Is It Normal To Be Anxious During Pregnancy?

Is It Normal To Worry During Pregnancy?

Be assured, it is perfectly normal a certain feeling fear during the pregnancy. On the other hand, if it will too invasive to the point where you suffer or prevent you from living normally, it is important to take action. In fact if they are not cared for that anxiety disorders can be suspended during pregnancy postpartum depression.

Why am I afraid during my pregnancy?

The pregnancy is a period of transformation : The body is undergoing significant changes, we are on the verge of becoming mothers, taking on new responsibilities and fully entering adult life. These changes are inevitably a cause for concern. “Some women will have more difficulty than others in adjusting to the upheavals of pregnancy and integrating them into their overall psyche,” confirms Dr. Alzarez. the adjustment disorders are the most common mental disorders during pregnancy. These require a psychological care to prevent that postpartum depression ».

Pregnancy: a maturation crisis

maturation crisespregnancy produced Fear, insecurity and doubt in pregnant women. The evidence is: Antoinette Lee’s work shows that 54% of a cohort of 357 women followed throughout pregnancy present with anxiety and that 34% suffer from depression despite having no psychiatric history and that their pregnancy is normal runs. “Pregnancy works like one second youth, explains the psychiatrist. What was problematic in adolescence often becomes problematic in pregnancy, the unspoken finds a new echo, and what was support will bring continuity to the parenting experience. Just like in puberty, during pregnancy, the transformations of the body awaken a real one maturity crisis, which marks the beginning of a new phase in the life cycle. In this way, the daughter becomes a mother and thus reshapes the bond with her own parents and future grandparents. These mutations are accompanied by a question certaintiesa disorientation and blurring of ties at the root of feelings of nostalgia, ambivalence and fear, who are healthyas long as they don’t cause pain ».

fear of pregnancy

According to child psychiatrist Luis Alvarez, pregnant women usually suffer from it three feelings intense, fluctuating, normal and desired: ambivalence, fear and insecurity.

– The ambivalence : Do I really want to have a child? Is this the right time? am i really ready asks the pregnant woman. “Questions, disbelief, fears and insecurities are the manifestation of a healthy and desirable pregnancy-specific ambivalence that is responsible for a completely normal anxiety,” reassures the psychiatrist.

– Fear : the afraid of losing the baby or that it is not in good health is one of the most common fears of pregnant women. This fear can be all the more important when the patient suffers from a chronic pathologythat she has already had a miscarriage, has given birth prematurely or is having it history of infertility. the fear of childbirth is also very common among expectant mothers. About 20% of women dare to say they are afraid of childbirth and 6 to 10% suffer from it phobia (Tokophobia). During a first pregnancy it is often Fear of losing control, not to endure the pain or unable to cope with the prevailing contractions. “This fear can be further exacerbated by stories about catastrophic births of loved ones,” confirms Dr. Alvarez. After all, some women are afraid too gaining too much weight and not regaining her pre-pregnancy figure. Rapid physical changes can be very unsettling for pregnant women.

– Uncertainty : It in turn refers to the identity questioning of the future mother and father. will i be a good mother How does my companion become a father? How do I balance my life as a mother and my life as a woman? Which couple will we form? Will our couple resist? Etc

in pregnant women, fear can be manifested by various symptoms such as:

  • from torment
  • from sleep disorders (Insomnia)
  • a feeling of loss of control, panic
  • from sadnessa melancholy
  • an enthusiasm, an excitement,
  • a feeling of self-mockery and mothering incapacity
  • from unpredictable crying
  • a loss of interest for every day

What are the risk factors?

Some women are rather inclined Developing anxiety during their pregnancy, especially in the case of obstetric history or if they suffer from it chronic pathology.

– Birth story : History of Perinatal Loss (ectopic pregnancyMiscarriage, voluntary abortion, medical abortion, fetal death in utero) and personal or family birth trauma are risk factors.

– medical history : Women with a chronic disease (e.g. type 1 diabetes), an autoimmune disease (lupus) or genetics can also make you more prone to anxiety during pregnancy. “The pregnancies of women and couples with genetic diseases live in fear of transmission and in the guilt of wanting to have a child without having a healthy biological basis for it,” says the psychiatrist.

Last but not least, certain psychosocial factors may also promote the onset of anxiety in pregnant women. “Isolation, domestic dramas, socioeconomic precariousnessunemployment, but also psychiatric history and the use of psychotropic drugs risks undermining the experience of pregnancy and the encounter with the child, which should be taken into account”, the work specifies. Psychology and Psychiatry of Pregnancy.

What Are the Risks of Anxiety During Pregnancy?

It is important that the anxiety disorders during pregnancy are examined in order to be able to help the expectant mother and her child. “You can have mental illness Effects on the smooth course of pregnancy and, for example, increase the risk premature birth and from postpartum depression. Hence the need for screening and prevention”.

When should you seek advice?

It is advisable to consult your doctor if the mental suffering becomes too great and disrupts daily life. “The discovery of pregnancy marks the beginning of the maturational crisis that will be motherhood and the encounter with the child,” explains Dr. Alvarez. As we’ve already seen, pregnant women typically experience three intense feelings: ambivalence, fear, and insecurity. When they are of tolerable intensity and free from suffering, these emotions allow pregnant women to remain in phase with the reality of pregnancy on the one hand and to integrate the child into the globality of their life and story on the other. In cases where they are generated mental sufferinga specialized advice predominates with a child psychiatrista psychiatrist or one maternity psychologist ».

Anxiety, when it becomes a real psychological condition that can be harmful to the pregnant woman and her unborn baby, is important to screen and some to relieve.

screening for fear

Don’t know who to turn to to talk about your fears? know that Prenatal interview in the fourth month of pregnancy offers the opportunity for women who wish to discuss this with one midwife about their birth plans and to confide their doubts or concerns about the arrival of the future baby. “This conversation is a very useful moment of exchange to better live your pregnancy and to discuss the difficulties you face every day,” explains the child psychiatrist. This also allows Identify women with risk factors and forward them if necessary mental health professionals often associated with motherhood. Depending on the diagnosis, we can offer these patients a short psychotherapy during pregnancy to relieve them.

regulation of emotions

And the expert continues: “Today we have emotional regulation tools scientifically validated that allow pregnant women to manage this anxiety. These are based on four modules: mindfulness (mindfulness meditation), dealing with emotionsinterpersonal effectiveness and finally stress tolerance. In general, it is very appreciated by the patients, who then feel more “armed” in the face of their fears.”

Medical treatment

fear sometimes requires the prescription of a medical treatment (anxiolytics Where from antidepressants). “Some molecules can be used safely in pregnant women Where from breastfeeding ‘ assures Luis Alvarez.

How can you have peace of mind when you are pregnant?

Anxiety is completely normal if pregnant. If, on the other hand, this will too invasiveDon’t hesitate to talk to your doctor or midwife about this. ” It’s important to get help when you’re not feeling well, insists the child psychiatrist. We know there is today a link between anxiety during pregnancy and depressive symptoms after childbirth. It is therefore important to take care of it quickly to alleviate it.”

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