Contrary to common belief, pregnancy is not a protected time for mental health problems. About half of all women with postnatal depression experience antenatal depression as well. Depression affects how well a woman takes care of her health, leads to poorer obstetric outcomes, affects the chances of bonding well with her baby, and increases the chance of the child developing behavioural problems and depression later on.
Work-life balance: a delicate balancing act
It’s difficult to survive on a single income when raising a family in Singapore, and more than half of Singaporean women work. This creates work-life balance issues for the parents, with mothers still assuming the primary caregiving role, at least while the children are very young. Every mother needs increased practical and emotional support during this time, be it from the father, extended family, a domestic helper or childcare centre. Finding and coordinating all this can be highly stressful.
Is what I’m feeling normal?
There will be ups and downs during any life event, and pregnancy is no exception. Things to look out for may include: feelings of intense distress, such feelings lasting more than 2 weeks, or if others notice that you are not your usual self. Symptoms include:
• Irritability
• A persistently low mood on most days
• Decreased interest in previously enjoyed activities
• Frequent anger attacks
• A lack of motivation
• Persistent guilt or self-blame
• Poor concentration
Self-help and Seeking Help
Prioritize taking care of yourself and your marriage first. Most parents forget that with the increased demands that the newborn brings! Don’t be afraid to ask for help: as they say, it takes a village to raise a child; trying to do it by yourself is a major risk factor to exhaustion and poor mental health.
Finally, too many women seek help too late or not at all for various reasons. Medications can be very helpful in some instances, and it’s important to see a professional who is well-versed with their use in pregnancy or breastfeeding. Don’t delay seeking help, it could be the best thing you could do for yourself and your baby.
Some helplines you can call
NUH: Women’s Emotional Health Service: 6772 2037
KKWCH: Mental Wellness Service: 6294 4050
Dr Cornelia Chee, Consultant Psychiatrist
Currently practising in NUH
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