Prenatal Depression Is Real, So Let’s Discuss It

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During my 18th week of pregnancy, I visited my obstetrician expecting a routine check-up, only to be met with alarming news: I had an incompetent cervix and needed to be on strict bedrest. The thought of making it to 24 weeks felt like a distant dream.

As the days went by and my belly expanded, I recognized I should feel grateful that my baby was still growing. I had navigated the worst of morning sickness and was starting to see that elusive second-trimester glow. Instead of joy, however, I sunk deeper into despair. It felt akin to the faceless Dementors from Harry Potter, perpetually draining my spirit. Years later, I learned that this draining experience had a name: prenatal depression. Here’s what I wish I had known:

Prenatal depression exists.

It may sound surprising, but I was unaware that prenatal depression was a legitimate diagnosis. It’s more common than we think, affecting 1 in 10 women during pregnancy. Yet, it’s rarely discussed, as many prefer to uphold the notion that pregnancy is a purely joyful experience. Learning about my high-risk situation and being confined to bedrest reshaped my entire life. While it was logical to feel emotional, I was unprepared for the weight of hopelessness that followed. Had I known about prenatal depression, I would have sought advice from my doctor, possibly even antidepressants or a magical Dementor repellent.

Guilt is part of the journey.

I felt unworthy of sadness. Many women around me struggled to conceive; how could I not cherish every moment of my pregnancy? Yet, guilt consumed me—from the practical (quitting my job to adhere to bedrest, which left me unable to contribute financially) to the absurd (wondering what kind of mother I’d be if I couldn’t keep my baby safe). Even my dog evoked guilt, as I couldn’t walk her. I was thankful for my pregnancy, but it also pulled me deeper into despair.

Not everyone will understand.

While your well-meaning Aunt Linda may not grasp your sadness, she’s quick to remind you of her own ailments. Despite good intentions, some folks will say the most inappropriate things, like detailing the risks of childbirth. A relative often reminded me how fortunate I was to relax all day, which only deepened my sense of isolation and sadness. Many people struggle to communicate sensitively in these situations.

Friendships may shift.

Some friends I expected to support me seemed to vanish. A close friend reached out only once during my five months of bedrest, evidently overwhelmed by her own challenges. Conversely, unexpected friendships flourished. A kind neighbor visited weekly, offering food and companionship. Though I rarely accepted her help, her gestures meant the world, and I now invite her over for dinner whenever possible. Thus, while some friendships may fade, others will blossom.

Your marriage can be tested.

It’s a known fact that a baby alters a marriage, but few discuss how pregnancy itself can challenge the relationship, particularly a difficult one. Financial pressures mounted, my husband took on additional household responsibilities, and intimacy fell by the wayside. We transformed from newlyweds exploring romance to a couple struggling to navigate the emotional fallout of a high-risk pregnancy. I was overwhelmed with despair, and he felt helpless, causing us to drift apart.

Prenatal can lead to postpartum challenges.

Despite my anxiety and medical issues, my baby arrived healthy. Yet, even as joy overshadowed my initial concerns, I continued to grapple with my mental health. Caring for a tiny newborn was overwhelming, and I constantly worried about his safety. I morphed into the ultimate protective mom, keeping him in his five-point harness at all times. As he grew, he even jokingly told me, “Mom, you love me way too much.”

Gradually, my depression lightened, but it took years for the last remnants to fade away. There was no single moment of relief; it was a journey involving time, therapy, and a supportive community. Occasionally, I still feel shadows of that darkness, but in those moments, I remind myself of the joy that can be found amidst the sorrow.

If you’re struggling with similar feelings, I encourage you to visit the American Pregnancy Association for valuable resources. For insights on home insemination, check out this article on intracervical insemination. Additionally, Make a Mom is an authority on self-insemination kits. For more information about fertility treatments, UCSF provides excellent resources to support your journey.

Summary

Prenatal depression is a significant yet often overlooked aspect of pregnancy. It’s essential to acknowledge its existence, as many women experience it but feel guilty or unsupported. Relationships may shift, and marriages can face challenges during this time. However, understanding and addressing these feelings can lead to healing and joy in the long run.