Week 18 • Second Trimester

Prenatal Depression at Week 18

Persistent sadness, loss of interest, hopelessness

📆 Second Trimester Overview

Can continue or develop

🔍 What Causes Prenatal Depression at Week 18?

  • •Hormonal changes
  • •Previous history of depression
  • •Lack of support
  • •Stressful life events
  • •Unplanned pregnancy
  • •Relationship problems
  • •Financial stress
  • •Previous pregnancy loss

✓ Normal Signs

  • ✓Occasional sadness
  • ✓Hormonal crying
  • ✓Mood swings that pass

⚠ Concerning Signs

  • ⚠Sadness lasting >2 weeks
  • ⚠Loss of interest in everything
  • ⚠Hopelessness
  • ⚠Thoughts of self-harm
  • ⚠Unable to care for yourself
  • ⚠No enjoyment in anything

💊 Relief Strategies

  • ✓Talk to healthcare provider immediately
  • ✓Therapy/counseling
  • ✓Support groups
  • ✓Exercise (with approval)
  • ✓Adequate sleep
  • ✓Nutritious diet
  • ✓Social connection
  • ✓Medication if prescribed (some are safe)
  • ✓Light therapy
  • ✓Don't isolate yourself

🏥 When to Call Your Doctor

Contact your healthcare provider if you experience:

  • ⚠Persistent sadness >2 weeks
  • ⚠Loss of interest in activities
  • ⚠Thoughts of harming yourself or baby
  • ⚠Unable to perform daily tasks
  • ⚠Excessive guilt or worthlessness
  • ⚠Significant changes in sleep/appetite
  • ⚠Difficulty bonding with pregnancy