Is There a Baby in Your Future?

Six Emotional Challenges of Pregnancy

Whether you rejoice at the thought of pregnancy or are unsure of your feelings, pregnancy presents a significant emotional challenge.

No one questions the physical developments of pregnancy or the practical effects it has on your life. But the psychological implications of pregnancy are often overlooked, and a woman's wide range of feelings may be discounted as hormonal "mood swings."

Hormonal fluctuations of the first trimester certainly may contribute to some mood sensitivity. Beyond hormones, however, lies reality and the infinite variety of pressures and conflicts women face in their daily lives.

Your feelings about pregnancy, motherhood, and the people around you—including your mate—are bound to fluctuate during the course of nine months. There is a potential for unequaled joy in bringing this new life into your life. However, conflicts also may be a natural part of emotional growth. Recognize them as stepping stones in the pregnancy transition, and focus your energy on where you want to go.

Some issues that may arise in the early months of pregnancy and that may remain concerns throughout pregnancy and childbirth include the following:

Body Image, Sense of Control, Shifting Relationships, Mothering Expectations, Career Plans or Goals, and The Marriage Relationship.

Body Image

Some women revel in the feel of pregnancy, and the look of it, too. Others feel unattractive and believe others see them that way. Often the negative body image has to do with "feeling fat" in a culture that frowns on overweight women.

Simply put, there isn't any way to avoid developing a pregnant shape during pregnancy without placing your baby at a serious health risk. So, the most practical—and healthful—response is to adopt a more favorable view of the pregnant body. Recognize the changes as healthy signs of nature at its most impressive—creating a new life! Ask for a little moral support and encouragement from your mate and your friends. If you feel depressed or angry about your body, discuss your feelings with your physician or a professional counselor.

Sense of Control

A woman may feel that with pregnancy she has lost control of her body, and, in a larger sense, her life. Approaching childbirth, she may fear "losing control" of the labor process. Preparation—whether for childbirth or in more practical matters at work or home—can help restore feelings of competence and confidence in her ability to manage whatever comes her way.

Shifting Relationships

Under the strain of pregnancy adjustments, the emotional fabric of relationships at home or work may seem to wear thin. The issues typically change as pregnancy progresses, but successful ways of easing the stress often begin with open and nonjudgmental discussion. Professional counseling may be helpful in identifying new ways of responding to conflict in relationships.

Mothering Expectations

Many women approach motherhood—or mothering a larger family—with enough confidence and good humor to ward off serious concerns about their mothering ability. However, depending on her own view of motherhood and what it should be, a woman may develop unrealistic expectations of herself, then worry about her ability to live up to them. Try to give yourself the freedom and emotional room to develop your own mothering style—and you can't start that until the baby arrives!

Career Plans or Goals

This can be one of the most difficult issues to sort out during pregnancy, and it may be a continuing source of inner conflict or family friction. Some women have no choice but to return to work after the baby is born. Others have a choice, but find the decision difficult. If your situation allows flexibility, put off making a firm decision until you have spent time at home with your baby.

The Marriage Relationship

Pregnancy is sometimes referred to as a "crisis" point in marriage due to the unusual amount of stress placed on the partners as individuals and on their emotional partnership. A troubled marriage is especially vulnerable to stress, but even the strongest marriage benefits from some special attention.

As you progress through pregnancy and into parenting, encourage your mate to express his feelings and try to help him understand yours. Especially during the early months of pregnancy, a new father may worry about his ability to support the family, or about the effects of the pregnancy on the marriage. Because the physical aspects of pregnancy at this point are all yours, he may have a difficult time feeling involved in the pregnancy.

Encourage him to talk to other fathers and to take an active role in the pregnancy, perhaps by accompanying you to a prenatal checkup to meet and talk with your doctor. Adapt your pregnancy fitness goals to reflect a concern for fatherly fitness, and suggest ways he can involve himself with your joint physical well-being—massage, cooking healthful meals, or accompanying you on evening walks.

Remember, too, that he may not come across pregnancy information as readily as you do. You can help build a feeling of partnership by sharing helpful articles or insights, encouraging his questions, and rewarding his questions with honest, thoughtful answers.

As with any relationship issues, if you and your mate reach a troublesome impasse, professional counseling may be highly effective in helping you progress together to a more satisfying common ground.

Plotting Your Pregnancy . . .

Navigating your way through relationship changes may prove to be one of the biggest challenges of the pregnancy experience. Pregnancy transforms a woman's body temporarily, but it changes her life forever. Pregnancy is much more than a "health condition." It is a life transition—a bridge from one period of your life to another. The more you understand about what's happening within your body and in your relationships with others, the more likely you'll be able to enjoy this time and make a successful transition to your new life!

Excerpted from A Woman's Own Guide to Pregnancy and Childbirth, Women's Healthcare Press.


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