Caring for Your Emotional Health During Pregnancy
Pregnancy is often described as one of life’s most transformative journeys—and that’s true in more ways than one. Alongside the physical changes, many women experience a wide range of emotional shifts that can feel exciting, overwhelming, or even completely unexpected. As an obstetrician who’s had the privilege of walking beside many women through their pregnancies, I want to highlight something that’s just as important as your blood pressure or your scan results: your emotional health.
Why Emotional Health Matters
When we think about pregnancy care, we tend to focus on physical milestones—the ultrasounds, the tests, the growing belly. But mental and emotional well-being are just as vital to a healthy pregnancy and birth experience.
Pregnancy can stir up feelings from every corner of life: joy, fear, grief, hope, anxiety, and love. Sometimes, these feelings come and go. Other times, they hang around longer than expected. Understanding what’s normal—and when to reach out for help—is key.
Common Emotional Experiences in Pregnancy
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Mood swings: Hormonal changes can heighten emotions, making you feel tearful, irritable, or anxious without warning. It’s completely normal.
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Anxiety about the future: Worries about labour, parenting, relationships, or finances are incredibly common. You’re not alone.
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Body image challenges: As your body changes, your relationship with it might shift too. That’s a valid and shared experience.
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Isolation: Even with support around you, pregnancy can sometimes feel lonely. This is especially true if you’re navigating a high-risk pregnancy or if it’s taken a long road to get here.
When to Reach Out
Some emotional ups and downs are part of the journey. But if you're feeling persistently low, anxious, or overwhelmed, it’s important to speak to someone. This might be your GP, your midwife, or your obstetrician (yes, you can talk to me about this too). Signs that you might need extra support include:
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Constant feelings of sadness or hopelessness
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Panic attacks or persistent anxiety
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Difficulty bonding with the baby
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Withdrawing from loved ones
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Trouble sleeping or eating due to emotional distress
There’s no shame in seeking support—it’s a sign of strength, not weakness. And the earlier we talk about it, the better.
Looking After Your Emotional Wellbeing
Here are a few ways to nurture your mental and emotional health during pregnancy:
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Stay connected: Talk to your partner, family, or trusted friends about how you’re feeling. Social support is a powerful buffer against stress.
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Set realistic expectations: You don’t have to “glow” all the time. It’s okay to have hard days.
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Move your body gently: Physical activity—like walking, stretching, or prenatal yoga—can do wonders for your mood.
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Create space for rest: Rest isn’t a luxury during pregnancy—it’s a necessity.
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Practice self-compassion: Speak to yourself with the kindness you’d offer a close friend.
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Seek professional help if needed: A psychologist, perinatal counsellor, or support group can be incredibly helpful.
Let’s Talk About It
As your obstetrician, my job isn’t just to care for your body—I’m here to support your whole experience, including your emotional wellbeing. If you’re feeling uncertain, down, or simply need to talk, know that my door is always open.
Pregnancy is a complex, beautiful, sometimes messy chapter. And you don’t have to walk through it alone.
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Dr Stephen Cole
Obstetrician | High-Risk Pregnancy & Twins Specialist
By Steve – Real talk, real care.