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9 Tips For Pregnant Women Encountering Mental Health Difficulties

May 1, 2017 by Dr. Lori Gore-Green

9-Tips-For-Pregnant-For-Women-Encountering-Mental-Health-Difficulties-Dr.-Lori-Gore-GreenBehavioral symptoms, such as anxiety and depression, uniquely impact pregnant women, who experience the complication and the effects of postpartum depression before they even give birth.  For this reason, conversations about mental health and pregnancy should be held early and often.

Some women go through their entire pregnancy without experiencing morning sickness, swollen feet, and troubled sleeping. However, many don’t escape pregnancy without experiencing pre-baby anxiety. The stress and the “what ifs” can be overwhelming. Lancet Psychiatry published a report in 2015, which stated that two-thirds of mothers with severe depression experienced mood shifts during their pregnancy ahead of postpartum depression. Maternal depression isn’t the same for all women. Approximately 20 percent of mothers experience depression or anxiety after giving birth. Those findings also linked postpartum depression biological triggers and dramatic dips in hormone levels.

There are nine things every pregnant should know about maternal depression and the importance of focusing on mental health during pregnancy:

Document Your Emotional Responses

Pregnant women should take their feelings seriously, and track them. If you notice that you’re feeling sad more often than not, or you feel extremely worried, relay that information to your therapist, doctor, or midwife.

Depression is Blameless

Perinatal mood disorder can be a challenge, and often pregnant women want to blame themselves or their partners for these emotional obstacles, but it’s no one’s fault. There are a number of factors that contribute to pregnancy-related mood shifts.

You’re Not The Only One

Too many women believe they’re the only ones struggling with mental health symptoms, which are some the most common complications of childbirth. The stigma surrounding maternal depression often means that women are too embarrassed to seek out health. Convinced that they should be overjoyed with the prospect of motherhood, sometimes fail to tell others when that they’re struggling.

Seek Treatment Sooner

Therapy can help to ease stress and manage mood disorders. Choosing to deal with one’s mood disorders sooner will ultimately improve your piece of mind, and it will enhance the bonding between you and your child.

Treatment Will Benefit the Baby

Depression and anxiety never simply affect one person, and this is particularly true depressive episodes are affecting a pregnant person. It’s challenging to be a mother, so seeking treatment means that your child won’t have to deal with the emotion and sadness that might could put both you or your child at risk.

Treatments Work

Frank conversations with your primary care physician and your therapist can alleviate anxiety and perinatal depression. It can also help to create a sense of balance and offer an understanding of what balance may look like for a woman in her new life.

You’ll See Progress

If you’re as serious about your mental health as you are about your impending motherhood, you’ll find that you feel better after just a few session. Of course, everyone is different. Even if it takes a bit longer for your mood to improve, know that progress is on the horizon. Take medication appropriately and stay committed to your sessions.

Support Groups, Also

While some women choose isolation, others find strength in knowing that others are going through the same thing. Support groups are incredible because offer a supportive network of like-minded individuals who also need to know that everything in their lives will be okay.

Find Support Online

The internet is great for things outside of news, online shopping, and cyber stalking exes, it’s also a great resource for individuals seeking out others for support.

Online, you’ll find countless resources for mental health and pregnancy wellness. Some things you’ll want to do are to hydrate, do abdominal exercises, eat a well-balanced diet, educate yourself on mental health, take your vitamins and supplements, and rest appropriately.

 

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: depression, Dr. Lori Gore-Green, leadership, mental health, perinatal mood disorder, pregnancy, support, Women's Health

Contraception Fails: Plan B One-Step Users Weighing 165+ May Require Plan ‘C’

July 12, 2016 by Dr. Lori Gore-Green

Dr. Lori Gore-GreenWhen your initial choice of contraception fails, Plan B is expected to be work…however, a ‘plan c’ may need to be devised for women weighing 165 pounds or more.

New research suggests that the most popular emergency contraceptive, which is a morning-after pill that uses the hormone levonorgestrel that prevents ovulation, is less effective for women weighing more than 165 pounds. However, one should bear in mind that the average weight of the American woman is 162 pounds during her 20s. During her 30s, the American woman weighs about 169 pounds.

Likewise, European-made Norlevo, a morning-after pill, loses effectiveness for those weighing 165 pounds. Furthermore, it’s isn’t at all effective for women weigh more than 175 pounds. Despite the fact Norlevo is chemically identical to the U.S.-made Plan B, the Food and Drug Administration has insisted the data was inconclusive, warranting no warning here in the U.S.

Alison Edelman, a professor in the Department of Obstetrics and Gynecology at the Oregon Health and Science University, lead a new study that analyzed the effectiveness of levonorgestrel-based contraceptive among women with a BMI within the normal range, comparing that to the BMI of women considered obese. It was discovered that it would take twice the dosage of Plan B to increase an obese woman’s hormone level of women weighing less than 160 pounds. However, taking two pills for the purposes of emergency contraception isn’t recommended yet, according to Elizabeth Dawes Gay of Women’s Health Magazine. The ovulation-inhibiting hormone could be doubled, but more test would need to be done before learning what how those hormones may affect a woman’s ovaries.

Plan B is emergency contraception that’s generally effective and safe, and it’s a backup plan that helps to prevent pregnancy with 72 hours following birth control failure, preventing 7 out of 8 potential pregnancies. Side effects of the pill are tiredness; a headache; dizziness; breast tenderness; vomiting; lower abdominal pain/cramps; and lighter, heavier, later or early periods. The FDA-approved emergency contraception is accessible over the counter, and should not be considered if you’re already pregnantΩ and shouldn’t be used as birth control.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: contraception, emergency contraception, levonorgestrel, OB/GYN, obese, overweight, Plan B, Plan B One-Step, pregnancy, women, Women's Health

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