Winter is causing pregnancy distress

In 2024 and presumably 2025, approximately 3.6 million births occurred annually in the United States. As much as bringing new life into the world is an honor, many soon-to-be mothers, especially first-time mothers, experience overwhelming challenges. Culturally, in the United States, we are accustomed to being individualistic and fending for ourselves. Others tend to hold high respect and care for certain individuals, especially women who are pregnant. Yes, being pregnant can be a choice, but sometimes it is the result of unprecedented, dreadful circumstances. Regardless, I hope this inspires people to be kinder to pregnant women. Not to pity them, but to respect them and make their lives a little easier.

On Dec. 11, I had the privilege of speaking with Dr. Anjali Rao, obstetrician-gynecologist and Sequoia Hospital’s chief medical officer. Primarily, Dr. Rao and leading OB/GYNs are “... urging awareness and proactive measures to safeguard maternal mental health this winter.” Prenatal care is crucial for a healthy pregnancy and unfortunately, around 25% of women are not receiving this type of care in their first trimester. Women experience waves of hormonal imbalances and physical symptoms during pregnancy, most commonly, morning sickness, fatigue, cravings, aversions and cramping. Unfortunately, many women will wait until their symptoms become unbearable to seek help due to medical gaslighting, education gaps, being uninsured or other barriers. Dr. Rao shared some symptoms, particularly dealing with SAD that pregnant women should not ignore.

SAD is characterized by a form of depression that occurs seasonally. Currently in modern research, winter-pattern SAD is more widely known and can last for four to five months out of the year. It is estimated that 10 million Americans have SAD, affecting more women than men. In general, this leads to persistent sadness, feelings of hopelessness, loss of interest in hobbies and activities, changes in sleep, and difficulty concentrating (to name a few). Hormonal changes and pre-existing mental health issues can amplify these emotions, making it crucial they get evaluated before it starts affecting the mother’s well-being and the baby’s health. Dr. Rao explained that “undiagnosed or untreated depression during pregnancy, including SAD, can increase the risk of preterm birth, low birth weight and postpartum depression.” Postpartum depression affects 10-15% of women, with 50% being observed and undiagnosed, according to the National Institutes of Health.

OB/GYNs have several recommendations for pregnant individuals who are going through SAD, prioritizing natural interventions. Advice includes, prioritizing safe sunlight exposure (or getting your own “happy lamp”), having a consistent sleep schedule (seven to nine hours), staying active, having a balanced diet and practicing self-care. Pregnancy can be a difficult period, making it crucial to connect and socialize with family, friends and support groups.

Taking time to oneself and doing activities that promote relaxation can also ease SAD symptoms. Most importantly, OB/GYNs are familiar with the struggles. Speaking to them directly concerning interventions and extra support (therapy, support groups or antidepressant medications if appropriate) can make patients feel heard and protect mothers and their babies.

It is clear that pregnancy can take a drastic toll on a woman’s life. There are so many factors to maternal well-being and saying the wrong things(even if they are well-intended) can feel disrespectful, provoking or trigger anxious feelings. After reading up on how to speak to pregnant women, a general rule of thumb (if you are a stranger) is “don’t say anything to a pregnant woman that you would not say to a non-pregnant woman.”

As for the warriors themselves, remember that pregnancy is different for every woman.  A typical prenatal appointment schedule allows for monthly appointments during the first 28 weeks. Afterwards, more frequent appointments are recommended up to the delivery of the baby. It is OK to seek help when things start getting difficult, as delaying outreach for support can be unsafe.

I want to hear from you! Message me today: giselle@smdailyjournal.com

Giselle Espinoza is a longtime San Mateo resident with a bachelor’s degree in communications, working in health care administration. She brings a Gen Z perspective and slight coffee addiction.