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Yes, there are chances of you getting pregnant while breast-feeding. Breast-feeding is up to 98% effective as a natural contraceptive for up to six months after childbirth if your period has not returned. This method of birth control is called the Lactational Amenorrhea Method or LAM.
Every woman is different. Several factors individual to each new mother may affect her starting date, including the labor and birth experience (vaginal vs. c-section), your baby’s disposition, your exercise history, and how much energy you have. Typically, if you were taking prenatal exercise classes, you can return to classes at 3-4 weeks postpartum. Be sure to speak with your physician or nurse midwife about your desire to begin exercise.
Yes, exercise has not been shown to have any adverse effects on milk production or composition in mothers who exercise at a moderate intensity. If you notice your baby has an aversion for post exercise milk, you may find it easier to feed the baby or express milk before your activity. Adequate fluid intake is also important to remain hydrated for exercise.
Depression that occurs during pregnancy or within a year after delivery is called perinatal depression. The exact number of women with depression during this time is unknown. But researchers believe that depression is one of the most common complications during and after pregnancy. Often, the depression is not recognized or treated, because some normal pregnancy changes cause similar symptoms and are happening at the same time. Tiredness, problems sleeping, stronger emotional reactions, and changes in body weight may occur during pregnancy and after pregnancy. But these symptoms may also be signs of depression.
There may be a number of reasons why a woman gets depressed. Hormone changes or a stressful life event, such as a death in the family, can cause chemical changes in the brain that lead to depression. Depression is also an illness that runs in some families. Other times, it’s not clear what causes depression.
During pregnancy, these factors may increase a woman’s chance of depression:
- History of depression or substance abuse
- Family history of mental illness
- Little support from family and friends
- Anxiety about the fetus
- Problems with previous pregnancy or birth
- Marital or financial problem
- Young age (of mother)
Depression after pregnancy is called postpartum depression or peripartum depression. After pregnancy, hormonal changes in a woman’s body may trigger symptoms of depression. During pregnancy, the amount of two female hormones, estrogen and progesterone, in a woman’s body increases greatly. In the first 24 hours after childbirth, the amount of these hormones rapidly drops back down to their normal non-pregnant levels. Researchers think the fast change in hormone levels may lead to depression, just as smaller changes in hormones can affect a woman’s moods before she gets her menstrual period.
Occasionally, levels of thyroid hormones may also drop after giving birth. The thyroid is a small gland in the neck that helps to regulate your metabolism (how your body uses and stores energy from food). Low thyroid levels can cause symptoms of depression including depressed mood, decreased interest in things, irritability, fatigue, difficulty concentrating, sleep problems, and weight gain. A simple blood test can tell if this condition is causing a woman’s depression. If so, thyroid medicine can be prescribed by a doctor.
Other factors that may contribute to postpartum depression include:
- Feeling tired after delivery, broken sleep patterns, and not enough rest often keeps a new mother from regaining her full
strength for weeks.
- Feeling overwhelmed with a new, or another, baby to take care of and doubting your ability to be a good mother.
- Feeling stress from changes in work and home routines. Sometimes, women think they have to be “super mom” or perfect, which is not realistic and can add stress.
- Having feelings of loss loss of identity of who you are, or were, before having the baby, loss of control, loss of your pre-pregnancy figure, and feeling less attractive.
- Having less free time and less control over time. Having to stay home indoors for longer periods of time and having less time to spend with the your partner and loved ones.
Any of these symptoms during and after pregnancy that last longer than two weeks are signs of depression:
- Feeling restless or irritable
- Feeling sad, hopeless, and overwhelmed
- Crying a lot
- Having no energy or motivation
- Eating too little or too much
- Sleeping too little or too much
- Trouble focusing, remembering, or making decisions
- Feeling worthless and guilty
- Loss of interest or pleasure in activities
- Withdrawal from friends and family
- Having headaches, chest pains, heart palpitations (the heart beating fast and feeling like it is skipping beats), or hyperventilation (fast and shallow breathing)
- After pregnancy, signs of depression may also include being afraid of hurting the baby or oneself and not having any interest in the baby.
The baby blues can happen in the days right after childbirth and normally go away within a few days to a week. A new mother can have sudden mood swings, sadness, crying spells, loss of appetite, sleeping problems, and feel irritable, restless, anxious, and lonely. Symptoms are not severe and treatment isn’t needed. But there are things you can do to feel better. Nap when the baby does. Ask for help from your spouse, family members, and friends. Talk and spend time with other new moms.
Postpartum depression can happen anytime within the first year after childbirth. A woman may have a number of symptoms such as sadness, lack of energy, trouble concentrating, anxiety, and feelings of guilt and worthlessness. The difference between postpartum depression and the baby blues is that postpartum depression often affects a woman’s well-being and keeps her from functioning well for a longer period of time. Postpartum depression needs to be treated by a doctor. Counseling, support groups, and medicines are things that can help.Postpartum psychosis is rare. It occurs in 1 or 2 out of every 1000 births and usually begins in the first 6 weeks postpartum. Women who have bipolar disorder or another psychiatric problem called schizoaffective disorder have a higher risk for developing postpartum psychosis. Symptoms may include delusions, hallucinations, sleep disturbances, and obsessive thoughts about the baby. A woman may have rapid mood swings, from depression to irritability to euphoria.
Some women don’t tell anyone about their symptoms because they feel embarrassed, ashamed, or guilty about feeling depressed when they are supposed to be happy. They worry that they will be viewed as unfit parents. Perinatal depression can happen to any woman. It does not mean you are a bad or “not together” mom. You and your baby don’t have to suffer. There is help.
Limited research suggests that many women with perinatal depression improve when treated with anti-depressant medicine. Your doctor can help you learn more about these options and decide which approach is best for you and your baby.
Speak to your doctor or midwife if you are having symptoms of depression while you are pregnant or after you deliver your baby. Your doctor or midwife can refer you to a mental health professional who specializes in
Here are some other helpful tips:
- Try to get as much rest as you can. Try to nap when the baby naps.
- Stop putting pressure on yourself to do everything. Do as much as you can and leave the rest!
- Ask for help with household chores and nighttime feedings. Ask your husband or partner to bring the baby to you so you can
breastfeed. If you can, have a friend, family member, or professional support person help you in the home for part of the day.
- Talk to your husband, partner, family, and friends about how you are feeling.
- Do not spend a lot of time alone. Get dressed and leave the house. Run an errand or take a short walk.
- Spend time alone with your husband or partner.
- Talk with other mothers, so you can learn from their experiences.
- Don’t make any major life changes during pregnancy. Major changes can cause unneeded stress. Sometimes big changes cannot be avoided. When that happens, try to arrange support and help in your new situation ahead of time.
There are two common types of treatment for depression.
Talk therapy This involves talking to a therapist, psychologist, or social worker to learn to change how depression makes you think, feel, and act.
Medicine Your doctor can give you an antidepressant medicine to help you. These medicines can help relieve the symptoms of depression.
Women who are pregnant or breastfeeding should talk with their doctors about the advantages and risks of taking antidepressant medicines. Some women are concerned that taking these medicines may harm the baby. A mother’s depression can affect her baby’s development, so getting treatment is important for both mother and baby. The risks of taking medicine have to be weighed against the risks of depression. It is a decision that women need to discuss carefully with their doctors. Women who decide to take antidepressant medicines should talk to their doctors about which antidepressant medicines are safer to take while pregnant or breastfeeding.
Depression not only hurts the mother, but also affects her family. Some researchers have found that depression during pregnancy can raise the risk of delivering an underweight baby or a premature infant. Some women with depression have difficulty caring for themselves during pregnancy. They may have trouble eating and won’t gain enough weight during the pregnancy; have trouble sleeping; may miss prenatal visits; may not follow medical instructions; have a poor diet; or may use harmful substances, like tobacco, alcohol, or illegal drugs.
Postpartum depression can affect a mother’s ability to parent. She may lack energy, have trouble concentrating, be irritable, and not be able to meet her child’s needs for love and affection. As a result, she may feel guilty and lose confidence in herself as a mother, which can worsen the depression. Researchers believe that postpartum depression can affect the infant by causing delays in language development, problems with emotional bonding to others,
behavioral problems, lower activity levels, sleep problems, and distress. It helps if the father or another caregiver can assist in meeting the needs of the baby and other children in the family while mom is depressed.
All children deserve the chance to have a healthy mom. All moms deserve the chance to enjoy their life and their children. Don’t suffer alone. If you are experiencing symptoms of depression during pregnancy or after having a baby, please tell a loved one and call you doctor or midwife right away.
Pregnancy and Pica Non-Food Cravings
Pica is the practice of craving substances with little or no nutritional value. Most pica cravings involve non-food substances such as dirt or chalk. The word pica is Latin for magpie, which is a bird notorious for eating almost anything.
It is true that the majority of women will experience cravings during pregnancy; however, most of these cravings are for things like pickles and ice cream. Pica cravings are most commonly seen in children and occur in approximately 25-30% of all children; pica cravings in pregnant women are even less common.
The reason that some women develop pica cravings during pregnancy is not known for certain. There is currently no identified cause; however, according to the Journal of American Dietetic Association there may be a connection to an iron deficiency.
Some speculate that pica cravings are the body’s attempt to obtain vitamins or minerals that are missing through normal food consumption. Sometimes pica cravings may be related to an underlying physical or mental illness.
The most common substances craved during pregnancy are dirt, clay, and laundry starch. Other pica cravings include: burnt matches, stones, charcoal, mothballs, ice, cornstarch, toothpaste, soap, sand, plaster, coffee grounds, baking soda, and cigarette ashes.
Eating non-food substances is potentially harmful to both you and your baby. Eating non-food substances may interfere with the nutrient absorption of healthy food substances and actually cause a deficiency. Pica cravings are also a concern because non-food items may contain toxic or parasitic ingredients.
Don’t panic; it happens and is not abnormal. The most important thing is to inform your doctor to make sure you have a complete understanding of the specific risks associated with your cravings. Here are some suggestions to help you deal with pica cravings:
Inform your doctor and review your prenatal health records
Monitor your iron status along with other vitamin and mineral intake
Consider potential substitutes for the cravings such as chewing sugarless gum
Inform a friend of your craving who can help you