Authors: Fatima Tauqeer; Michael Ceulemans; Eva Gerbier; Anneke Passier; Alison Oliver; Veerle Foulon; Alice Panchaud; Angela Lupattelli; Hedvig Nordeng · Research

How Does Pregnancy and Early Motherhood Affect Mental Health During Global Health Crises?

A study of over 5,000 European women reveals key insights about depression and anxiety during pregnancy and early motherhood

Source: Tauqeer, F., Ceulemans, M., Gerbier, E., Passier, A., Oliver, A., Foulon, V., Panchaud, A., Lupattelli, A., & Nordeng, H. (2023). Mental health of pregnant and postpartum women during the third wave of the COVID-19 pandemic: a European cross-sectional study. BMJ Open, 13, e063391. doi:10.1136/bmjopen-2022-063391

What you need to know

  • About one in six pregnant or new mothers experience significant depression or anxiety symptoms during major health crises
  • Having a pre-existing mental illness, chronic health condition, or unplanned pregnancy increases risk for mental health challenges
  • Partner support during delivery and early postpartum is crucial for maternal mental wellbeing

The Unique Mental Health Challenges of Pregnancy and New Motherhood

Pregnancy and early motherhood bring significant life changes that can affect mental health. While many women navigate this transition smoothly, research shows that up to 20% experience mental health symptoms during the perinatal period - the time during pregnancy and the first year after birth. During times of widespread crisis or uncertainty, these numbers can increase substantially.

Understanding the Study

Researchers surveyed over 5,200 pregnant women and new mothers across five European countries (Belgium, Norway, Switzerland, the Netherlands, and the UK) to understand their mental health experiences. The study used validated screening tools to assess symptoms of depression and anxiety. This large-scale research provides important insights into how major health crises can impact maternal mental health.

Key Findings About Depression and Anxiety

The study found that approximately 16-17% of both pregnant women and new mothers experienced significant depression symptoms. Similarly, about 17-18% reported moderate to severe anxiety. These rates varied by country, with women in the UK showing higher rates of both depression and anxiety compared to other European nations.

Risk Factors for Mental Health Challenges

Several factors were associated with increased risk for depression and anxiety:

  • Having a pre-existing mental health condition
  • Living with a chronic physical health condition
  • Experiencing a previous illness
  • Smoking during pregnancy
  • Having an unplanned pregnancy
  • Lack of partner support during delivery
  • Early separation from partner or baby after birth

What This Means for You

If you’re pregnant or recently had a baby, especially during times of uncertainty:

  1. Monitor your mental health and don’t hesitate to discuss concerns with your healthcare provider
  2. Seek support if you have any pre-existing mental or physical health conditions
  3. Build a strong support system including your partner, family, and healthcare team
  4. Consider connecting with other expecting or new mothers through support groups
  5. Have a clear birth plan but remain flexible if circumstances require changes
  6. Practice self-care and stress management techniques

Conclusions

  • Mental health screening and support should be routine parts of pregnancy and postpartum care
  • Women with pre-existing conditions may need extra monitoring and support during pregnancy and early motherhood
  • Healthcare systems should prioritize keeping partners present for birth and early postpartum when possible
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