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- General Topics
- EATING DISORDERS
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Pregnancy is a transformative period for any woman that often brings a blend of happiness, concern, and anticipation. While the thought of bringing a new life into the world can be exhilarating, it also triggers a spectrum of emotions, anxiety being one of the most common ones.
Anxiety during pregnancy is known to commonly affect expecting mothers, with negative implications for both mother and baby if left unmanaged. Fortunately, the management of prenatal and antenatal anxiety is possible with the widespread availability of professional and self-help resources.
Several factors, including psychological, physiological, and environmental stressors, can lead to anxiety during pregnancy. [1]
Pregnancy triggers multiple hormonal changes, especially in terms of progesterone and estrogen. These hormonal shifts impact the neurotransmitter activity in the brain to heighten anxiety.
It is natural to develop concerns about the development and health of the fetus. In some women; however, these concerns, like thoughts of miscarriage, congenital anomalies, and preterm birth, may become so severe that they trigger anxiety.
Anticipation about the impending transition to motherhood and the associated changes in lifestyle and identity can overwhelm a woman, inducing severe anxiety.
Pregnancy can bring a host of physical symptoms, such as back pain, fatigue, body weight fluctuations, and nausea which contribute to anxiety and stress.
Pregnant women with a personal or family history of mental health disorders, including anxiety disorders, are at a higher risk of acquiring them during pregnancy.
Anxiety during pregnancy may manifest in different ways, affecting both the physical and mental well-being of the mother. [2] Some common symptoms to look out for include the following:
Remember that the symptoms of anxiety during pregnancy can vary from one woman to another in terms of nature and severity.
Experiencing anxiety during pregnancy can lead to far-stretched effects that not only influence the mother but also affect the well-being and development of the baby. [3] Following are some possible risks to keep in mind:
Maternal anxiety can affect the developing fetus in the following ways:
Heightened anxiety levels can put a pregnant mother at risk of the following:
Timely diagnosis and management are essential to manage anxiety during pregnancy. [4] Following are some methods to identify and assess anxiety in expectant women:
Experts may use the following to screen for anxiety in pregnant women:
Anxiety risk assessment in pregnant women may involve the following:
Plenty of psychological and pharmacological techniques can support pregnant women fight anxiety and keep it under control.
The following psychological interventions can help with anxiety early pregnancy symptom management: [5]
The following two types of pharmacological interventions are indicated in pregnancy with caution and care. [6]
In addition to pharmacological and behavioral interventions, the following holistic approaches are often considered beneficial when used as an adjunct:
This traditional Chinese technique involves the insertion of thin needles in certain body parts. Several studies have confirmed acupuncture as a potent anti-anxiety technique as it balances the body’s energy flow and promotes relaxation. However, caution is advised to choose a practitioner with experience in handling pregnant women. [7]
Prenatal massage therapy promotes relaxation and reduces anxiety. A trained massage therapist can deliver the treatment safely and effectively while alleviating physical discomfort and stress. Additionally, regular massages can also improve the overall mood and boost sleep.
Aromatherapy involves using essential oils to relax and rejuvenate the body. The technique relies on powerful essential oils, such as chamomile and lavender, which are particularly famous for their relaxing properties. These oils can be added to massage oils, warm baths, or diffusers to enjoy the calming benefits. It is imperative to contact a doctor regarding the safety of aromatherapy and the choice of essential oils, as some may not be safe to use during pregnancy.
In addition to seeking professional help, many self-help tips and remedies are available to manage anxiety while pregnant. Some of these tips include the following:
Feeling anxious during pregnancy is natural. Sharing this anxiety with someone, such as a partner, a close family member, or a best friend, is essential to seeking support. Moreover, sharing your feelings can keep them from hijacking your mind and consuming your everyday life. If there is no trusted support system available, consider talking to a therapist.
Find activities that lower your anxiety and stress. For instance, exercise can be a great way to channel out anxiety while triggering the release of endorphins to control pain and improve mood. Other activities for anxiety management include the following:
Remember to choose an activity based on your tolerance level and after consulting with a doctor to determine its safety in individual cases. If you do not like a particular activity, choose any that you prefer with a goal to get the body moving. Research confirms that an aerobic activity session lasting as little as five minutes can reap positive benefits.
Being organized and effective in time management can help reduce anxiety and stress. Experts recommend creating a daily schedule to complete everyday tasks with adequate time for relaxation, rest and self-care. Similarly, planning ahead for the baby, such as buying essentials and setting up the nursery, can also help avoid last-minute meltdowns.
Ensure that you set realistic goals during pregnancy while acknowledging that you may be unable to do everything as you did before pregnancy. Practice self-compassion and be kind to yourself. Prioritize essential tasks while giving yourself to rest and ask for support when needed.
Some women find reading and researching about pregnancy and childbirth relaxing and calming. Reliable information, such as books written by trusted authors and websites affiliated with national and international health organizations, can be a source of accurate information. This knowledge can reduce prenatal anxiety by giving mothers a clearer understanding of what’s happening in their bodies and what to expect in the coming months.
While it is essential to stay informed, avoiding information overload is also important. Constantly reading up about negative pregnancy reviews or possible pregnancy complications can build up stress and anxiety. Hence, experts advise limiting the information intake and choosing reliable sources to avoid false stories.
Sleep is essential for recovery and support, especially for pregnant. It can not only help them carry on with their everyday tasks more efficiently but also lower their anxiety symptoms. If you are experiencing sleep-related issues, consider improving your sleep hygiene.
Pregnancy can be overwhelming for anyone, with millions of thoughts racing the mind every day. Journaling can help women let go of these thoughts without any fear of judgment, which helps lower their mental burden and stress. Writing down daily thoughts can also help women prioritize their worries, identify anxiety triggers, and manage them more effectively.
Prenatal education classes can be a good source of anxiety management. These classes deliver valuable and practical information about pregnancy, delivery, and newborn care while demystifying the process and reducing fear. Knowing what to expect in the upcoming days, weeks, and months can address many concerns and make women confident about handling different situations. Once this happens, the anxiety about what is going to happen next goes down.
The following professional resources and support are available for women struggling with anxiety while pregnant:
Women with several levels of anxiety must consult a psychiatrist for better evaluation and assessments. Psychiatrists are also trained to provide specialized care through prescription medications and intensive therapy sessions as indicated. They can also liaise with the obstetricians of their patients to design an anxiety management plan safe for the mother and baby.
Many online resources and mobile applications are currently available to support women fighting anxiety during pregnancy. For instance, many applications offer breathing exercises, guided meditation, and mental health tracking that may prove useful as self-help measures. Additionally, many online forms and communities are available to support expecting mothers and help them establish a sense of connection.
In case of severe anxiety that provokes thoughts of self-harm or harm to others, seeking emergency help is crucial. Expecting mothers struggling with anxiety must; therefore, familiarize themselves with the emergency resources available locally, such as crisis centers, hotlines, and emergency room services.
Partners and families are crucial in supporting pregnant people during anxious times. The following two types of support can be expected from family members and spouses:
This type of support may involve:
Emotional support for anxious pregnant women involves the following:
Experiencing anxiety during pregnancy can be a challenging experience as it drastically impacts the well-being of the mother and the baby. Awareness of its causes, manifestations, and effects is essential to acquire effective management strategies. Prenatal anxiety management typically requires combined input from partners, families, healthcare physicians, and the society at large to support women during this highly vulnerable time. Additionally, pregnant women must also be encouraged to engage in self-care activities to alleviate anxiety and a more positive pregnancy experience.
Anxiety during pregnancy has been associated with maternal and fetal complications. For instance, it can put the mother at risk of developing other mental and physical health issues. In the developing baby, the condition increases the risk of low birth weight, long-term neurodevelopmental issues, and preterm birth.
Experts use clinical interviews, comprehensive assessments, and various recognized mental health tools such as generalized anxiety disorder-7 (GAD-7) questionnaire to evaluate the ongoing symptoms and confirm prenatal anxiety.
It is essential to inform your doctor, even if you are experiencing mild pregnancy anxiety symptoms. A doctor can recommend the safest and most effective ways to manage these symptoms and reduce the risk of worsening anxiety. If your anxiety still progresses and affects your daily activities, call a doctor right away.
Certain medications, such as selective serotonin reuptake inhibitors (SSRIs) are used in severe cases of anxiety during pregnancy. However, it is imperative to discuss the potential risks and benefits of this drug in view of your individual circumstances before commencing treatment.
The best treatment plan for anxiety management during pregnancy involves a blend of pharmacological, behavioral, and self-care strategies. Always consult a doctor before considering pharmacological options, as many of them may not be safe.
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