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Connected care for women, babies and children, from everyday health needs and pregnancy to specialized hospital care when more support is needed.
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Perinatal Mental Health

Perinatal Mental Health

What is Perinatal Mental Health?

Perinatal mental health refers to all mental health conditions during pregnancy and the first year postpartum. Symptoms can range from mild to severe and there can be new-onset of symptoms or worsening of preexisting conditions.

Perinatal mental health conditions (PMHCs) – including depression, anxiety, posttraumatic stress disorder, obsessive disorder, mania, and psychosis – are among the most common complications of pregnancy and childbirth. It is estimated that at least 1 in 7 women who are pregnant or give birth experience PMHCs and the incidence may be even higher in somen with elevated risk factors.

PMHCs can occur at any time during pregnancy or the postpartum period. PMHCs can have significant impacts on mother, fathers, infants, other family members, and communities, but with appropriate and timely intervention recovery is possible. There are a variety of safe, effective, and evidence-based treatments available for PMHCs, including, but not limited to: lifestyle interventions (protecting and optimizing sleep, physical activity, and nutrition), psychotherapy (counseling), support groups, and medications. Many medications are safe and effective during pregnancy and breastfeeding.

Common PMADs Symptoms

Many women have mild mood changes (anxiety, mood swings, tearfulness) in the first two weeks after delivery. This is normal and is called the “Baby Blues.” If symptoms do not improve after 2 weeks or are severe, this often indicates a more serious PMHC and professional help is indicated.

You may experience:
  • Feeling sad or depressed
  • Feeling irritable or short-tempered
  • Feeling extremely worried or panicky
  • Changes in appetite (too much or too little)
  • Changes in sleep (can’t sleep or don’t feel the need to sleep)
  • Intrusive, scary, or uncomfortable thoughts
  • Feeling out of control
  • Difficulty bonding with baby
  • Loss of interest in things you used to enjoy
  • Difficulty with thinking, or feeling that things aren’t “real.”
  • Thoughts of hurting yourself or your baby

Where Can I Get Help?

If you or someone you love needs support during pregnancy or after birth, the resources below can help you get connected to care.

Start with Your Provider

Talk with your OB/GYN, Certified Nurse Midwife, or Primary Care Provider if you’re struggling. They can begin treatment or help connect you with the right support.

OB-GYN Support

Kootenai Clinic OBGYN offers psychiatric consultations and medication management with a psychiatric nurse practitioner who is certified in Maternal Mental Health, and individual counseling with an experienced therapist. If you are currently in the hospital, ask your nurse to connect you with a social worker for support and follow-up care.

National Maternal Mental Health Hotline

Free, confidential support for pregnant and postpartum individuals from trained counselors.

Crisis Support

If you are in immediate emotional distress or having thoughts of suicide, help is available right away.
Hours: Available 24/7

Postpartum Support Groups

Mommy & Me Support Group
Led by our licensed Women’s and Children’s medical social worker, this free, welcoming group connects you with other new moms to talk through postpartum depression, family dynamics, self-care, breastfeeding, sleep and more. No appointment necessary.
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Breastfeeding Support Group
Monthly, drop-in support led by a certified lactation consultant where you can ask questions, get practical tips, and connect with other parents navigating feeding.
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Take the next step.

Reach Out for Support

If you’re experiencing emotional changes during pregnancy or after birth, support is available. Start by contacting your provider, use one of the resources listed above, or call Kootenai Clinic OB/GYN.