As a surrogate, all the months of effort and sacrifice are paid off when you see the Intended Parents hold that baby (or babies) for the first time. Every surrogate has a different journey full of ups and downs. When their journey comes to an end, she may have a feeling or sense of loss. This rarely involves the process of handing the baby to Intended Parents. It’s just an emotional end to a long and tiring journey.

Some women have a higher risk of postpartum depression. Others will get a short stint of baby blues and some will not be affected at all. As a friend or family member, the most important help you can give, is to support your loved one and watch for signs and symptoms of depression.

Symptoms include:

Feeling Overwhelmed. Baby blues are a normal feeling after birth. If you notice your loved one crying a lot and seems to feel down on themselves, this may be one of the first signs of postpartum depression.

Lack of Interest in the activities they usually enjoy. Lack of affection when your loved one is normally affectionate, loss of appetite for a foodie and overall changes in mood is another symptom of PPD.

Trouble with making decisions. If you notice your loved one having a hard time making decisions whether it is due to fatigue or lack of motivation, consider this a sign of PPD.

Lack of sleep or change in sleep patterns. Healing after birth takes time. If you find your partner restless at night or sleeping all the time, this can be related to PPD.

Easily Irritated. No patience? Easily annoyed? If you sense resentment from your partner or friend, consider having them speak to their doctor to get proper treatment.

Post-delivery can be stressful for your loved one, even without bringing home a baby. Keep in mind, they may be afraid or ashamed to admit so but with love and encouragement, you can help.