Prepartum Depression
Postpartum depression, or a form of emotional distress that some mothers experience after childbirth, is fairly well known. But what about prepartum depression, or depression during pregnancy? Pregnancy hormones can cause various symptoms, but if you are feeling unusually sad for weeks at a time, it could be more than just hormones.
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Background
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Many women experience prepartum depression. According to an article at PubMed Central, prepartum depression occurs in 8.5 to 11 percent of women. But many are not able to identify the reason why they are feeling so miserable, or they just blame it on hormones. Some women are ashamed to ask for help because they feel guilty for feeling so sad during a time when they are "supposed" to be excited and looking toward the future. Prepartum depression often goes undiagnosed.
Risk factors
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While any woman can experience prepartum depression, some triggers include:
History of childhood abuse
History of abusive relationships
Family history of depression, especially during pregnancy or after childbirth
History of fertility issues
Previous loss of a pregnancy
Issues during pregnancy that result in bed rest -
Symptoms
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Typical symptoms of prepartum depression include fatigue, overeating, insomnia, tenseness, crying spells, listlessness, nausea and anxiety. Other symptoms can include panic attacks, obsessive behaviors and extreme agitation.
Treatment
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It is important that you seek treatment as early as possible for your own health and the health of your baby. Many women try therapy first, but several medications are safe for use during pregnancy should you choose to go that route. According to the Mayo Clinic, antidepressants such as Zoloft, Prozac and Wellbutrin are considered reasonably safe, with some risks according to what trimester you are in. Other medications, such as Paxil and Nardil should be avoided during pregnancy altogether. Ask your doctor what is best for you and your baby.
Coping at home
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Eating a healthy diet and getting plenty of exercise (with a doctor's approval) can also help you cope. Don't be afraid to ask for support from close friends and family. Start a diary or journal, or perhaps join a support group. Some alternative therapies such as massage or herbal supplements (again, get your doctor's approval) may help alleviate symptoms.
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