Supporting Mental Health During Pregnancy: Understanding Risks and Protecting Lives

Pregnancy is often described as a joyful and transformative time, but for many women it can also be a period of emotional upheaval. Hormonal shifts, physical changes, social pressures, and fears about the future can all contribute to significant stress. While mood changes are common, untreated mental health symptoms in pregnancy can sometimes become severe and, in rare cases, may increase the risk of suicidal thoughts or behaviors.

The Overlooked Side of Perinatal Mental Health

Depression and anxiety are among the most common complications of pregnancy. These conditions can be overlooked because symptoms—like fatigue, appetite changes, or difficulty sleeping—overlap with normal pregnancy experiences. When mental health symptoms are dismissed or untreated, they can worsen over time, leading to feelings of hopelessness or despair.

Why Suicide Risk Matters

Research shows that suicide is a leading cause of maternal mortality worldwide. Even though it is rare, the consequences are devastating. Recognizing this risk underscores the importance of routine mental health screening during prenatal care. When symptoms are identified early, women can access treatment and support before a crisis develops.

Safe and Effective Treatment Options

Treatment for mental health conditions during pregnancy must balance two goals: protecting the well-being of the mother and minimizing risks to the developing baby.

Approaches may include:

• Therapy and counseling: Evidence-based modalities like cognitive behavioral therapy or interpersonal therapy are safe and effective.

• Support networks: Involving partners, family, and peer support groups can reduce isolation and build resilience.

• Medication: antidepressants or other medications may be recommended, considering the increased risks to mother and baby if illness is untreated.

• Lifestyle and wellness strategies: Regular sleep, nutrition, physical activity, and mindfulness practices can help stabilize mood when used alongside professional care.

What Healthcare Providers Can Do

• Screen routinely for depression, anxiety, and suicidal thoughts in prenatal visits.

• Normalize conversations about emotional health to reduce stigma.

• Coordinate care between providers.

• Develop safety plans for women who disclose suicidal thoughts, ensuring immediate support and resources.

  
  

Supporting Women and Families

For families and loved ones, knowing the signs of worsening mental health—withdrawal, hopelessness, expressions of wanting to die—can be lifesaving. Encouraging open dialogue and helping women access professional care is essential.

A Call to Compassion

Every woman deserves comprehensive, compassionate care during pregnancy. Protecting mental health is just as vital as monitoring physical health. When we listen, validate, and respond to the emotional needs of pregnant women, we not only safeguard mothers but also help nurture the next generation.

If you or someone you know is pregnant and struggling with suicidal thoughts, please reach out right away, call your local emergency number, or in the U.S., dial or text 988 for the Suicide & Crisis Lifeline.

We are available to help and you are not alone so please reach out wellspaceforwomen@gmail.com