Having Another Baby After Experiencing Postnatal Depression: What You Need To Know | HuffPost Life

Remember: It's okay not to be okay.

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Life editor at HuffPost UK

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It can be daunting for a mother to think about having another child after experiencing postnatal depression.

Chrissy Teigen has opened up about her experience of the condition and said she wouldn’t let it stop her from expanding her family.

“Maybe I should be scared [of having PND again],” she told Marie Claire. “But I don’t know. It couldn’t be any worse than it was, could it?”

We spoke to Donna Collins, managing director of PANDAS Foundation and Dr Raja Gangopadhyay, a consultant obstetrician with a special interest in Perinatal Mental Health (PMH) about how women facing this issue can cope.

“It is common. We hear from women experiencing this dilemma a lot,” Collins told HuffPost UK. “They’ve had PND, are scared about having a baby and they panic.”

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If I’ve had postnatal depression before, will I definitely get it again?

The simple answer is no. Collins said there is a roughly one in two chance that you are likely to develop PND for a second time.

“But there is no hard and fast rule,” she said. “Even if you have had any mental health condition before, that’s not to say you will definitely experience it again.”

Dr Gangopadhyay said from his experience, PND is recurrent in about 25-50% of mums who have had it before.

However, this is a rough estimate, as he added: “Whether you’ll experience PND again depends on so many factors. For example, how severe the condition was, if the baby was not well or any other circumstances surrounding the birth.”

What should I do if I’m planning to fall pregnant again?

Dr Gangopadhyay said if women who have had PND are planning to have another child, they should take appropriate measures to reduce the risk of recurrence.

To do this, the first thing they should do is speak to their GP about planning to fall pregnant again.

“Your symptoms may be different the second time around,” he explained. “So it’s best to have medical advice as soon as possible.”

Explain to your GP what your symptoms were before, how you felt and what support you received at the time.

I’m still on medication for PND, should I stop taking it?

“When women are still on medication, they often worry about the harm to their baby,” explained Collins. “But more harm can be done by stopping medication.”

Dr Gangopadhyay said it is extremely important to consult your doctor before making any changes to your medication, even when you’re planning pregnancy.

“Women should let their GP or mental health team know they are planning to fall pregnant and review medications,” he said.

“The most important thing is that symptoms should be controlled and medication should only be stopped under supervision.

“Seven out of 10 mothers who stop their medication [while pregnant] have a recurrence of symptoms, which is why it’s advised not to stop taking it without medical advice.”

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What should I do when I find out I’m pregnant?

Collins said women need to ensure they have a team in place around them for support.

She advised women not to wait for their first routine appointment with their midwife, but to book one in with their GP or midwife as soon as possible.

“Be honest and upfront about how you feel,” advised Collins. “If people are in possession of all the facts about how you’re feeling, then they can help you better.”

Talking about how you’re feeling to friends and family is just as important.

“It can be helpful to speak to your family members to express how you’re feeling,” added Dr Gangopadhyay.

“Even if your worries are just mild, they can be dealt with effectively just by talking to someone. Remember, it is okay not to be okay.”

What if I find it hard to talk about how I’m feeling?

Collins said many women will find it hard to put into words how they are feeling, or feel ashamed to talk about it.

“It’s very hard to bare your soul to people you don’t know very well,” she said.

“Take someone with you to an appointment who you can trust or, if you can’t say the words, write it down and give it to the healthcare professional.”

How else can I support myself during pregnancy?

Dr Gangopadhyay said self care is extremely important.

“Taking adequate rest and sleep is vital,” he said. “Sleep deprivation is a complicated factor of PND.

“Women need to make sure they have a good diet and exercise, as well as doing something that they enjoy doing, such as going out for a walk or having time to yourself. This is incredibly helpful during pregnancy.

“Women so often focus on how they are going to look after their child that sometimes they forget about themselves, but they need to look after themselves.”

Where can I go for support during this time?

PANDAS foundation have support groups, where you can attend for face-to-face support, or use their one-to-one email support.

They also have a network of peers who have experienced postnatal depression in a private group and are willing to support others when needed.

For more information and support:
Mind: A mental health charity there to make sure no one has to face a mental health problem alone. Call: 0300 123 3393.
Pandas Foundation: Charity to support and advise any parent who is experiencing a perinatal mental illness. Call: 0843 28 98 401.
Mothers for Mothers: A postnatal depression support group with information and peer advice. Call: 0117 975 6006.
PNI: A website run by women who have suffered from postnatal illnesses to share personal experiences and offer support.

Before You Go

Pregnancy worries and words of comfort

I have no morning sickness! Is that bad news?(01 of10)

You might have read things about how morning sickness signifies a healthy level of pregnancy hormones – but not having morning sickness does not mean you're lacking! Although many women suffer with it (and 'suffer' really is the word), many other women do not. Some women have it one pregnancy, but not in another. Attend all your usual checks and count yourself as one of the lucky ones! (credit:Alamy )

I drank before I knew I was pregnant, I might have harmed the baby(02 of10)

This happens to many, many expectant mums, and it's unlikely to be a cause for concern at all. Mention it to your GP/midwife, and just keep off the booze now, until you can enjoy a celebratory glass of fizz when your bundle arrives. (credit:Alamy )

I'll lose the baby(03 of10)

It's estimated about one in five pregnancies ends in early miscarriage, and it's thought most of those occur simply because the foetus wasn't developing properly. It does happen, but don't let it rule your thoughts because the vast majority of pregnancies do succeed. Try not to worry and remember that once you're into the second trimester, the chances of miscarriage is dramatically reduced. (credit:Alamy )

My baby might not be 'perfect'(04 of10)

It's estimated that one in 16 babies in the UK is born with a birth defect – but this figure refers to all birth defects, and many are mild and can be treated. So it's likely your baby won't have a birth defect, and even if they do, they will be perfect in their own way – remember support is available for every eventuality. Take your folic acid and attend your antenatal screening appointments. (credit:Alamy )

I won't make it to the hospital on time(05 of10)

You might have read terrifying stories about pregnant women giving birth in car parks and taxis – but these stories make it to the news because they are extraordinary, in the literal sense of the word! It very rarely happens, and most women get plenty of warning that labour is beginning. So plan well, and all is very likely to be fine. (credit:Alamy )

I might have to have a c-section(06 of10)

If you do end up needing a c-section, you might feel disappointed – but believe us, in the moment the only thing you'll really care about is the safe delivery of your baby. It won't be the end of the world and you won't care a jot when your baby is in your arms. (credit:Alamy )

I won't be able to cope during labour(07 of10)

There is just no telling how labour will be for you, so don't worry about it now. Make your birth plan, discuss it with your partner and midwife, and go with the flow on the day (it's okay to change your mind!). There will be lots and lots of help and support at your disposal. Not to mention drugs, should you need them. (credit:Alamy )

Labour will humiliating (will I poo on the bed?!)(08 of10)

You've heard about that then? It can happen, but the doctors and midwives have seen it all – they have experienced every possible scenario. They won't be worrying about things like that, so neither should you. (credit:Alamy )

I don't know how to be a mum(09 of10)

No-one does until they become one! Every new mum feels like they're winging it in the early days. As your baby grows and you get to know them, you'll learn. Trust in the fact that just about every mother has gone through it… and survived. (credit:Alamy )

I'm worried about gaining all that weight(10 of10)

You will put on weight, yes – but it's normal and nothing to be afraid of! Much weight gain is actually down to the baby, the placenta, extra blood in your system and the retention of water. Pregnancy changes your body in myriad ways – just enjoy it, and let your body just do its thing at this special time. Remember, there's no need to 'eat for two'… but eat what you need and don't count calories. (credit:Alamy )

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