Prepartum depression is a mood disorder and type of depression that can happen during pregnancy. Feeling overwhelmed or emotional during pregnancy is a typical, common experience. But when those feelings last for a long time and are interfering with your life, it may be prepartum depression. This guide will help you learn about the seven things you should know as an expectant mother about prepartum depression.

#1: The prevalence of prepartum depression 

You may be surprised to know that prepartum depression is more common than you may think. While you may feel entirely alone in your experience, you’re not alone. Research suggests that approximately 7% of pregnant women experience prepartum depression. Rates of prepartum depression have been found to be higher in lower-income women. 

#2: Who is at risk of developing prepartum depression

While anyone can experience prepartum depression, certain factors can make you more vulnerable. Just because you may have one or more of these risk factors doesn’t mean you will for certain develop prepartum depression. Many women with these factors have healthy pregnancies. Some factors that may increase your risk include:

• History of depression or other mental health conditions 
• Family history of depression
• Stressful or major life events during pregnancy
• Unplanned or unwanted pregnancy
• Lack of support
• Certain health conditions 
• If the baby has health problems or special needs
• Multiple babies expected
• Difficulty getting pregnant due to infertility 

#3: Causes of prepartum depression 

In addition to risk factors that can increase your risk, some other factors can contribute to the development of prepartum depression:

• Hormonal changes
• Physical discomforts of pregnancy
• Fear of the unknown
• Relationship stress
• Financial concerns

A combination of risk factors and other causes can contribute to the development of prepartum depression. However, not every woman who experiences any of these factors will develop the condition. If you suspect you have prepartum depression, there are treatment options available that can help you find relief. 

#4: Symptoms of prepartum depression

Symptoms of prepartum depression include:

• Feeling anxious, sad, irritable or hopeless most of the time
• Losing interest in activities you usually enjoy
• Eating too much or too little
• Experiencing unusual cravings
• Having difficulty falling asleep or staying asleep, or sleeping too much
• Feeling unusually tired or drained
• Having trouble focusing, remembering things or making decisions
• Feeling worthless or guilty
• Withdrawing from friends or loved ones
• Losing interest in sex or having difficulty connecting with your partner
• Experiencing physical symptoms, such as:
• Aches
• Pains
• Digestive issues
• Unexplained physical discomfort
• Experiencing anxiety or panic attacks
• Having thoughts of harming yourself or your baby

#5: Prepartum depression can go unrecognized

Often, the physical symptoms of pregnancy can mask the emotional symptoms. Changes in sleep, appetite and energy levels are all common during pregnancy and are also symptoms of prepartum depression. This can make it hard to distinguish between typical pregnancy symptoms and prepartum depression. There is also a stigma surrounding discussing mental health concerns, which may make women hesitant to seek help. If you are concerned if you’re experiencing typical pregnancy symptoms or something more, it’s essential to consult your health care provider. They can help you determine if you’re experiencing prepartum depression and offer appropriate support. If you are experiencing prepartum depression, it’s crucial to get help. If left untreated, there are some risks for you and your baby, including:

• Premature birth
• Low birth weight
• Increased risk of postpartum depression

#6: How prepartum depression is diagnosed

Diagnosing prepartum depression often starts with having an open and honest conversation with your health care provider. Here’s what you can expect from that conversation:

• Questions about your symptoms — Your health care provider will ask you about the symptoms you’re experiencing, how long they’ve been present and how they’re impacting your daily life. 
• Physical exam — Your health care provider may do a physical exam or bloodwork. These can help rule out any underlying medical conditions that could be mimicking prenatal depression symptoms.
• Mental health screening — Your health care provider may do a mental health screening or refer you to a mental health professional for a more in-depth evaluation. 

Being open and honest with your health care provider about how you’re feeling is essential. There’s no shame in seeking help, and early diagnosis can make a big difference in your well-being and the health of your baby. Your health care provider can offer you support and guidance through the evaluation and diagnosis process. 

#7: Treatment options available for prepartum depression 

Treating prepartum depression is important for you and your baby. Some helpful ways to get support and feel better include:

• Therapy — Therapy provides you with a safe environment to explore your feelings, develop coping strategies and gain support. Therapy takes time, and you may not see improvement overnight. Be patient with yourself and the process. 
• Medication — In some cases, medication may be recommended to help manage symptoms. It’s essential to discuss potential benefits and risks with your health care provider. Antidepressants can be used to treat prepartum depression, but their use should be closely monitored. 
• Support groups — Connecting with other expectant mothers who are experiencing similar challenges can be helpful and empowering. A support group offers you a safe space to share your feelings, learn coping strategies and realize you’re not alone. 

Seeking help is a sign of strength, not weakness. With the right support, you can manage prepartum depression and enjoy your pregnancy. 

Lightfully Behavioral Health can be your partner for maternal well-being

Prepartum depression can be a challenging experience, but you don’t have to navigate it alone. Founded by women and led by an all-female executive team, we understand the unique needs of expectant mothers here at Lightfully. Our deeply compassionate experts can provide a personalized treatment plan tailored to your specific situation. With a focus on whole-person-centered care, we offer a variety of levels of care to help support your journey to optimal mental health. Let us help you experience a healthier, happier pregnancy. 

Change is possible. When you’re ready to take the first step, contact us. We’ll take the next steps together, toward the fullest, brightest version of you.