New Haven Register (New Haven, CT)

Ways to have a healthy pregnancy

- Dr. Michael Roizen and Dr. Mehmet Oz

There are around 3.7 million births in the U.S. every year. Unfortunat­ely, many women face mental health challenges in the weeks surroundin­g delivery, making emotional distress the number one cause of pregnancy-related deaths in the U.S. It may be the case that many U.S. women have mental health challenges even before they become pregnant, or that there is a lack of planning or challengin­g family dynamics before pregnancy, but whatever the causes, it is not a minor problem.

A recent review in JAMA Psychiatry evaluated 26 studies and concluded that pregnancy-related distress is fueling addiction and suicide among women — accounting for 25% of maternal deaths.

Clearly, it is important for health care providers — and family and friends — to look for distress and for the government to offer effective programs to help women before, during and after pregnancy. About 13% of women have episodes of depression during the first three months after birth, but only around 12% of women are screened for postpartum depression.

What can you (or your loved one) do to help ease an emotionall­y challengin­g pregnancy and birth?

— Advocate for family planning and counseling, if needed, prior to pregnancy

— Get regular prenatal check-ups. Don’t hesitate to tell your doctor about any distress you are feeling.

— If you experience postpartum depression, ask for help. (This is a physical problem, not some character flaw in you.)

— Take advantage of programs designed to support mothers, such as Mothers and Babies and explore ways to augment care for postpartum depression at iHerb.com’s blog “Natural Approaches For Postpartum Depression.”

Dr. Mike Roizen is the founder of www.longevityp­laybook. com, and Dr. Mehmet Oz is global advisor to www.iHerb. com, the world’s leading online health store. Roizen and Oz are chief wellness officer emeritus at Cleveland Clinic and professor emeritus at Columbia University, respective­ly.

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