Stress, Depression and Mental Health

What is Perinatal Mood and Anxiety Disorder (PMAD) or “postpartum?”

• It is depression or anxiety that occurs during pregnancy or postpartum (within a year after birth).

• It is very common.

• It can be mild, moderate, or severe.

How do I know if I might be depressed or anxious?

• People with perinatal depression and anxiety usually sense that “something is not right.”

Would you answer “yes” to any following statements?

• I feel very sad and hopeless most days.

• I am not enjoying life like I used to.

• I blame myself for everything.

• I worry about everything.

• I am afraid and I do not know why.

• I feel overwhelmed and have a hard time coping.

• I cry a lot.

• I cannot sleep well because I am unhappy.

• I want to sleep all the time.

• I am confused and distracted.

• I get angry very easily.

• I do not think I will be a good mother.

• I think of harming myself or others.

• I hear voices or see things that are not there.

If you answered “yes” to any of these statements above, you may be anxious or depressed. You are not alone: Many pregnant people and new parents experience this. If feelings of anxiety or depression last for a few weeks or affect your everyday life, it is time to ask for help.

How could Perinatal Mood and Anxiety Disorder affect my baby?

It can be harder to form a strong emotional attachment. Attachment is important to your baby’s development. Your baby could also:

• Be born too small or too early.

• Be fussy and/or jittery.

• Have feeding or sleeping problems.

• End up with learning problems or with behavior problems.

Where can I get more support for my mental well-being?

• Your healthcare provider.

• Local groups such as community groups and parenting classes to connect with others.

Take care of yourself, so that you can take care of your baby

• You are the most important person in the world to your baby.
• You need to take good care of yourself, so you can take care of your baby. 
• See your healthcare provider for your postpartum visit and inter-conception care. 
• Use family planning (birth control). 
• Wait at least 18 months after giving birth before getting pregnant again. 
• Find someone to care for your baby so you can take breaks. 
• When you feel down or alone, reach out for support.