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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for depression and hypertension during pregnancy

Im rather desparate for people to understand me. Its probably more mental than physical. i ve had 3 children 6,7 and 8 now, im also newly pregnant with a fourth but mentally in despair. I cant not bear a doctors or anti-natal appt. My third pregnancy i didnt tell the doctors, hospital or my mum/b/f i was pregnant until i gave birth. I had hypertension near the end of my first pregnancy and life has never been the same since. I got depressed and suggestable just before and afterbirth. I put so much pressure on myself to be healthy and perfect and i kept failiing. My bp kept shooting up and down on my second pregnancy as i kept trying to control my fear. Which meant i had midwifes and doctors treating me as a liability rather than a person. like said the 3rd baby i avoided all people and midwifes, strange thing is it was never that high really. I used to throw up with worry before every anti-natal with my 2nd pregnancy, even if bp was low it didnt matter i knew id fail the next time. I just want to go an anti-natal appt now and be happy but i cant. The mental problem is so much bigger than the physical problem, i know lots of people who have had high bp and pre=eclampsia at the end of their pregnancy but it didnt lead them to several nervous breakdowns.
Thu, 6 Aug 2015
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OBGYN 's  Response
I seriously think you should see a mental health provider to evaluate and hopefully address some of these fears with you. There are medications which are helpful and safe for psychiatric issues during pregnancy. In the US there are psychologists who specialize in perinatal psychology. Your avoidance of health care providers can put your health at risk, and your not being comfortable discussing your pregnancy even with your mother is concerning. Your baby will not have a good and healthy life without a mom who can manage psychologically, and if you had a "breakdown" postpartum, which may mean an episode of postpartum depression, it has a high recurrence risk. Please try to see a psychologist or counselor. The prenatal car will take care of itself one you are more stable. I hope this was helpful and good luck.
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Suggest treatment for depression and hypertension during pregnancy

I seriously think you should see a mental health provider to evaluate and hopefully address some of these fears with you. There are medications which are helpful and safe for psychiatric issues during pregnancy. In the US there are psychologists who specialize in perinatal psychology. Your avoidance of health care providers can put your health at risk, and your not being comfortable discussing your pregnancy even with your mother is concerning. Your baby will not have a good and healthy life without a mom who can manage psychologically, and if you had a breakdown postpartum, which may mean an episode of postpartum depression, it has a high recurrence risk. Please try to see a psychologist or counselor. The prenatal car will take care of itself one you are more stable. I hope this was helpful and good luck.