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Feeling low and depression in pregnancy: how to recognize and treat it.

Feeling low in pregnancy is a normal feeling but it must never last long causing depression. Dear mom you are not alone, read on to find out more


Summary



Feeling low and depression in pregnancy
Feeling low and depression in pregnancy


Feeling low in pregnancy


Pregnancy is notoriously a moment of joy: the family is expanding and a new life is waiting to come into the world. Unfortunately at the news of a positive test, even if the pregnancy is welcome, the expectant mother is not always bursting with joy and can be pervaded by feelings of fear and sadness. The emotions of anguish and worry in the face of such a great change, such as the birth of a child, are absolutely physiological. Pregnancy is a moment of balance but also of a radical change of life…. It is known that with the arrival of a child everything will inevitably change, they will not only think about themselves but the children will come first. If you feel these feelings do not feel guilty but know that this phase will help you to become a mother and to live this new role of mother with more awareness. In pregnancy it is as if we close a phase of life preparing to live a new one made of diapers, feedings, renunciations but also of a lot of joy. We will experience a love never felt and that we could never think was so all-encompassing.




Crying in pregnancy


There is a lot of talk about postpartum depression and baby blues, but we neglect to deepen the feelings of discouragement, melancholy and depression in pregnancy. Dear mom, happiness is not the only feeling you get when you find out you are expecting a baby, and this also applies to women who are in their second or third pregnancy. At the beginning of gestation it is normal to feel lost and incredulous but stronger emotions such as dissatisfaction and sadness should not scare. The swing of feelings is strong and the emotions experienced are not always positive, especially if you are in your first pregnancy.

  • Feelings like:

  • bad mood;

  • irritability;

  • anxiety;

  • sadness;

  • restlessness;

  • worry.

they are absolutely normal over the course of nine months In these cases it can be helpful to take a course in yoga, meditation, breathing techniques or simply talk to other expectant mothers or women who have already gone through this experience. On the other hand, a warning light is when negative feelings last too long, becoming an obsession for the pregnant woman.





Depression in pregnancy


Feeling low in pregnancy is normal, but anxiety and a negative mood shouldn't last too long. If the feelings of sadness and confusion are excessive, you are probably facing depression during pregnancy. The moment of transition that pregnancy necessarily involves in certain cases requires concrete and qualified help in order not to fall into the network of pregnancy depression.



Depression pregnancy symptoms



As mentioned, the unstable mood in pregnancy is normal but if it lasts for too long it needs attention. Depression in pregnancy is a real disease with specific and recognizable symptoms. Symptoms of depression during pregnancy are:

  • a continuous state of sadness, emptiness and anxiety;

  • irritability;

  • restlessness;

  • inability to make decisions;

  • sense of guilt, despair or worthlessness;

  • apathy and difficulty in carrying out the daily actions of life;

  • sleep disturbances such as sleeping too much or not sleeping at all;

  • appetite disturbances such as excessive hunger or repulsion for food;

  • negative thoughts about pregnancy and one's life;

  • loss of interest in activities they once enjoyed;

  • continuous depressed mood with negative thoughts and in some cases obsessive as well as unexplained.

Depression in pregnancy occurs in 1 in 10 women with a peak frequency around the 32nd week of pregnancy. Most women who experience depressive symptoms during pregnancy are at risk for postpartum depression, so it is imperative not to overlook the problem. If these signs are present, I advise you not to isolate yourself but to talk about the subject with your partner, family or qualified personnel.




How to cure depression in pregnancy


In the case of depression during pregnancy, for the milder forms it is sufficient to have interviews with a psychologist in order to highlight the causes that generate the negative feelings. Talking to a psychologist helps to bring out dormant and hidden emotions that cause a loss during pregnancy, a real path of awareness. The interviews are used to find the causes that generate a state of anxiety and depression in pregnancy and therefore during the psychotherapy sessions we will talk about:

  • past family and mental health problems;

  • addiction with drug or alcohol use;

  • experiences with previous pregnancies;

  • past domestic abuse and trauma;

  • relationship with motherhood;

  • mother-child relationship;

  • fears related to pregnancy such as the loss of the baby, fear of body change, parental and social role and fear of childbirth.

The psychologist, based on the individual clinical case, will be able to adopt help techniques such as:

  • Psychotherapy;

  • Cognitive Behavioral Therapy;

  • Interpersonal therapy;

  • Psychodynamic therapy;

  • Psychological support;

  • Relaxation techniques:

In severe cases, an integrated approach will be needed where medication and psychotherapy work together. Depending on the severity of the situation, medications such as:

  • antidepressants;

  • anxiolytics;

  • mood stabilizers;

  • antipsychotics.

Pharmacological therapy will be prescribed by carefully evaluating the individual clinical case and the benefit risk for mother and fetus in the treatment of depressive pathology.




In conclusion, negative feelings in pregnancy are physiological but should not persist for too long or lead to isolation. The social network around you is always helpful ... .. talk, talk, talk. Showing discomfort is not weakness rather it is a sign of great maturity. Dealing with a problem is much better than burying it with solitude and silence.


Mammamather pocket obstetrician


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