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By far the biggest risk factor for postpartum depression is predisposition, or prior experience of depression. Mental health isn’t as well understood as we would like, but there are clearly some genetic or epigenetic factors that affect it. If you’ve had episodes of depression before, they are more likely to crop up again in pregnancy or in the postpartum period.
Cribsheet: A Data-Driven Guide to Better, More Relaxed Parenting, from Birth to Preschool (The ParentData Book 2)
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