Swangerskap word dikwels as \u2019n tyd van vreugde en afwagting beskryf, maar vir baie vroue is dit \u2019n emosioneel uitdagende tyd wat gepaard gaan met angs, hartseer en depressie, dikwels onsigbaar vir die buitew\u00eareld.<\/p>\n\n\n\n
Tydens Nasionale Swangerskapweek (3\u20137 Februarie) waarsku die Suid-Afrikaanse Vereniging van Psigiaters (SASOP) dat depressie en angs tydens swangerskap nie ligtelik opgeneem moet word nie. Volgens SASOP ervaar tussen 16% en 50% van swanger vroue in Suid-Afrika depressie of angs, met tot een uit elke tien wat \u2019n ho\u00eb selfmoordrisiko het.<\/p>\n\n\n\n
\u201cGeestesongesteldheid tydens swangerskap is werklik, algemeen en behandelbaar,\u201d s\u00ea dr Jessica Stanbridge, psigiater en SASOP-lid.
\u201cWanneer simptome ge\u00efgnoreer word of medikasie sonder mediese advies gestaak word, kan dit beide die moeder en die baba in gevaar stel.\u201d<\/p>\n\n\n\n
Onbehandelde depressie tydens swangerskap het nie net \u2019n invloed op hoe \u2019n vrou voel nie, maar ook op hoe haar liggaam funksioneer en hoe sy vir haarself en haar baba kan sorg. Dit kan lei tot voortydige geboorte, lae geboortegewig, swak baba-ontwikkeling, probleme met binding n\u00e1 geboorte, ernstige nageboortelike depressie en in seldsame gevalle selfs skade aan of die dood van die baba. Die beraamde lewenslange koste van onbehandelde moederlike depressie en angs in Suid-Afrika beloop sowat R42 miljard.<\/p>\n\n\n\n
\u2019n Plaaslike mamma, wat anoniem wil bly, beskryf depressie tydens swangerskap as \u2019n stil siekte.<\/p>\n\n\n\n
\u201cDepressie kom stil in jou lewe in,\u201d vertel sy. \u201cDit breek jou siel stil af. Dit fluister dat jy nie goed genoeg is nie, dat jy nie kan cope nie en dat jy nie die voorreg van mamma-wees waardig is nie. Dit laat jou glo jou liggaam sal nooit weer dieselfde wees nie en dat jou maat jou anders sal sien.\u201d<\/p>\n\n\n\n
Hoewel haar swangerskap beplan was, was dit allesbehalwe maklik. Sy is drie keer tydens haar swangerskap in die hospitaal opgeneem weens longontsteking, blaas- en nierinfeksies en later ho\u00eb bloeddruk.<\/p>\n\n\n\n
\u201cEk het myself nog altyd as \u2019n sterk vrou gesien,\u201d s\u00ea sy. \u201cMaar die fisiese siekte, die onsekerheid oor ouerskap en die emosionele alleenheid het my ingehaal. Ek het alleen in my kamer gehuil en voorgegee alles gaan goed.\u201d<\/p>\n\n\n\n
In haar tweede trimester het sy tydens \u2019n ginekoloogbesoek \u2019n emosionele ineenstorting gehad en is met prenatale depressie gediagnoseer. Alhoewel medikasie en sielkundige ondersteuning aanbeveel is, het sy dit aanvanklik geweier.<\/p>\n\n\n\n
\u201cEk was skaam en hardkoppig,\u201d erken sy. \u201cAs ek terugkyk, besef ek hoeveel hulp ek geweier het.\u201d<\/p>\n\n\n\n
N\u00e1 die geboorte van haar seuntjie het die depressie voortgeduur en haar angs vererger.<\/p>\n\n\n\n
\u201cDepressie het my laat glo ek gaan iets verkeerd doen en my kind seermaak. Daar was dae wat ek hom laat huil het terwyl ek my kop in \u2019n kussing gedruk en geskree het omdat ek net nie meer kon nie.\u201d<\/p>\n\n\n\n
Dit was eers toe haar man ingegryp het, \u2019n afspraak by \u2019n sielkundige gere\u00ebl het en familie ondersteuning gebied het, dat sy begin herstel het.<\/p>\n\n\n\n
Volgens dr Stanbridge is baie vroue bekommerd oor die gebruik van antidepressante tydens swangerskap, maar huidige navorsing toon dat die meeste antidepressante, insluitend SSRI\u2019s, oor die algemeen veilig is wanneer dit versigtig voorgeskryf en gemonitor word.<\/p>\n\n\n\n
\u201cDie risiko\u2019s van medikasie moet altyd opgeweeg word teen die baie werklike gevare van onbehandelde depressie,\u201d s\u00ea sy.<\/p>\n\n\n\n
Vroue word aangemoedig om hulp te soek indien hulle aanhoudende hartseer, intense angs, uiterste moegheid, slaapprobleme of gedagtes van selfbesering ervaar.<\/p>\n\n\n\n
\u201cMedikasie is nie \u2019n mislukking nie,\u201d beklemtoon dr Stanbridge. \u201cDit is dikwels een van die hulpmiddels wat \u2019n ma help om gesond te bly en haar baba veilig te hou.\u201d<\/p>\n\n\n\n
Die mamma se boodskap aan ander vroue is eenvoudig: \u201cLuister na jou dokter. Depressie is stil, maar dit is nie onsigbaar vir hulp nie. Jy is nie alleen nie.\u201d<\/p>\n\n\n\n
Vroue wat emosionele nood ervaar, kan ondersteuning kry by die Suid-Afrikaanse Depressie- en Angsgroep (SADAG) deur hul 24-uur hulplyne te skakel by 0800 567 567 of 0800 456 789, of SMS 31393.<\/p>\n","protected":false},"excerpt":{"rendered":"
Tydens Nasionale Swangerskapweek (3\u20137 Februarie) waarsku die Suid-Afrikaanse Vereniging van Psigiaters (SASOP) dat depressie en angs tydens swangerskap nie ligtelik opgeneem moet word nie. 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