders." Journal of Obstetrics and Gynaecology Canada 46, no. 10 (2024): 102696.