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How Can You Manage Anxiety During Pregnancy?

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Anxiety is a common experience during pregnancy. Concerns regarding motherhood, labor, and delivery, potential health complications, and sudden lifestyle changes can all contribute to feelings of stress and apprehension. Although anxiety may be normal, if it persists or becomes severe, it may impact the health and wellbeing of both the mother and the baby. Therefore, it is important to learn about effective coping strategies and professional help options that can aid in managing anxiety during pregnancy. In this article, we will explore the causes and effects of anxiety during pregnancy, and provide various coping strategies that can alleviate anxiety symptoms. We will also discuss professional help options that can be availed by expectant mothers. By implementing these strategies, expectant mothers can improve their mental health and overall wellbeing during this crucial period.

Causes of Anxiety During Pregnancy

The causes of anxiety during pregnancy can stem from various reasons, and it is essential to identify them to manage the symptoms effectively. Some common causes of anxiety during pregnancy include hormonal changes, pre-existing mental health conditions, concerns about labor and delivery, and financial worries.

Hormones and physical changes

During pregnancy, the body undergoes significant physical and hormonal changes, which can trigger anxiety in some women. Fluctuations in estrogen and progesterone levels can cause mood swings, irritability, and anxiety. Additionally, physical changes such as weight gain, frequent urination, and discomfort can also trigger anxiety symptoms in pregnant women.

Previous mental health conditions

Women with pre-existing mental health conditions are more likely to experience anxiety during pregnancy. If you have a history of depression, anxiety disorders, or bipolar disorder, it is essential to let your healthcare provider know. You may be more prone to anxiety during pregnancy, and your healthcare provider can help put proactive treatments in place.

Concerns about labor and delivery

The thought of labor and delivery can be overwhelming and stressful for many pregnant women. Fear of the unknown, fear of pain, and concerns about complications can all contribute to anxiety symptoms. Education about childbirth and support networks can ease some of the concerns and provide a more reassuring childbirth experience.

Financial worries

Financial worries can add stress and anxiety to an already stressful situation. Concerns about job security, affording baby items, and childcare expenses can all cause anxiety in pregnant women. Creating a budget, financial planning, and seeking economic assistance can ease some of the stress caused by financial worries.

Being aware of these common causes of anxiety during pregnancy is a critical first step in coping with the symptoms. Fortunately, there are various strategies that can help manage anxiety and improve overall mental health during pregnancy.

Effects of Anxiety During Pregnancy

Pregnancy is a stressful time for most women, and experiencing occasional anxiety is common. However, persistent anxiety during pregnancy has far-reaching consequences and can negatively affect both the mother and the fetus. Here are some potential effects of anxiety during pregnancy:

Increased risk of preterm labor

Anxiety during pregnancy has been linked to preterm labor, which is labor that occurs before the 37th week of pregnancy. Women who experience high levels of anxiety and stress during pregnancy may have an increased risk of delivering a premature baby. Preterm labor can put the baby at risk for health complications and developmental delays.

Impact on fetal development

Anxiety and stress during pregnancy can impact fetal development and affect the baby's brain development. Studies have found that maternal anxiety during pregnancy affects the fetal brain's development and can lead to problems with cognitive, motor, and emotional development. High levels of anxiety during pregnancy have also been linked to an increased risk of attention deficit hyperactive disorder (ADHD) and behavioral problems in children.

Postpartum anxiety and depression

Anxiety during pregnancy can increase the risk of postpartum anxiety and depression. Women who experience prenatal anxiety are more likely to experience postpartum anxiety and depression, which can negatively affect their emotional well-being and ability to care for their baby. The negative effects of postpartum anxiety and depression can impact the mother-child bonding and the baby's long-term development.

Managing anxiety during pregnancy is essential for the mother and the baby's health and development. Communication with healthcare providers and the implementation of coping strategies can help manage anxiety symptoms and improve overall mental health during pregnancy.

Coping Strategies

Managing anxiety during pregnancy can be challenging, but it is essential for the mother's well-being and the baby's health. There are several coping strategies that expectant mothers can implement to manage anxiety symptoms effectively. Here are some coping strategies that can be useful during pregnancy:

Deep breathing and visualization exercises

Deep breathing exercises and visualization techniques can help manage anxiety symptoms during pregnancy. Expectant mothers can take deep breaths and visualize calming imagery to help reduce stress and anxiety levels. Daily practice of these exercises can help to improve mental clarity, which is especially important during pregnancy.

Regular exercise

Regular exercise is essential and highly beneficial during pregnancy, both for the physical and mental well-being of the mother. Exercise can help to reduce stress and anxiety levels by releasing feel-good hormones called endorphins. Expectant mothers should engage in low-impact exercises, such as prenatal yoga or walking, to manage anxiety and promote a healthy pregnancy.

Eating a healthy and balanced diet

A healthy and balanced diet is crucial for expectant mothers to manage anxiety levels during pregnancy. Proper nutrition can help regulate hormone levels, boost mood, and promote overall physical and emotional well-being. A balanced diet should include plenty of fruits, vegetables, whole grains, lean protein, and healthy fats.

Seeking support from loved ones

Pregnancy can be overwhelming, and seeking support from loved ones can help manage anxiety levels. Expectant mothers should reach out to their partners, family members, or friends, and express their feelings and emotions. Simply talking about anxiety can help in coping with anxiety symptoms. If professional help is needed, seeking psychological or mental healthcare can also be an effective coping strategy.

Mindfulness techniques

Mindfulness meditation and techniques can help manage anxiety symptoms by promoting relaxation and positive thinking during pregnancy. Expectant mothers can practice mindfulness by focusing on the present moment, engaging in deep breathing exercises, and practicing gratitude. Mindfulness can reduce stress and anxiety levels by easing negative thinking and promoting feelings of calm and relaxation.

Professional Help Options

While coping strategies can be effective, sometimes they may not be sufficient. It is important to recognize when professional help may be needed to manage anxiety during pregnancy. There are several professional help options that expectant mothers can explore.

Therapy and counseling

Therapy and counseling can help expectant mothers manage anxiety symptoms during pregnancy. Therapists and counselors can provide a safe and supportive space for mothers to talk about their feelings and emotions. They can help identify triggers and develop coping strategies to manage anxiety effectively. Cognitive-behavioral therapy (CBT) is a type of therapy that is especially helpful in managing anxiety during pregnancy. CBT helps to identify negative thoughts and behaviors and replaces them with positive ones.


In some cases, medication may be necessary to manage anxiety symptoms during pregnancy. Certain medications, such as selective serotonin reuptake inhibitors (SSRIs), are safe during pregnancy and can help manage anxiety. It is important to work closely with a physician to find the right medication and dosage, based on the mother's needs.

Alternative therapies

Expectant mothers can explore alternative therapies to manage anxiety during pregnancy. For example, acupuncture, massage, and mindfulness-based stress reduction (MBSR) are alternative therapies that may be helpful. Acupuncture and massage can provide relaxation and reduce stress levels, while MBSR can help develop mindfulness skills to manage anxiety symptoms.


Managing anxiety during pregnancy is important for both the mother's well-being and the baby's health. We have explored several coping strategies that expectant mothers can use to manage anxiety during pregnancy. To recap, these include deep breathing and visualization exercises, regular exercise, eating a healthy and balanced diet, seeking support from loved ones, and mindfulness techniques.

It is also important to recognize when professional help may be needed. Therapy and counseling, medication, and alternative therapies are options that expectant mothers can explore with the guidance of healthcare professionals. Finally, it is important to remember that managing anxiety during pregnancy is a process, and what works for one person may not work for another.

We encourage expectant mothers to seek help when needed and to remember that they do not have to face anxiety during pregnancy alone. With the right support and coping strategies, it is possible to have a successful pregnancy and birth. A positive outlook and a willingness to try different coping strategies can go a long way in managing anxiety during pregnancy. Remember, taking care of one's mental health is just as important as taking care of one's physical health during pregnancy.

William H. McDaniel, MD

Dr. Robert H. Shmerling is the former clinical chief of the division of rheumatology at Beth Israel Deaconess Medical Center (BIDMC), and is a current member of the corresponding faculty in medicine at Harvard Medical School.

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