Motherhood is often portrayed as a time of joy, fulfilment, and emotional bonding. Yet, for a significant proportion of new mothers in our country, the weeks and months after childbirth are overshadowed by persistent sadness, anxiety, and exhaustion — hallmarks of postpartum depression (PPD). Recent meta-analysis and survey data paint an alarming picture: nearly one in five Indian mothers experiences PPD. It is not an abstract statistic; it represents millions of women whose struggles remain largely invisible and unaddressed. A systematic review of Indian studies involving over 20,000 women found a pooled prevalence of 22 per cent, with the rate at 19 per cent when excluding assessments in the first two weeks after childbirth. Another meta-analysis covering research from 2020 to 2024 confirmed this 19 per cent prevalence, suggesting the problem is both widespread and persistent. These figures align with global estimates but highlight the unique vulnerabilities in our maternal healthcare ecosystem. Cultural expectations place immense pressure on women to “enjoy” motherhood while managing domestic responsibilities and family dynamics. Sleep deprivation, lack of social support, financial stress, and, in some cases, obstetric complications further compound emotional distress. In joint family setups, while traditional support structures can help, they may also perpetuate stigma and discourage open discussion about mental health. For many women, acknowledging such feelings invites judgment or dismissal, reinforcing silence. The implications of PPD extend beyond the individual mother. Untreated postpartum depression can hinder maternal-infant bonding, affecting the child’s emotional and cognitive development. Families, too, bear the strain, with marital relationships and overall household wellbeing potentially suffering. On a societal scale, neglecting maternal mental health perpetuates cycles of poor health outcomes, reduced productivity, and intergenerational disadvantage. A multi-pronged approach is required to address this crisis. First, maternal mental health must be integrated into routine antenatal and postnatal care. Just as physical parameters like blood pressure are monitored, mental health screening should be standard practice during and after pregnancy. Primary healthcare workers — often the first point of contact — need training to recognise and respond to symptoms of PPD. Second, awareness campaigns should target both urban and rural populations, dispelling myths and encouraging early intervention. Family members, especially spouses, should be educated on recognising signs and offering support rather than judgment. Third, access to affordable counselling, peer support groups, and, where needed, psychiatric care must be expanded. Leveraging telemedicine can help bridge gaps, particularly in underserved regions. The conversation on maternal health focuses on reducing maternal mortality and improving physical outcomes but the mental wellbeing of mothers remains in the shadows. By acknowledging postpartum depression as a legitimate, treatable condition, the government can take a decisive step towards healthier families, stronger communities, and a more compassionate healthcare system.