Written by Jumoke

During pregnancy, occasional worries are normal due to hormonal changes, but persistent stress can harm both maternal and foetal health, leading to complications like preterm birth and low birth weight.

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During pregnancy, it’s natural to have some worries and feel anxious from time to time due to the hormonal changes in your body. However, if these feelings persist or become too intense, they can negatively affect you and your baby’s health. 

Studies have shown that prolonged periods of severe stress have been linked to complications such as preterm birth and low birth weight and can even contribute to sleep and behavioural issues later on. This article discusses the symptoms, causes, its effects on pregnancy, and most importantly, how to manage it effectively.

Symptoms of Stress During Pregnancy

Stress is common during pregnancy, but its symptoms can vary from person to person. Some women may experience physical symptoms like nausea and headaches, while others may notice changes in mood or emotional ups and downs.

Each individual may react differently to stress, so it’s important to recognise and address these symptoms accordingly.

  • Elevated heart rate

  • Fatigue or low-energy

  • Difficulty concentrating or making decisions

  • Rapid or shallow breaths

  • Sleep disturbances, such as difficulty falling asleep or staying asleep

  • Digestive issues such as stomach pain, nausea, or diarrhoea

  • Feelings of sadness or depression

  • Withdrawal from family and friends

  • The need to be around other people or afraid of being alone

  • Persistent worry or anxiety 

  • Teeth grinding 

  • Feelings of anger

  • Obsessive thoughts

  • Changes in eating habits, including overeating, under eating, or consuming unhealthy foods

  • Difficulty unwinding or relaxing

Causes of Stress During Pregnancy

According to healthline, causes of stress commonly experienced by many women during pregnancy include:

  • Hormonal fluctuations, weight gain, and physical discomforts like nausea, fatigue, mood swings and back pain can all contribute to stress.

  • The anticipation and responsibility of becoming a parent, coupled with fears about childbirth and parenting, can cause emotional stress.

  • Balancing work responsibilities with pregnancy-related physical discomforts and preparing for maternity leave can be stressful.

  • Relationship dynamics may shift during pregnancy, leading to conflicts or concerns about changes in roles and responsibilities.

  • Previous miscarriages, stillbirths, or difficult childbirth experiences can increase anxiety and stress during subsequent pregnancies.

  • Other life events such as moving, job changes, or family issues can add stress during pregnancy.

  • The cost of prenatal care, childbirth, and preparing for a new baby can create financial strain and stress.

Types of Stress That can Affect Pregnancy

Expectant mothers may experience significant stress related to their pregnancy. This stress can be triggered by worries about pregnancy loss, concerns about the baby’s health, anxieties regarding labour and delivery, or uncertainties about adjusting to parenthood. If these feelings become overwhelming, reaching out to your healthcare provider for support and guidance is important.

Depression and anxiety are both significant mental health conditions that can have a profound impact on your well-being during pregnancy. Depression is the feelings of sadness and a loss of interest in activities you once enjoyed, affecting your thoughts, emotions, and behaviours, ultimately interfering with your daily life. 

On the other hand, anxiety is the feeling of worry or fear about future events or situations, leading to heightened stress levels. If you were already managing these conditions before becoming pregnant, it’s crucial to consult your provider before making any changes to your medication regimen. Abruptly stopping medication can pose risks for both you and your baby.

This type of stress, also known as chronic stress, arises from prolonged exposure to stressful situations or conditions. Experiencing racism throughout your life can increase stress levels. Other things that can cause this type of stress include ongoing financial problems, being in an abusive relationship, living in an unsafe or unstable environment, or dealing with serious health issues.

These are major disasters that can cause widespread devastation and disrupt entire communities. Examples include earthquakes, hurricanes, or terrorist attacks. These events can lead to loss of life, injuries, destruction of property, displacement of people, and significant emotional trauma.

According to the march of dimes ( A Mom and Baby Network), negative life events are significant and distressing occurrences that can profoundly impact a person’s well-being and stability. Examples of negative life events include divorce, experiencing a serious illness or the death of a loved one, losing a job, or facing homelessness. These events often bring emotional upheaval, financial strain, and uncertainty about the future.

Types of Stress That can Affect Pregnancy

Expectant mothers may experience significant stress related to their pregnancy. This stress can be triggered by worries about pregnancy loss, concerns about the baby’s health, anxieties regarding labour and delivery, or uncertainties about adjusting to parenthood. If these feelings become overwhelming, reaching out to your healthcare provider for support and guidance is important.

Depression and anxiety are both significant mental health conditions that can have a profound impact on your well-being during pregnancy. Depression is the feelings of sadness and a loss of interest in activities you once enjoyed, affecting your thoughts, emotions, and behaviours, ultimately interfering with your daily life. 

On the other hand, anxiety is the feeling of worry or fear about future events or situations, leading to heightened stress levels. If you were already managing these conditions before becoming pregnant, it’s crucial to consult your provider before making any changes to your medication regimen. Abruptly stopping medication can pose risks for both you and your baby.

This type of stress, also known as chronic stress, arises from prolonged exposure to stressful situations or conditions. Experiencing racism throughout your life can increase stress levels. Other things that can cause this type of stress include ongoing financial problems, being in an abusive relationship, living in an unsafe or unstable environment, or dealing with serious health issues.

These are major disasters that can cause widespread devastation and disrupt entire communities. Examples include earthquakes, hurricanes, or terrorist attacks. These events can lead to loss of life, injuries, destruction of property, displacement of people, and significant emotional trauma.

According to the march of dimes ( A Mom and Baby Network), negative life events are significant and distressing occurrences that can profoundly impact a person’s well-being and stability. Examples of negative life events include divorce, experiencing a serious illness or the death of a loved one, losing a job, or facing homelessness. These events often bring emotional upheaval, financial strain, and uncertainty about the future.

How Stress Affects Pregnancy

Stress is a complex phenomenon, and while its effects on overall health are not fully understood, there seems to be a connection between elevated stress levels and specific health issues and complications during pregnancy.

  • Elevated stress levels during pregnancy can lead to high blood pressure, which in turn raises the risk of preterm labour or having a baby with low birth weight.

  • Chronic stress over time can elevate blood pressure and lead to hypertension, which puts a person at risk of developing preeclampsia.

  • Chronic stress can impact a person’s health more broadly during pregnancy. Elevated stress levels can weaken the immune system, making one more vulnerable to infections.

  • Elevated cortisol levels during pregnancy can potentially raise cortisol levels in the foetus, which may increase the risk of developmental issues. However, some studies may offer conflicting evidence on this matter.

  • A review of studies conducted in 2017 found a link between prenatal stress and an increased risk of miscarriage. The research revealed that women who experienced major negative life events or psychological stress during pregnancy were twice as likely to have early miscarriages.

  • Stress can exacerbate common pregnancy discomforts such as difficulty sleeping, body aches, and morning sickness.

  • You may experience eating difficulties, such as not eating enough or too much. This can lead to being underweight or gaining excessive weight during pregnancy.

  • Stress can influence how you react to certain situations. Some women may cope with stress by resorting to unhealthy habits such as smoking, consuming alcohol, or using street drugs, which can pose serious health risks for mother and baby.

Effects of Stress on Babies After Birth

A study of maternal stress  suggests that children may have a higher likelihood of developing attention deficit hyperactivity disorder (ADHD) if their mothers experience prenatal stress.

Research indicates that stress experienced during the first trimester of pregnancy can have adverse effects on the composition of microbes in the vagina. When a baby is born vaginally, they are exposed to these microbes, influencing the development of their gut microbiome and brain. The altered microbes can also impact the infant’s immune system and metabolism.

Studies have shown that Pregnant women who feel very anxious or depressed even before getting pregnant may have babies who struggle with sleep after birth. These babies have a higher chance of having sleep problems during their first year.

How to Reduce Stress During Pregnancy

If you’re currently employed, it’s important to plan for your maternity leave with your employer. This includes discussing your leave dates, arranging work coverage, and ensuring a smooth transition during your absence. Additionally, try to use any available time off to give yourself extra opportunities to relax and prepare for your baby’s arrival.

Understand that the discomforts experienced during pregnancy are temporary and will eventually pass. It is important to discuss these discomforts with your healthcare provider, who can offer guidance and advice on managing them effectively.

This can include your partner, family, and friends. They can provide emotional support, practical assistance, and reassurance throughout your pregnancy journey. If you don’t have a strong support network or need additional resources, you can also ask your healthcare provider about community resources available to help you during this time.

Maintain your health and fitness during pregnancy by consuming nutritious foods and exercising regularly with your healthcare provider’s approval. Exercise can reduce stress and prevent typical discomforts associated with pregnancy.

If you suspect you may be experiencing depression or anxiety, it’s essential to speak with your healthcare provider promptly. Seeking treatment early in pregnancy is safe and crucial for your and your baby’s well-being.

Consider incorporating relaxation activities such as prenatal yoga or meditation into your routine. These practices can help you manage stress and mentally and physically prepare for labour and childbirth.

Enrol in a childbirth education class to learn about pregnancy and childbirth. Learning about what to expect during pregnancy and when your baby arrives can help you feel more prepared and confident.

Listening to music, even for just 30 minutes, can help reduce cortisol levels, which is the body’s primary stress hormone. It’s a simple and effective way to incorporate stress-reduction techniques into your daily routine.

Indulge in a warm (not hot) bath or treat yourself to a prenatal massage to ease the aches and discomforts of pregnancy. Alternatively, you can ask your partner for a soothing foot rub. These activities not only provide quick relief for physical discomfort but also serve as effective stress relievers.

Slow down and permit yourself to ease up on the pressure. Consider removing a task or two from your to-do list instead of trying to do everything or delegate tasks to someone else.

Get enough sleep during pregnancy. Good sleep helps you feel refreshed and rejuvenated. If you don’t get enough sleep, it can worsen stress and make it harder to deal with everyday challenges. So, prioritise rest and aim for a good night’s sleep to help manage stress better during pregnancy.

Talking about your concerns can be incredibly helpful during pregnancy. It’s common to feel anxious about things like labour, but remember that you’re not alone in these feelings. Many other expectant mothers are likely experiencing similar thoughts. Reach out to pregnant women or new parents for support.

Whether through friends, family, online chat groups, or message boards, sharing your feelings and connecting with others who understand can provide valuable support and help you manage stress during pregnancy.

It’s perfectly fine to reach out and ask for assistance when you need it. Your friends, family, neighbours, and co-workers likely want to help but may not know how to offer. If they offer help, it’s wise to accept it. You can ask for help with tasks like creating a baby registry, preparing meals for the freezer, or shopping for cribs. Don’t hesitate to lean on your support network during this time. It can make a big difference.

How to Reduce Stress During Pregnancy

If you’re currently employed, it’s important to plan for your maternity leave with your employer. This includes discussing your leave dates, arranging work coverage, and ensuring a smooth transition during your absence. Additionally, try to use any available time off to give yourself extra opportunities to relax and prepare for your baby’s arrival.

Understand that the discomforts experienced during pregnancy are temporary and will eventually pass. It is important to discuss these discomforts with your healthcare provider, who can offer guidance and advice on managing them effectively.

This can include your partner, family, and friends. They can provide emotional support, practical assistance, and reassurance throughout your pregnancy journey. If you don’t have a strong support network or need additional resources, you can also ask your healthcare provider about community resources available to help you during this time.

Maintain your health and fitness during pregnancy by consuming nutritious foods and exercising regularly with your healthcare provider’s approval. Exercise can reduce stress and prevent typical discomforts associated with pregnancy.

 If you suspect you may be experiencing depression or anxiety, it’s essential to speak with your healthcare provider promptly. Seeking treatment early in pregnancy is safe and crucial for your and your baby’s well-being.

Consider incorporating relaxation activities such as prenatal yoga or meditation into your routine. These practices can help you manage stress and mentally and physically prepare for labour and childbirth.

Enrol in a childbirth education class to learn about pregnancy and childbirth. Learning about what to expect during pregnancy and when your baby arrives can help you feel more prepared and confident.

Listening to music, even for just 30 minutes, can help reduce cortisol levels, which is the body’s primary stress hormone. It’s a simple and effective way to incorporate stress-reduction techniques into your daily routine.

Indulge in a warm (not hot) bath or treat yourself to a prenatal massage to ease the aches and discomforts of pregnancy. Alternatively, you can ask your partner for a soothing foot rub. These activities not only provide quick relief for physical discomfort but also serve as effective stress relievers.

Slow down and permit yourself to ease up on the pressure. Consider removing a task or two from your to-do list instead of trying to do everything or delegate tasks to someone else.

Get enough sleep during pregnancy. Good sleep helps you feel refreshed and rejuvenated. If you don’t get enough sleep, it can worsen stress and make it harder to deal with everyday challenges. So, prioritise rest and aim for a good night’s sleep to help manage stress better during pregnancy.

Talking about your concerns can be incredibly helpful during pregnancy. It’s common to feel anxious about things like labour, but remember that you’re not alone in these feelings. Many other expectant mothers are likely experiencing similar thoughts. Reach out to pregnant women or new parents for support.

Whether through friends, family, online chat groups, or message boards, sharing your feelings and connecting with others who understand can provide valuable support and help you manage stress during pregnancy.

It’s perfectly fine to reach out and ask for assistance when you need it. Your friends, family, neighbours, and co-workers likely want to help but may not know how to offer. If they offer help, it’s wise to accept it. You can ask for help with tasks like creating a baby registry, preparing meals for the freezer, or shopping for cribs. Don’t hesitate to lean on your support network during this time. It can make a big difference.

When to Seek Medical Help

It’s important to seek medical help for stress during pregnancy if you’re experiencing severe or persistent symptoms that interfere with your daily life or well-being. The earlier you seek assistance, the sooner excessive stress is addressed or prevented. This includes 

  • Feeling extremely scared of giving birth.

  • Having persistent, unwanted thoughts that can’t be controlled.

  • Engaging in repetitive behaviours like counting or checking to alleviate distress.

  • Have panic attacks.

  • Experiencing physical symptoms from anxiety, such as rapid heartbeat, fast breathing, dizziness, nausea, sweating, or diarrhoea.

  • Experiencing persistent feelings of anxiety, low mood, or depression lasting more than two weeks.

Key Facts

  • Stress during pregnancy can cause various symptoms like trouble sleeping, headaches, rapid heart rate, fatigue, difficulty concentrating, and emotional changes such as anxiety and sadness.

  • Physical discomforts like nausea, fatigue, mood swings and back pain can all contribute to stress during pregnancy.

  • Depression and anxiety are both significant mental health conditions that can have a profound impact on your well-being during pregnancy.
     
  • Elevated cortisol levels during pregnancy can potentially raise cortisol levels in the foetus, which may increase the risk of developmental issues.

  • Pregnant people who feel very anxious or depressed even before getting pregnant may have babies who struggle with sleep after birth.

  • Listening to music, even for 30 minutes, can help reduce cortisol levels, the body’s primary stress hormone.

  • It’s important to seek medical help for stress during pregnancy if you’re experiencing severe or persistent symptoms that interfere with your daily life or well-being.

Frequently Asked Questions

According to the March of Dimes (A Mom and Baby Action Network), elevated stress levels during pregnancy can potentially lead to various issues during childhood, such as difficulties with attention and other mental health conditions. Additionally, stress during pregnancy may impact your baby’s brain development and immune system.

If you find yourself constantly struggling with worry and anxiety that you can’t seem to overcome, it’s important to inform your healthcare provider. Likewise, if you’re experiencing ongoing sleep disturbances, loss of appetite for an extended period, or engaging in unhealthy behaviours due to stress, it’s essential to reach out to your doctor. 

Pregnancy-related anxiety or depression is a serious issue that warrants attention and treatment, so don’t hesitate to share your feelings with your doctor. They can provide support, guidance, and appropriate interventions to help you navigate these challenges and promote your well-being during pregnancy.

A study of maternal Stress during Pregnancy indicates that stress during pregnancy can indeed lead to restricted foetal growth. This is because stress can negatively impact both foetal growth and development. Even expectant mothers without a diagnosed mental health condition like depression or anxiety may experience adverse outcomes such as restricted foetal growth and premature birth due to stress.

The exact mechanisms by which stress impacts pregnancy are not fully understood. However, certain stress-related hormones may contribute to certain pregnancy complications. Prolonged or severe stress can also weaken your immune system, which normally defends against infections. This weakened immune response can elevate your susceptibility to infections, and certain infections can subsequently increase the risk of preterm birth.

According to the March of Dimes (A Mom and Baby Action Network), women with PTSD have a higher risk of delivering a preterm or low-birthweight baby compared to those without the disorder. Post-traumatic stress disorder (PTSD) is a condition that develops following exposure to a distressing or traumatic event, such as rape, abuse, natural disasters, terrorist attacks, or the loss of a loved one. 

Individuals with PTSD may experience severe anxiety, flashbacks of the traumatic event, nightmares, and physical responses like an increased heart rate or sweating when reminded of the event. 

They may be more likely to engage in harmful coping mechanisms such as smoking, alcohol consumption, or substance use, which can further raise the risk of pregnancy complications.

Frequently Asked Questions

According to the March of Dimes (A Mom and Baby Action Network), elevated stress levels during pregnancy can potentially lead to various issues during childhood, such as difficulties with attention and other mental health conditions. Additionally, stress during pregnancy may impact your baby’s brain development and immune system.

If you find yourself constantly struggling with worry and anxiety that you can’t seem to overcome, it’s important to inform your healthcare provider. Likewise, if you’re experiencing ongoing sleep disturbances, loss of appetite for an extended period, or engaging in unhealthy behaviours due to stress, it’s essential to reach out to your doctor. 

Pregnancy-related anxiety or depression is a serious issue that warrants attention and treatment, so don’t hesitate to share your feelings with your doctor. They can provide support, guidance, and appropriate interventions to help you navigate these challenges and promote your well-being during pregnancy.

A study of maternal Stress during Pregnancy indicates that stress during pregnancy can indeed lead to restricted foetal growth. This is because stress can negatively impact both foetal growth and development. Even expectant mothers without a diagnosed mental health condition like depression or anxiety may experience adverse outcomes such as restricted foetal growth and premature birth due to stress.

The exact mechanisms by which stress impacts pregnancy are not fully understood. However, certain stress-related hormones may contribute to certain pregnancy complications. Prolonged or severe stress can also weaken your immune system, which normally defends against infections. This weakened immune response can elevate your susceptibility to infections, and certain infections can subsequently increase the risk of preterm birth.

According to the March of Dimes (A Mom and Baby Action Network), women with PTSD have a higher risk of delivering a preterm or low-birthweight baby compared to those without the disorder. Post-traumatic stress disorder (PTSD) is a condition that develops following exposure to a distressing or traumatic event, such as rape, abuse, natural disasters, terrorist attacks, or the loss of a loved one. 

Individuals with PTSD may experience severe anxiety, flashbacks of the traumatic event, nightmares, and physical responses like an increased heart rate or sweating when reminded of the event. 

They may be more likely to engage in harmful coping mechanisms such as smoking, alcohol consumption, or substance use, which can further raise the risk of pregnancy complications.

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2. Coussons-Read, M.E., 2013. Effects of prenatal stress on pregnancy and human development: mechanisms and pathways. Obstetric medicine, 6(2), pp.52-57.

3. Eunice Kennedy Shriver National Institute Of Child Health and Human Development. Will stress during pregnancy affect my baby?.

4. Grizenko, N., Fortier, M.E., Zadorozny, C., Thakur, G., Schmitz, N., Duval, R. and Joober, R., 2012. Maternal stress during pregnancy, ADHD symptomatology in children and genotype: gene-environment interaction. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 21(1), p.9.

5. Healthline. Stress and its Effect on Your Baby Before and After Birth.

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7. March Of Dimes. Stress and Pregnancy.

8. Medical News Today. How much stress is too much during pregnancy.

9. Morey JN, Boggero IA, Scott AB, Segerstrom SC. Current directions in stress and human immune function. Current opinion in psychology. 2015 Oct 1;5:13-7.

10. Qu, F., Wu, Y., Zhu, Y.H., Barry, J., Ding, T., Baio, G., Muscat, R., Todd, B.K., Wang, F.F. and Hardiman, P.J., 2017. The association between psychological stress and miscarriage: a systematic review and meta-analysis. Scientific reports, 7(1), p.1731.

11. Ventura, T., Gomes, M.C. and Carreira, T., 2012. Cortisol and anxiety response to a relaxing intervention on pregnant women awaiting amniocentesis. Psychoneuroendocrinology, 37(1), pp.148-156.

12. Vianna, P., Bauer, M.E., Dornfeld, D. and Chies, J.A.B., 2011. Distress conditions during pregnancy may lead to pre-eclampsia by increasing cortisol levels and altering lymphocyte sensitivity to glucocorticoids. Medical hypotheses, 77(2), pp.188-191.

13. Zietlow, A.L., Nonnenmacher, N., Reck, C., Ditzen, B. and Müller, M., 2019. Emotional stress during pregnancy–Associations with maternal anxiety disorders, infant cortisol reactivity, and mother–child interaction at pre-school age. Frontiers in Psychology, 10, p.2179.

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