What Is Antenatal Depression And How Can It Be Treated?

¬†Pregnancy is supposed to be a joyous time, even with unpleasant symptoms. However sometimes if any serious pregnancy complication is being experienced, that can steal the joy and have a detrimental effect on the mom’s mental health. And, unfortunately, there are times when mom during pregnancy can fall into a serious depression which is referred to as antenatal depression. It is quite debilitating and needs treatment as soon as possible. There are many causes for antenatal depression that have nothing to do with experiencing pregnancy complications as it can clearly be due to a chemical imbalance in the brain that has always been there due to having a history of depression. Or even if the mom never experienced depression previously, then it would still be genetic due to having a family member with depression. That in itself would increase the chances of the mom developing antenatal depression.

The signs of antenatal depression to look out for are:

  • Just feeling down
  • Not having the energy to be bothered with anything
  • Not enjoying life
  • The inability to concentrate
  • The inability to make decisions
  • The need to withdraw
  • Irritability
  • Not wanting to be with others
  • Feeling restless
  • Extreme Agitation
  • Feeling worthless
  • Having no self-esteem and self-confidence
  • Feelings of guilt
  • Feeling suicidal

These symptoms may not all be experienced at the same time, or could all gradually come on. However, they are serious and will only escalate if they are not addressed. As it was already mentioned, experiencing a pregnancy complication and having a history of depression are risk factors. However, other factors can increase the chances as well such as:

  • Having a pregnancy that was not planned
  • Recently coming to terms with a death in the family
  • Going through any difficult time such as divorce
  • Have had experienced domestic abuse
  • Not having support from friends and family

And whether or not you have had any of these issues in your life and if you are the mom having these symptoms then you need to get to a doctor right now and talk about what you are experiencing and how you are feeling. Or, if you are close to a pregnant mom who is having these symptoms, then insist that she gets help. She may be resistant but you have to keep encouraging her until she agrees. Otherwise, if the symptoms are not addressed, then they will escalate and that could lead to other serious consequences which you do not want to see happen. She can be helped and that is the good news.

How Can Antenatal Depression Be Treated

There are various forms of treatments for antenatal depression. Once the mom sees the doctor about the symptoms she is having, then the doctor will likely treat her him or herself or refer her to a psychiatrist for the treatments well as a psychologist for talk therapy. The concern would be about any kind of medication that the mom would have to be put on for depression, however, a psychiatrist would know which drugs are safe for the mom to take during pregnancy and only prescribe those to her. Medication is just one form of treatment for depression. However, it is also crucial that the mom gets therapy as it is important that she gets full treatment for antenatal depression. A psychologist that has experience with helping pregnant women with antenatal depression would be the ideal type of therapist to treat them.

The best treatments for antenatal depression are cognitive behavioral therapy (CBT), self-help, and talk therapy as well as the safe medication for mom to go on during pregnancy. Once she has those treatments in place, then she will be able to have the symptoms managed and be able to enjoy the rest of her pregnancy – unless pregnancy complications are playing a role in the depression she is experiencing. And, it is also very important to get the situation addressed properly or else she will be at an increased chance for ending up with postpartum depression which is also quite serious. This is also why it is important that women that are experiencing antenatal depression receive the same treatment after they give birth. If treatment is stopped then they could have a strong chance of ending up with postpartum depression. The medications as well that are given during pregnancy would also be safe for breastfeeding if mom chooses to do so. Either way, if you are the mom that is having these symptoms, then you need to get help right away from your doctor. If you know of a mom that is having these symptoms, get her help immediately!

10 Things You Need To Know About Pregnancy

“Being pregnant is always in a state of grace.” Well, the truth is that things are not quite like that. It gives a damn sleep, it seems that it never ends, it can fill your skin with spots and still leaves you with your head in the clouds. Even so, we love being pregnant and you think you do not have the hottest wait!

1- Sleeping on foot

“But how can you? He is so small and seems to suck all the energy out of my body! ” And so it is. In the first few weeks you will already feel an overwhelming tiredness, of those sleeping on their feet or dropping everything halfway to take a nap. To make little hands, little feet, liver, brain and everything else gives work, are thinking what?

2- “I walk, half off …”

Being pregnant is being half out of breath. It is possible that those times when we are disconnected from the world become more frequent during gestation. Leave home without the bag, make an appointment and do not go, stay answering an email or even remember that it exists … All normal.

3- Hands-on

As your belly begins to grow, you will realize how people – and anyone, even those without the least degree of intimacy – will feel at ease to get their hands on it. It may seem like something unimportant to others, but when the belly is yours and everyone leaves by hand, it bothers, yes.

4- Eight months and an eternity

No one told you? Pregnancy that lasts 9 months does not exist! Gestation takes about eight months and an eternity – the last month never ends. For anxious mothers, then … It seems like everything is ready, the suitcase, the bedroom, the trousseau … And nothing of the baby is born. Be patient!

5- Interactive belly

You already knew that feeling the baby touching your belly is exciting, but you had no idea how amazing it is! He responds when you caress his belly, kicks when he hears his father’s voice, and sometimes (often depending on the baby) he sobs. It may be distressing from time to time, but it is exciting and unforgettable.

6- Pregnancy sickness

Everyone talks about pregnancy sickness and, until then, okay. You remember how bad it was the day you ate that feijoada and bought your lunch with vanilla ice cream and did not knock it cool. Yeah. Pregnant nausea is much more uncomfortable than that because it does not go away. Worse? Between one visit and another to the bathroom, you feel like eating everything again!

7- It comes and comes from emotions

Pregnancy makes you think about life. Not only in the future and in what will everything be after the baby is born, but sometimes it is a bit distressing to be pregnant. It gives fear of what can happen, of the time of the childbirth, it gives insecurity, sometimes you become exhausted by having that belly and soon after you feel immense guilt for this.

8- It hurts everything

Back pain during pregnancy is already famous. But you still have leg pain, feet swollen, sciatic nerve screaming … As your weight increases, then the discomfort is getting bigger and seems to multiply when the last few months fall in the summer. And there is a pain that almost nobody comments and is well chatinha: as if it were in the groin bone. Try to stand on one leg, like saci, to see! And turning in bed, then, is another story …

9- Peach skin? That nothing!

If you’ve always heard that pregnant skin shines and looks good, know it’s not so for everyone. Pregnancy can bring darker spots on the face and pimples. All because of them, of course: the hormones!

10- Greater Love

Everyone has heard about mother love. But you did not know how much you would love your child from the moment you opened the Beta-HCG result and that from there he would become the most important person in your life and it would be hard to think of anything else. Even with back pain, nausea, waiting anxiety, and stained skin, he would do it all over again. Thus, if the discharge presents a difference, such as a greenish color or a foul smell, it is very important to go to the hospital immediately or consult the obstetrician quickly, as it may indicate the presence of any problem that needs to be treated with an infection or a sexually transmitted disease, for example. Possible Causes of Miscarriage in Pregnancy and When It May Be Serious

When discharge can be severe

Generally, discharge can be a sign of a health problem when it is greenish, yellowish, has a strong smell or causes some type of pain. Some of the most common causes of changes in discharge include:

  1. Candidiasis

Vaginal candidiasis is a fungal infection, more specifically the fungus candida albicans , which causes symptoms such as whitish discharge, similar to cottage cheese , intense itching in the genital region and redness. This type of infection is quite common in pregnancy due to hormonal changes and although it does not affect the development of the baby in the uterus, it needs to be treated to prevent the baby from being contaminated with fungi during childbirth.

What to do : You should consult your obstetrician or gynecologist to start treatment with ointments or anti-fungal tablets, such as Miconazole or Terconazole, for example. However, some home remedies , such as plain yogurt, can also be used to relieve symptoms and speed up the doctor’s recommended treatment.

  1. Bacterial vaginosis

Vaginitis is a very common vaginal infection, even during pregnancy, because changes in estrogen levels facilitate the development of fungi and bacteria, especially if there is no proper hygiene in the region. In these cases, the discharge appears slightly gray or yellowish and smells like rotten fish.

What to do : You should consult your obstetrician or gynecologist to confirm the diagnosis and to start treatment with safe gestation antibiotics such as Metronidazole or Clindamycin for about 7 days. See more about how this infection is treated .

  1. Gonorrhea

This is an infection caused by the Neisseria gonorrheabacterium  that is transmitted through unprotected sexual contact with someone contaminated and therefore can arise during pregnancy especially if you have contact with an infected partner. Symptoms include yellowing of discharge, urination, incontinence and presence of lumps in the vagina, for example. Since gonorrhea can affect pregnancy, increasing the risk of miscarriage, premature delivery or infection of the amniotic fluid, it is very important to start treatment quickly. See what other complications may appear in the baby .

What to do : If there is a suspicion of infection with a sexually transmitted disease, it is very important to go to the hospital or obstetrician quickly to make the diagnosis and start treatment, which in this case is done using antibiotics such as Penicillin, Ofloxacin or Ciprofloxacin.

  1. Trichomoniasis

Trichomoniasis is another sexually transmitted disease that can also occur in pregnancy if there is an intimate relationship without a condom. Trichomoniasis may increase the risk of preterm birth or low birth weight and should therefore be treated as soon as possible. The most characteristic signs of this infection include greenish or yellowish discharge, redness in the genital area, pain when urinating, itching, and the presence of small vaginal bleeding.

What to do : You should go to the obstetrician or gynecologist to confirm the diagnosis and start treatment with an antibiotic such as Metronidazole for about 3 to 7 days.

How to differentiate discharge from bag rupture

In order to differentiate the vaginal discharge from the rupture of the pouch, the color and thickness of the liquid must be taken into account:

Mucosal cap: usually yellowish, thick, looking like catarrh or may have traces of blood, having a brownish color being quite different from the releases that the woman may have had in life. More details on: How to Identify the Mucous Cap . Some women may have small loss of amniotic fluid before labor has started and so if a pouch is suspected it is important to tell the obstetrician so that he can evaluate it. See how to identify if you are going into labor . In this way, it is important to be careful and put an absorbent to perceive the color, quantity and viscosity of the secretion, as it can also be blood.

3 vaccinations the pregnant woman needs to take

Some women, for lack of information, are unaware of the importance of putting the vaccination card in order during pregnancy (or before becoming pregnant). It may seem like a small matter in the midst of so many concerns, but doses of these medications can prevent more serious problems with the woman and the child.

“Being pregnant is always in a state of grace.” Well, the truth is that things are not quite like that. It gives a damn sleep, it seems that it never ends, it can fill your skin with spots and still leaves you with your head in the clouds. Even so, we love being get pregnant quickly and you think you do not have the hottest wait!

1- Sleeping on foot

“But how can you? He is so small and seems to suck all the energy out of my body! ” And so it is. In the first few weeks you will already feel an overwhelming tiredness, of those sleeping on their feet or dropping everything halfway to take a nap. To make little hands, little feet, liver, brain and everything else gives work, are thinking what?

Why It Matters: This is one of the most important vaccines during pregnancy. In addition to protecting the woman from the normal flu virus, it also protects from more severe conditions such as hospitalizations for bronchitis, pneumonia and even death due to fall and immunity.

When to take: The dose of Influenza vaccine can be prescribed in any month of pregnancy or within 45 days after the birth of the baby, for those who did not take it during the nine months in a single dose.

Triple Bacterial (dTpa-Diphtheria, Tetanus and Whooping Cough):

Why It Matters : In addition to protection against pertussis, the dTpa vaccine also protects against neonatal tetanus, an infection that can occur with inadequate and contaminated instruments used to cut the umbilical cord. “The importance of taking this drug is in the increased cases of pertussis in newborns and infants before 1 year of age, as well as cause more serious complications such as high death rates because the infected individuals are more susceptible to pneumonia , seizures and brain damage, “emphasizes Nilma.

When to take: The dTpa vaccine for pregnant women (27 to 36 weeks) is now available on the public health network.

Hepatitis B:

Why it is important to take: Hepatitis B does not have well-defined symptoms, but the person who gets the disease may have vomiting, muscle aches, nausea and malaise (symptoms relevant to other complications as well). Infection during pregnancy is a common route of transmission, so it is important to prevent the mother from becoming infected and not passing on to the fetus or newborn. Children infected with Hebatite B may have liver cirrhosis and liver cancer in adulthood.

When to take: The vaccine should be given in 3 doses, preferably from the second trimester of pregnancy, and it is free at health posts. If the pregnant woman has been previously vaccinated, there is no need for reinforcement in pregnancy.