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Middlesex-London Health Unit

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When Pregnancy Is Not What You Expect

Pregnancy is often seen as a time of joy and excitement, but this is not true for everyone. Seeking help in your pregnancy may lower your chance of postpartum depression and anxiety.

Pregnancy can bring many changes and questions about the future. It can also affect your relationships. Good physical care, emotional support, learning about pregnancy and prenatal care are often very helpful.

 

Talk about your feelings with your partner, your healthcare provider or someone you trust.

Prenatal Depression and Anxiety Disorders are common

When prenatal depression and anxiety are left untreated, the risk of postpartum depression and mood disorders increases. Partners and other children can struggle too. It can affect anyone in the family.  Early intervention can help you feel better during pregnancy!

 

People experiencing perinatal mood and anxiety disorders may...

  • Feel sad or numb
  • Be tearful or cry a lot
  • Feel exhausted, but not able to sleep
  • Have changes in eating or sleeping patterns
  • Feel overwhelmed and can’t concentrate
  • Feel anxious or can’t stop worrying 
  • Seek constant reassurance from others or the internet
  • Have no interest or pleasure in activities you used to enjoy
  • Feel hopeless or worthless
  • Feel restless, irritable or angry
  • Feel guilty and ashamed
  • Avoid spending time with family and friends
  • Have thoughts of hurting yourself or others
  • Have scary thoughts about your baby

If your symptoms continue or get worse, speak to your healthcare professional. 

 

What you can do...

  • Rest during the day when feeling tired
  • Get a minimum of 7-8 hours of sleep
  • Eat healthy food several times a day
  • Go for a walk 3-4 times a week or more
  • Accept help from family and friends
  • Take time for yourself
  • Relaxation such as listening to music, deep breathing, or reading
  • Limit the time you spend with people who make you feel anxious or sad
  • Talk about your feelings with your partner or someone you trust
  • Find the prenatal education that is right for you
  • Reach out to your healthcare professional to talk about what help and treatment options are available
  • Take Action, Get Help
 

Mental Health Supports

Canadian Mental Health Association (CMHA) Support Line (24/7 Therapeutic Listening)
1-844-360-8055

Middlesex-London Health Unit
Speak with a Public Health Nurse, 519-663-5317

Talk 4 Healing Help Line (24/7 for Aboriginal Women)
Call or Live Chat, 1-855-554-HEAL (4325), or Webchat

Family Service Thames Valley Counselling Services
519-433-0183, ext. 605 (intake)

Women's Rural Resource Centre (Strathroy)
1-800-265-5390

Carre Four des Femmes (Services confidentiels gratuits pour les femmes francophones)
519-858-0954

The Muslim Resource Centre for Social Support and Integration (MRCSSI)
519-672-6000

Mother Matters

online support group (Women's College Hospital, Toronto)

Mother Reach Support Group (in-person, London)

For information and registration, email: motherreachlondon@gmail.com

Tandem (Vanier Intake Service)
519-433-0334

Crisis Supports: 

Reach Out (24/7 Crisis Service)

Call: 1-866-933-2023
Text:519-433-2023
Webchat

First Nations and Inuit Hope for Wellness Help Line  (24/7 Crisis & Counselling Service)
1-855-242-3310

CMHA Thames Valley Addiction & Mental health Crisis Centre (24/7 walk-in service)
648 Huron St. London

Anova: A Future Without Violence (24/7 Crisis & Support Line)

1-800-265-1576

Tandem (Vanier Intake Service)

24/7 Crisis Support Services for children from birth-18 yrs of age and their parents/guardians 

519-433-0334 

Zhaawanong Women's Shelter (24-hr emergency Shelter & support for Indigenous women & their children)

1-800-605-7477

 
Date of creation: December 1, 2017
Last modified on: April 27, 2023
 
 

References

1BC Reproductive Mental Health Program. (2014). Best practice guidelines for mental health disorders in the perinatal period. Retrieved from
http://www.perinatalservicesbc.ca/Documents/Guidelines-Standards/Maternal/MentalHealthDisordersGuideline.pdf
2Canadian Pediatric Society. (2020, July). Depression in pregnant women and mothers: How it affects you and your child. Retrieved from
https://www.caringforkids.cps.ca/handouts/depression_in_pregnant_women_and_mothers
3Government of Canada. (2022-11-07). Mental Health: Your Guide to a Healthy Pregnancy Retrieved from
https://www.canada.ca/en/public-health/services/health-promotion/healthy-pregnancy/healthy-pregnancy-guide.html#a8
4Haensel, H., & Parkinson, S. (2017). Mothering the mother: Caring for mother’s mental health to optimize infant attachment and development. [PowerPoint slides].