Having had previous episodes of depression and/or anxiety puts you at higher risk of mood problems during pregnancy as well as after the birth of the baby. Unfortunately, even a wanted pregnancy doesn’t necessarily protect you from postpartum mood swings or anxiety while pregnant.
So what can you do? If you currently have a psychotherapist or psychiatrist, talk to him or her about your concerns! If you don’t already see someone, you can find providers at postpartum.net and MedEdPPD.org who have training in pregnancy and postpartum mood/anxiety problems.
If you are currently on medication for depression or anxiety, do not stop it without consulting with someone who has expertise in medication during pregnancy. Some women should continue medication throughout pregnancy. Become educated! Suffering from depression or anxiety during the pregnancy is not good for you or the growing baby.
Be concerned if you find it difficult not to worry, or if the worry keeps you awake at night or affects your appetite. Stress shouldn’t prevent you from enjoying life.
Most women experience the blues after birth - this is a normal physiological and psychological response to the process. The blues start within a few days after birth and are gone in a few weeks. We’re talking about mild ups and downs that go away by themselves. Anything more severe or symptoms that persist beyond two weeks postpartum is cause for concern.
Create a safety net for yourself.
Depression, sadness, irritability, moodiness, worry, fears, or unusually high energy that lasts more than two weeks warrants further evaluation. Ask your partner, family, and friends to keep an eye on you since you are at risk. The people closest to you will be the first to notice if you are not acting like yourself. Speak with your healthcare provider about your concerns and make sure your mental health is taken as seriously as your physical health.