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perinatal and postnatal mental health

perinatal and postnatal mental health

Being pregnant and having a child can affect your mental health in many ways
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Bringing a baby into the family is exciting, but it can also make mothers and fathers feel lots of different emotions. Sometimes, these feelings can be hard to manage when so much is going on in your life. 

It’s important to know what to look out for, like feeling depressed or anxious, so that parents can get help and support early on. Studies have shown that women are more likely to be depressed during pregnancy. While it is estimated that up to 20% of women experience perinatal mental health problems, they are often not diagnosed or treated. Understanding how new mothers and fathers might be feeling and what support they need is crucial.  

defining perinatal and postnatal mental health 

  • Preconception: This is the period before conception, so the time when a person is planning or preparing to become pregnant. 
  • Perinatal: When a mother gets pregnant up to a year after giving birth.  
  • Prenatal (or antenatal): Occurs during pregnancy, from conception until birth. 
  • Postpartum (or postnatal): Refers to the period after childbirth. Most often, the postpartum period is the first six to eight weeks after delivery or until your body returns to its pre-pregnancy state.  

Common myths 

 mother’s mental health is only affected after the baby is born

Sometimes people think that mums only feel sad or stressed after the baby is born, but that’s not true. Mums can feel this way during pregnancy too. It’s important to take care of mum’s feelings before and after the baby comes. Such worries can include financial worries, which is a common issue when having a baby.

only mums can experience mental health issues

Fathers and other family members can experience mental health issues too. It’s important to help everyone who is taking care of the baby feel better if they’re sad or stressed.

negative emotions are because of a lack of bonding or attachment 

Having a baby can be a joyful experience, but it’s okay to feel negative emotions. It doesn’t mean you don’t love your baby. We all experience things differently and people going through pregnancy just need extra support and care during this special time.

mental health during the perinatal period 

Pregnancy and the early months after birth – known as the perinatal period – can have a big impact on your mental health. If you’ve had mental health challenges in the past or are currently managing a mental health condition, this time can feel especially overwhelming. 

Changes in hormones, sleep patterns and daily stress can affect how you feel both during pregnancy and after giving birth. But you’re not alone: many parents experience emotional ups and downs during this time. Below are some key statistics that show how common it is: 

  • 30% of first-time mothers report feeling high levels of stress and anxiety. 
  • Around 80% of new mothers experience the baby blues – a short-lived period (usually up to 10 days) of mood swings, tearfulness, irritability and sleep disturbances. 
  • 84% of women experience some form of perinatal stress, highlighting just how common emotional strain can be during this life stage.

Mental health conditions connected to the perinatal period: 

It’s completely normal to feel anxious, tired or emotional after having a baby. But if these feelings persist, intensify or begin to affect your ability to cope, it could be a sign that you need extra support. 

Some of the mental health conditions that can occur during or after pregnancy include: 

  • Postpartum Depression (PPD): This includese persistent low mood, loss of interest, feelings of guilt, problems with sleeping and difficulty bonding with your baby. It can affect up to 15% of new mothers. 
  • Perinatal Anxiety (PNA): Symptoms can be ongoing worry, panic attacks or physical symptoms like headaches, irregular heartrate or sweating.  
  • Postpartum Psychosis: A rare condition involving psychosis that might involve hallucinations, delusions and suicidal thoughts, usually requiring urgent support. 
  • Birth Trauma or PTSD: Emotional distress resulting from a difficult or frightening birth experience can lead trauma or even Post-Traumatic Stress Disorder (PTSD). 

focus on fathers’ mental health 

Perinatal mental health is not limited to women. Fatherhood can impact mental health, with 10% of new fathers developing postpartum depression due to intense work-life and home-life pressures. Fathers often report feeling like pregnancy is a physical experience unique to their partners, making them feel left out and secondary to the process. Moreover, fathers often feel like they need to deal with their mental health concerns alone. This isn’t just true for fathers. Men in general are often less likely to seek help when they’re experiencing poor mental health. This can be due to common masculine stereotypes or because they don’t see their struggles as serious enough to need support. 

how can I take care of myself? 

When you’re pregnant or have just had a baby, it’s important to take care of yourself. Here are some things you can do: 

Talk to professionals: Talk to your doctor and midwife about your feelings and worries to get the support you need. That might mean adjusting your treatment or getting extra help. It’s important to take care of yourself for both you and your baby. You can read more about it on Tommy’s website, the pregnancy and baby charity in the UK. 

Rest: Being pregnant or looking after a new baby can be tiring, so make sure you get plenty of rest when you can. 

Eat well: Eating healthy food is important for you and your baby. Try to eat a variety of foods, including fruits, vegetables and whole grains. Do not drink any alcohol or eat any raw food when pregnant, as this might hurt the baby. 

Exercise: Gentle exercise, like walking or swimming, can help you feel better and stay healthy during pregnancy and after having a baby. Make sure not to do strenuous exercise, as it might harm the baby and your body will be delicate after having the baby. 

Ask for help: Don’t be afraid to ask for help if you need it. Whether it’s help with chores, looking after the baby or just someone to talk to, there are people who can help you. There is a list of organisations who can help you at the bottom of this page. 

Take time for yourself: It’s important to take some time for yourself, even if it’s just a few minutes each day. Try to do something you enjoy, like reading a book or taking a bath, and continue to engage in the hobbies you most enjoy. 

  

how can I help others? 

If someone you know is pregnant or has just had a baby, there are many ways you can support and help them: 

Offer to help

Offer to help with chores, cooking meals or looking after older children so the new parent can rest. The smallest things can make the biggest difference. 

Listen

Sometimes, someone just needs listened to. Let them know you’re there for them if they want to talk.  

Be understanding

Understand that being pregnant or having a new baby can be overwhelming. Be patient and offer your support without judgement. 

Provide practical support

Offer to run errands, pick up groceries or provide transportation to appointments. Any small tasks that you can ease the burden of new parents. 

Respect their decisions

Understand their choices about parenting and any decisions they make regarding their pregnancy or baby. 

support

Our Advice and Support Service is open Monday to Friday, 10am to 4pm (closed for lunch between 12.30pm and 1.30pm), where advisers can signpost you to local support that most fits your needs, including our Change Mental Health services. We offer initial advice on money worries and help to deal with emergencies.

Contact 0808 8010 515, email us at advice@changemh.org or fill out the enquiry form on the Advice and Support Service page.

Who else can I contact?