Pregnancy brings excitement and worry. For some women, anxiety becomes constant and affects sleep, eating and enjoyment.
Untreated anxiety in pregnancy increases the risk of postpartum depression, so early help is worthwhile.
Key concepts
- Talking therapies are the first choice for mild to moderate anxiety
- Decisions about medicines weigh benefits and risks together
- Support from family matters greatly
Symptoms and signs
- Constant worry about the baby's health or delivery
- Panic attacks, poor sleep, restlessness
- Repeated checking or seeking reassurance
Causes
- Hormonal and life changes
- Previous pregnancy loss or complications
- Family pressure and relationship stress
Risk factors
- History of anxiety or depression
- Unplanned pregnancy or little support
- Pressure about the baby's sex
Evidence-based management
- Tell your obstetrician and get a mental health assessment
- CBT and relaxation techniques
- Medicines when anxiety is severe, chosen carefully for pregnancy
- Involve partner and family in support
When to seek professional help
- Anxiety stopping you from eating or sleeping
- Panic attacks
- Thoughts of self-harm — urgent
Frequently asked questions
Will my anxiety harm the baby?
Mild worry is normal. Severe untreated anxiety can affect both mother and baby — which is why treatment helps.
Can I continue my existing medicine during pregnancy?
Do not stop suddenly. Discuss with your psychiatrist and obstetrician as early as possible.
Medical references
Guidelines and official sources used for this article.
- Author
- Dr. Kuldeep Budania, MBBS, MD Psychiatry
- Medical reviewer
- Dr. Kuldeep Budania, MD Psychiatry
- Last reviewed
This article is for general information and is not a substitute for personal medical advice.
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