Many women experience some ambivalence about their pregnancy. It may relate to ambivalence about the desire to become a parent; or conflict with the partner about this; or perhaps the timing - particularly if there are financial difficulties or family health issues; or a lack of confidence in their parenting ability – especially if their own childhood experiences weren’t optimal.

There may be some apprehension about the pregnancy or pain associated with the birth – especially if there is previous experience of a traumatic or painful birth. Some parents may have difficulty committing to parenthood and negotiating the adjustments required.

 

Even when committed, the transition to parenthood can be stressful. It is also a vulnerable time for women in the development of problems such as anxiety and depression. The rates of depression occurring antenatally, are similar to those occurring postnatally (approximately13%). Postnatal depression can affect a mother’s ability to care for her baby and if severe and chronic, can interfere with the attachment relationship between a mother and her infant (and other family members). Stressful life events during pregnancy can increase the risk of mental health problems postnatally.

 

Risk factors for mental health problems during pregnancy and birth include:

 

• Threats to maternal or foetal health
• Past obstetric trauma or loss
• Current or unresolved conflict, trauma or loss
• Social isolation and/or adversity
• Past psychiatric or psychological difficulties
• Experience of trauma during labour or delivery

 

For some women the pregnancy can provide some impetus for the resolution of psychological difficulties. This motivation supports therapeutic interventions and change and can prevent later pain conflict and heartache.

 

Please contact our office for more information.