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Coping With Depression While Pregnant

Coping With Depression While Pregnant

Pregnancy should be a time of joy, but for 1 in 10 women depression while pregnant is the harsh reality they face. You should be aware of the symptoms, risk factors, and the fact that there are treatments available.

Symptoms of depression while pregnant

No two women will suffer in exactly the same way but they will have some of the following in common:

  • Experiencing a low mood for 2 weeks or more
  • Feeling a sense of guilt
  • Having a low supply of energy
  • Feel like eating less or eating more
  • Feeling a sense of hopelessness
  • Less interest in what’s happening around them
  • Lack of enjoyment in activities once enjoyed.
  • Having thoughts about death or suicide.
  • Sleeping a lot more or not sleeping enough.

Depression while pregnant is often associated with anxiety. Here are some of the symptoms of anxiety that you might experience:

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  • Disrupted sleep patterns
  • Poor concentration
  • Irritability
  • Feeling restless
  • Muscle pains
  • Excessive worry.

Risk factors of depression in pregnancy

Certain conditions predict whether a woman might be more likely to develop depression while pregnant.

  • If there are problems or complications during the pregnancy.
  • Women who undergo fertility treatments are at risk due to the ongoing stress of the treatment and the fear of losing the baby.
  • Expectant mothers who live alone (because they are single, divorced or separated) are at risk.
  • Young mothers under the age of 20 are at risk due to enormity of the responsibility they are faced with.
  • Those with a history of premenstrual dysphoric disorder (PMDD).
  • Women who have a history of abuse.
  • Those with poor social or family support.
  • Women who already have more than 3 children.
  • Women who feel indifferent about the pregnancy.
  • Experiencing stressful life events during pregnancy.

Pregnancy can be a difficult time even if you have excellent family support, a loving partner and a secure financial situation. It is no surprise then, that so many pregnant women become depressed when under stress of some kind.

Risks of untreated depression in pregnancy

If depression goes untreated during a pregnancy, which happens in over 80% of cases, some of the following could happen?

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  • The patient may end up having a C section
  • Pre-eclampsia
  • Attachment problems (the mother may find it difficult to bond with her baby)
  • Substance and alcohol use
  • 50% develop Post Partum Depression
  • Low birthweight of baby
  • Premature birth
  • Low APGAR score (assessment of baby at birth)
  • Suicide
  • Pregnancy termination
  • Baby can adapt poorly outside the womb
  • Mother can neglect her health

Treatment options

Fortunately there is help available to women who find themselves depressed at this sensitive time.

Psychotherapy

Talking about your problems can really help, especially if you have no one you can confide in at home. Psychotherapy has been known to help many people who suffer from depression. This is the first port of call for those who would rather not use medication.

Cognitive Behavioral Therapy is particularly good for helping with anxiety and negative thoughts. CBT helps to rewire the way we think–turning negative thoughts into positive ones.

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Psychotherapy really helps you to feel that you are not alone and so could be very beneficial for single or divorced mothers in this position.

Acupuncture

This is an eastern medicine which involves placing needles gently on certain points in the body to bring about particular therapeutic affects. Acupuncture is well-known for its powerful healing benefits for people suffering from depression. It is also a natural therapy and poses no risk to the fetus.

Light Therapy

Recently, a study revealed its results, announcing that Bright Light Therapy is beneficial for all types of depression and not just seasonal depression. It demands little time and effort to sit in front of a light box for 20-40 minutes each morning to allow your body to absorb light. Light therapy has about a 60% success rate in treating depression.

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Omega 3 Essential Fatty Acids

Studies have found Omega 3 to be beneficial in the treatment of depression. It is best to buy a good quality brand with a high percentage of omega 3.

Antidepressants

You should check with a doctor before taking anything, but it has been said that many antidepressants are safe to take during pregnancy. It has also been found that in many cases where women stopped taking antidepressants in pregnancy their depression returned during the course of the pregnancy.

Depression can have a devastating affect on an expectant mother. Pregnant women are under huge pressure today to provide for and look after their families, typically while continuing to work outside the home. It’s little wonder so many become depressed. It is really important that symptoms are not ignored.

Doctors and family members are there to help. Get a support team on board if you are feeling depressed. Reach out and you will soon be relieved at how much better you will be feeling.

For your own sake and that of your baby it is your right to seek help. If you act now you will be feeling well again, long before your baby arrives. Then you will sail through the months and years ahead as a parent.

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Published on November 20, 2020

13 Practical Pieces of Advice for New Parents

13 Practical Pieces of Advice for New Parents

I have given birth to four babies (in the span of five years, all full term babies too). I have been a foster parent to several babies as well. Our first born only lived 8 weeks. He was diagnosed with a fatal genetic disorder several weeks after birth. Our second baby was actually a foster baby we had for 15 months. She was placed with us when she was seven weeks old. When she was eight months old, I gave birth to a baby girl. It was like having twins.

    And then we actually had twins. I learned quickly that twins are hard. Really hard. But they are fun too. Our twins are no longer babies. They are six years old. I do remember that first year clearly, even though much of it felt like a sleep deprived hazy existence.

    The first six months with my twins was sheer survival mode. They would both sleep for two hours and then wake for feeding. I would bottle feed them, while pumping milk (they were not good at nursing). After I fed them in the wee morning hours and middle of the night, I then changed them, swaddled both, and placed them in their bassinets close to my bed. Then it would start all over again. They would sleep for two hours and then wake to be fed once again. This routine went on for six months.

    Sleeping in two hour increments is not easy. I learned to go to bed at 8:00 pm, so that the two hour increments would add up to enough sleep to function by 7:00 am when our two year old daughter would wake and be ready to start the day.

    It was not easy to have three little ones at the same time, especially with twins who had reflux and colic to top things off. The non-stop crying every evening for hours is something I don’t wish on any parent. It is possible to survive this, in fact, I have friends who have quadruplets. They survived too.

    Our twin boys as newborns was a completely opposite experience than we had with both our foster daughter and our biological daughter when they were babies. The girls were easy babies. They required no “sleep training”, as both were sleeping through the night by three or four months of age on their own. They were happy, easily contented babies. I could take them to lunch with my girlfriends and they cooed happily and entertained nearby strangers with their smiles and baby talk. When I was caring for both baby girls, it made me wonder why so many mothers complained about lack of sleep, fussy babies, and the hardships involved in caring for a newborn. Having very difficult twin baby boys showed me that not all babies are alike.

    What I learned from all these babies I have cared for is that each baby is different. There is no one set formula that works for all babies. Each situation is unique, because every baby is unique. You can have an easy-going baby and it may make you think that all babies are that easy. They are not.

    If you are like most of us who have been blessed to become parents, you will experience ups and downs on a daily basis when you bring a newborn into your home. It will not be sheer bliss to have a baby. They are a great deal of work and take tremendous energy out of moms and dads. However, they can provide you with an overflowing heart filled with love and joy you didn’t know was possible.

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    Even though not all babies are alike, I can provide some tips to help you navigate the world of parenthood. Below are 13 practical tips I have for all new parents.

    1. Recognize That the First Year Is Usually Challenging

    I have heard people say that when they have kids it won’t change their life. They will simply take the baby along with them wherever they go. It’s a nice thought, but it doesn’t work out that way in reality.

    If you want to attend a concert, a newborn baby will likely not be able to be brought along. They will cry and interrupt others at the concert. Babies can’t go everywhere we go and do everything we are doing. They cry a great deal during that first year. They also require feeding every few hours. It puts a crimp in any lifestyle.

    The first year is challenging because having a baby will turn anyone’s world upside down. If you are the primary caregiver for a newborn, your life and schedule are no longer your own. You have a tiny human counting on you for feedings, changings, comforting, holding, rocking, swinging, being sung to, and whatever else it is that your baby will need from you.

    We like to think that our own baby will be an easy baby, especially if that is our own personality. The reality is that most babies are high maintenance. They require round the clock care and that it itself makes that first year challenging.

    2. Sleep When Baby Sleeps

    Because babies are so much work while they are awake, take the opportunity to sleep when they sleep. You can’t take a nap while they are awake. Therefore, don’t miss the opportunity to catch up on sleep while they are sleeping.

    It can be tempting to stay up late to binge watch your favorite show. However, the reality of struggling to care for a baby during the day when you are sleep deprived because you stayed up late and then they woke you up four times in six hours will make your day quite miserable. Avoid the misery and try to get enough sleep.

    Often, the only way this is feasible is to sleep when your baby is sleeping. It is exactly why I started going to bed at 8pm when my twins would go to bed. I knew that I would be woken up every two to three hours, so going to bed early was the only way I was able to get enough hours of sleep.

    3. Allow for Normal Household Noise

    My brother and his wife came to visit us a few years ago. Actually it was a 10-day extended stay because they had a hurricane in their area. They had a newborn baby who was two months old. I also had three small kids who were very loud and energetic all day long. We tried to keep the kids quiet so the baby could nap. Like most babies, their son was napping once in the morning and again in the afternoon.

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    At first their son would wake up with every tiny noise we made in the home. There was only so much that I could do. I wasn’t go to vacate our house for the majority of the day, just so their newborn could sleep. I knew one thing about babies that my brother and sister-in-law hadn’t learned yet. They learned this after a few days in our noisy home. I told them that if they didn’t rush to get him every time he wakes because of a small noise he will learn to sleep through the noise. By the end of the week, he was napping just fine through our chaos filled noisy household activities.

    I have done the same with my own children. We allow for normal household noise, including talking, cooking, and everyday activities to commence. The baby is often asleep in a nearby bedroom, but they certainly aren’t cut off from the noise.

    When you whisper while baby sleeps and insist on silence in your home for your sleeping baby, then your baby becomes a sleeper who is easily woken by any sound. If you condition your baby to sleep through normal household noises they will learn to be good sleepers in spite of the noise.

    4. Don’t Get Hung Up on Advice From Others

    New parents get a lot of unsolicited advice, especially from family and friends. Keep in mind that they are giving advice because they love you and they are trying to help. However, you don’t have to follow the advice of others just because they offer it. You do what is best for your own baby.

    Just because your sister tells you that you must use organic cloth diapers because it worked well for her children doesn’t mean that you have to take the advice. You can say “thank you” and then do whatever is best for your own family.

    5. Accept Help When Offered

    Babies and small children are a lot of work. I hope that if you can learn anything from me it is that no baby is really “easy”. They all require lots of time, energy, effort, and love.

    When you have trusted people in your life offer to help, then accept their help. My mother-in-law flew in to help us after the twins were born. She was going to stay a week. She offered to stay longer and ended up extending her stay twice, for a total of three weeks.

    If she would have offered to stay longer, I would have accepted the help. It was a blessing to have her there to help us, as we were in survival mode those first few months.

    6. Breastfeed or Formula: Do What Works Best for Your Situation

    The benefits of breastmilk have been proven by science to be better than formula. However, how much better? And at what cost? There are too many women who beat themselves up emotionally because they are unable to breastfeed for one reason or another.

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    If your baby is being fed, you are doing a good job. Our foster daughter only had formula as an infant. Many children only have formula because it is the only option available. Our foster daughter is now a healthy and smart girl. Formula did not negatively affect her development. What was most important was that she was fed. This is true of all babies.

    So do what is best for your own situation. If you end up giving your baby formula, remind yourself that millions, if not billions, of babies have grown up on formula and end up being healthy, intelligent, well adjusted people.

    7. Don’t Compare Your Baby to Other Babies

    All babies are different. It is not good or bad. Some babies have colic. It doesn’t mean that they will have issues later. My twins both had reflux and colic and they are healthy and happy six year old’s now.

    Babies all develop at different rates. You can have one baby who walks at nine months and another that doesn’t until 14 months and they are both healthy and happy.

    Don’t compare your baby to other babies. The range of “normal” for development is quite wide. If you legitimately have a concern about their development then ask your pediatrician.

    8. Take a Shower, It Will Make You Feel Better

    We often don’t take care of ourselves as new moms or dads. Many parents spend their life caring for their children to the extent that their own self care goes by the wayside.

    As a new parent, one way to care for yourself is by showering daily. It will help you feel refreshed. Even if it is a five minute quick shower it will help you feel better.

    9. Get Out of the House and Meet Fellow Moms/Dads

    Don’t think you have to parent alone! There are so many parent groups to join. As a new mom, I joined MOPS (Mothers of Preschoolers) and developed some wonderful mom friendships that have lasted for years.

    Look for local mom groups in your particular area. Connection is something that is helpful to all of us; especially connections with others who are going through the same phase of life and have similar experiences.

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    10. Get Outside and Walk

    If you are the one who gave birth, then getting up and becoming active can be hard at first. Birth is really hard on our bodies. A simple way to get active that will help with your mood as well is to get outside and go on walks.

    Put the baby in the stroller and get yourself walking outside, even if it is just around the block to get started. You will find that the fresh air and blood pumping through your body will help brighten your mood and spirit.

    11. Find the Humor in Your New Life

    Don’t take your life too seriously. Be willing to laugh at the humorous things when they happen. For example, the blow out diaper that happens immediately after you have bathed and dressed your baby. Your little one is happily cooing and smiling at you when it happens, while you are literally covered in….poop.

    These things are bound to happen. Be willing to laugh and find the humor in life.

    12. Take Photos Because Time Flies

    The days may seem long but the years are short. Time goes by quicker than you will realize.

    Take photos and videos, even when nothing special is happening, because they grow up fast. You will blink and they are no longer babies, blink again and they are no longer toddlers.

    Capture life as it is happening, because tomorrow they are another day older and you can’t get that day back.

    13. Bond with Your Baby and Enjoy the Present

    Enjoy life with your baby and cherish the small moments as they happen. Take the time to breathe in the baby smell that comes from the top of their head, gaze at them as they sleep peacefully in your arms, and soak up the baby giggles. These are the precious moments and memories that will keep you fueled through the many days and nights that will be a struggle.

    They are only babies once, so be sure to take mental snapshots of those precious moments that you want to capture for a lifetime.

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    Featured photo credit: Sharon McCutcheon via unsplash.com

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