Emotional health in pregnancy

As we know, pregnancy brings with it lots of changes – all of which can impact upon your emotional health in pregnancy. The range of physical changes and perceived lifestyle changes are likely to lead to mixed emotions, and even occasional doubts.  Even negative thoughts and dreams are normal as you are ‘entering a new zone of life’ – that of parenthood.

The changes that lie ahead that you may now start to be exposed to, can lead you to feel some degree of worry or apprehension.  Even if you planned to become pregnant, or if you became pregnant quickly, you may start to realise the significance and even begin to question whether this is the right time, what type of parent you will be, whether you will be able to manage financially, the impacts on your relationships with your partner, family and friends.

When considering the significant and long term impacts on your life, this can all be seen as completely normal and natural. After all, it’s normal to feel some level of stress when there is impending change and you cannot prepare or control everything, or even know what to expect.

Stress in pregnancy

Whilst some degree of stress in our lives is normal, once this stress starts taking over, this can become distress, and impact on your ability to function at your full capacity.

Often stress is associated with a feeling of losing control – or not having the resources or ability to manage challenges that lie ahead.

Some factors that may increase stress in pregnancy may include:

  • having a stressful or unplanned pregnancy
  • having a prior negative pregnancy, birth or early parenthood experiences (such as inadequate sleep, breastfeeding difficulties, or an unsettled baby)
  • experiencing complications in the pregnancy
  • being a single parent or adolescent may also cause you to feel more stressed or overwhelmed, as you contemplate how you will manage
  • experiencing relationship difficulties with your partner can also greatly increase your feelings of distress and concern for the relationship as well as your feeling of security for your growing family.

There are a range of strategies that can be helpful and assist in alleviating your feelings of stress or apprehension.

Be aware of your expectations

It’s important to be aware of your expectations of pregnancy, birth and becoming a parent – and ask yourself if these are realistic and/or are you putting additional pressure on yourself?  For example, are you assuming that everything will be perfect – just like the TV advertisements? Are you putting expectations on yourself that you wouldn’t expect of others? Are you assuming that your negative experiences in the past will automatically reoccur?

I dreamed of being the ‘perfect mother’, of breastfeeding, of never using formula. I would have a natural birth – a c-section was out of the question…this ended up far from reality, but made harder for me because my hopes and expectations were so high.

You can also take this time to identify and establish your support networks around you, and consider how this can alleviate your stress through providing you with emotional and practical support.

It’s important that you don’t expect too much of yourself.  Be aware that there will be lots of challenges ahead, for which there are not necessarily wrong or right ways of doing things and no definite answers.

Avoid alcohol or drugs 

It is also important to be aware of any unhelpful strategies that you may be doing to relieve feelings of stress. One of those is drinking alcohol or taking other drugs to help reduce your feelings of stress, tension or anxiety.  Whilst having a drink or two or using a substance may initially make you feel more physically relaxed, it is not likely to be helping in the longer term, and in fact can make things much worse. Very importantly, drugs and alcohol can impact on the health growth and development of your growing baby, so it is recommended that women do not drink alcohol at all or use any substances (other than those prescribed by a health professional) during pregnancy. If you are finding it difficult to get cope or get through the day without drugs or alcohol, it is important that you seek professional help for this immediately.  This can help you find other ways of managing stress that won’t put you or your baby (or other children) in danger.

Address relationship issues

If you are experiencing relationship concerns or difficulties, it can also be very helpful to receive counselling at this point, before the arrival of the baby. This can assist you both to identify areas that need attention, in order to avoid things getting worse or further problems developing. Getting help now is also likely to be easier than waiting until the baby arrives – when it will be practically more difficult to see a counsellor.

Take the pressure off 

Try and remember that parenting is not an exact science – it’s a process.  You will learn along the way what works for you, your baby and your family.  In the meantime, it is a good time to focus on what you can control. Look after your physical health through eating well and keeping fit.  Nurture your mental health and emotional health in pregnancy by taking some time out to do things you enjoy, help you to relax, and share your concerns and experiences with supportive people around you.

 

See also…

Managing expectations in pregnancy

Looking after yourself in pregnancy

Relaxation strategies in pregnancy

Mental health conditions in pregnancy

Pregnancy support counselling