Depression During 3rd Trimester Of Pregnancy !!TOP!!
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In this article:What is prenatal depression?What causes depression during pregnancy?Signs of depression during pregnancyHow can depression during pregnancy affect baby?How to treat depression during pregnancyHow to lower your risk of prenatal depression
Prenatal depression is a mood disorder that affects 10 to 25 percent of expectant women, and research shows it may be becoming even more prevalent. Fluctuations in hormones throughout pregnancy can lead to mood swings, of course, but prenatal depression is more than passing feelings of sadness or stress. Instead, these emotions are persistent, intense and even debilitating.
The condition comes with other health risks for both mom and baby. Women experiencing depression during pregnancy have a higher risk of preeclampsia, gestational diabetes and placental abnormalities, and are more likely to give birth prematurely or to a child with emotional, behavioral or developmental problems. And because prenatal depression increases the risk of postpartum depression, women who have depression during pregnancy may also have trouble bonding with their new baby after the birth.
While for many women pregnancy is a time of joy, for others, it brings on depressive symptoms, such as feelings of sadness and lethargy, sleep disturbances and changes in appetite. In fact, according to The American Congress of Obstetricians and Gynecologists, 14 to 23 percent of women struggle with depression during pregnancy. A myriad of factors contributes to mental health, of course, but researchers at the University of Ohio have zeroed in on one key factor: low levels of a protein in the brain called BDNF, or brain-derived neurotropic factor.
Depression, a mood disorder that causes a persistent feeling of sadness and loss of interest, is the most common mood disorder in the general population. The condition occurs twice as often in women as in men, and the initial onset of depression peaks during a woman's reproductive years.
Some symptoms of depression, including changes in sleep, energy level, appetite and libido, are similar to symptoms of pregnancy. As a result, you or your health care provider might attribute these symptoms to your pregnancy, rather than depression.
Women might also be reluctant to talk to their health care providers about changes in moods during pregnancy, due to the stigma associated with depression. There's also a tendency to focus more on women's physical health during pregnancy, rather than mental health.
The signs and symptoms of depression during pregnancy are the same as those that occur with depression in the general population. However, additional clues that might indicate depression during pregnancy include:
The American College of Obstetricians and Gynecologists recommends that health care providers screen for depression and anxiety using a standardized tool at least once during pregnancy. During screening, your health care provider will likely ask questions from a standardized screening questionnaire, which consists of questions about mood and anxiety. Your answers are scored and your total score can be used to identify whether you have depression. Alternatively, your health care provider might ask you if, in the past month, you have been bothered by feeling down, depressed or hopeless or by having little interest in doing things.
There is limited evidence that screening to identify and treat depression during pregnancy improves outcomes. This might be due to variations in access to resources and appropriate treatment once depression has been diagnosed. However, screening for depression during pregnancy might provide some self-awareness of your risk of depression and anxiety.
Although pregnancy depression can be severe, leaving some women feeling so sad and hopeless that they have trouble taking care of themselves and their babies, the good news is that symptoms of depression can be effectively treated.
Deciding what treatment is right for you is a highly personal decision, and your doctor can walk you through the details and options specific to you. Read on for more information on the causes and symptoms of depression during pregnancy, and learn ways to cope with the condition.
Over time, these problems can snowball as your baby gets older. Babies and children of mothers who experienced depression during pregnancy are at greater risk for learning delays and emotional issues, including aggression.
Untreated depression during pregnancy can morph into postpartum depression or postpartum anxiety after your baby is born. The good news is that there are lots of treatment options that can help you feel better, including:
If you are starting a new medication during pregnancy, discuss your options with your provider. Your practitioner may recommend different options depending on the trimester you're in, as well as whether or not you're planning on breastfeeding.
Pregnancy can cause you to experience depression. Your body goes through a lot of change and the stresses of pregnancy can trigger depression in some people. Not everyone who becomes pregnant will also be depressed.
Growing evidence suggests that many of the currently available antidepressant medicines are relatively safe for treating depression during pregnancy, at least in terms of short-term effects on the fetus. Long-term effects have not been fully studied. You should discuss the possible risks and benefits with your doctor.
Pregnancy depression is a mood disorder that involves feeling sad or hopeless for at least two weeks. You may also feel extremely irritated or anxious about your baby and have difficulty concentrating or sleeping. An estimated one in 10 women have depression during pregnancy, in part due to the hormonal changes of pregnancy and the life changes of becoming a parent.
While women who have already been diagnosed with depression and anxiety are more likely to be diagnosed with pregnancy depression, many women are diagnosed with the disorder for the first time while they're expecting.
Some symptoms of depression, such as fatigue or trouble sleeping, are normal during pregnancy. But you may have prenatal depression when you have a sense of sadness or hopelessness, lose interest or pleasure in things that you used to enjoy, or aren't able to function in your daily life, and these symptoms last for weeks.
It's also common for women to develop the first signs of postpartum depression (PPD), or depression that develops in the year after giving birth, during pregnancy. In fact, an estimated half of women with PPD first notice symptoms of depression during pregnancy.
Anyone can have depression at any point in life. But about twice as many women as men are diagnosed with depression, possibly due in part to hormonal fluctuations around menstruation, pregnancy, and childbirth.
Pregnancy is already physically demanding, which can make managing a chronic illness such as high blood pressure or type 2 diabetes more challenging. In addition, having preexisting diabetes or gestational diabetes while pregnant increases the risk of pregnancy depression.
Women who have a history of physical or sexual abuse are also more likely to experience depression during pregnancy. If you've struggled with abuse in the past, it's important to seek help from a mental healthcare professional. If you aren't already seeing a therapist, ask your primary care doctor or OB-GYN for a referral.
If pregnancy depression goes untreated, it can make it harder for you to take care of yourself. You may be less likely to eat healthy or sleep, and you may be more likely to smoke or use alcohol or other substances. This, in turn, can impact not only your own health and wellbeing but your baby's.
Untreated depression during pregnancy has been linked to a higher likelihood of a baby being born early or having a low birth weight and with health complications. Research also suggests that babies born to women with depression are more likely to be irritable and may cry more than babies born to moms who aren't depressed. Later in life, children may be at greater risk of emotional, developmental, and behavioral problems.
The risks involved with taking an antidepressant during pregnancy are small and vary depending on the medication, the dose, and how long you take it. Most research suggests that selective serotonin reuptake inhibitors (SSRIs) are safe to take during pregnancy and don't increase the risk of birth defects.
If you were taking medication for depression or any other mental health condition before you became pregnant, don't stop taking it without talking to your provider first. Stopping suddenly could be risky for you and your baby. If you're concerned the medication isn't safe during pregnancy, talk to your doctor about finding the option that's best for you and your baby.
Coping with the physical, hormonal, and emotional changes of pregnancy is hard when you have depression. The best approach is to talk to your provider and find a treatment plan that works well for you. The following tips can also help you to manage depression during pregnancy.
Join a support group. Connect with other moms, especially those who are also struggling with depression during pregnancy. Ask your doctor for local resources, or find a support group near you at MOPS International or the National Parent Helpline. You can also get online support from BabyCenter's online community, the Motherhood Center, or Postpartum Support International.
Prioritize rest. While pregnancy can make it harder than ever to get a good night's rest, sleep is critical for your health and wellbeing. Not getting enough can increase the risk of experiencing both anxiety and depression. Try to go to bed early when possible, establish a soothing bedtime routine, and invest in a comfy pregnancy pillow.
Background: Antenatal depression is a severe public health problem. Many studies support the concept that neuroticism, social support, and sleep quality are closely related to antenatal depression. However, there is little evidence concerning the influencing pathways of these variables on antenatal depression. The aim of this study is to investigate the pathways from neuroticism, social support, and sleep quality to antenatal depression during the third trimester of pregnancy. Methods: A cross-sectional study design was used. A total of 773 eligible women in the third trimester of pregnancy submitted valid questionnaires from June 2016 to April 2017. Instruments with good reliability and validity were used to measure neuroticism, social support, sleep quality, and antenatal depression. Structural equation modeling was used to explore the pathways from neuroticism, social support, and sleep quality to antenatal depression during the third trimester of pregnancy. Results: Antenatal depression is shown to be positively correlated with neuroticism and negatively correlated with social support and sleep quality. Neuroticism is shown to have a direct effect and indirect effects through social support and sleep quality on antenatal depression. Conclusions: Neuroticism influences antenatal depression directly and indirectly. Social support and sleep quality are the mediators of the indirect relationship between neuroticism and antenatal depression. Our results suggest that a personality test offered to all pregnant women could help detect a vulnerability to depression, whereupon intervention in the domains of sleep and social support could prove preventive. 2b1af7f3a8