During your pregnancy, sex can become a complicated issue. Your desire can decrease, your discomfort can increase, and you might just lose interest altogether. Or, you might still be in the mood but find that your partner is backing off! All of this is perfectly normal and very common. Sexual enjoyment tends to decline as pregnancy goes on. Around 22-50% of pregnant women find intercourse painful and many women find it difficult to orgasm. It’s normal for your libido to decline too, largely to the change in hormones, and feeling sick, tired and physically uncomfortable [1]. And, as your body changes, you might just feel less sexy. This is particularly likely during the later stages of pregnancy, when you’re all achy and bloated. About a quarter to a half of pregnant women feel less attractive than before, and only 12% feel more attractive [1]. Giving it a go If you do feel up to having sex, there’s no reason you shouldn’t give it a go. For the majority of healthy pregnant women and their partners, sex is perfectly safe, even in the last few weeks before you give birth [1]. If you’re not sure whether it’s OK, seek advice from your doctor or midwife but, if you do want to have a go, give yourself time to be in the mood, and accept that it might take longer than usual. It’s possible that your partner will be reluctant, which can be frustrating. However, don’t assume that it’s from a lack of desire, or a loss of sexual attraction. One possible reason for hesitancy is a fear of harming the baby, which inhibits at least a quarter of male partners, and a quarter to half of expectant mothers [1]. Talk to your partner. Have an open and honest conversation about how you both feel right now. If your partner admits that they’re feeling funny about sex, try not to get annoyed or take it personally – you won’t be pregnant forever! If you’re feeling a bit insecure, make it clear that you are learning to adjust to your changing body and that, even if sex is off the table, a little TLC would be appreciated. Finding other ways to feel close If you really don’t want to have sex, don’t force yourself. Be honest with your partner, offer reassurance that it’s not a personal rejection, and ask for the support you need. It might be helpful to discuss this article, and reassure yourselves that these are common adjustments that couples face during pregnancy. If you’re feeling icky and your partner tries to reassure you that you look beautiful, accept the compliment and choose to believe them. Lots of people find their partners especially attractive when they’re carrying their child. Finding other ways of being intimate that aren’t sexual – like hugging, kissing, and massage – can help you bond when sex isn’t available. Just spending quality time together can help you maintain a sense of closeness. And remember that you won’t feel like this forever. Though there will be new challenges for your sex life when your baby comes along, the physical changes you’re experiencing during pregnancy should return to normal about three months after the birth. Some women even experience more intense orgasms than they did before [1]. References [1] Von Sydow, K. (2000). Sexuality during pregnancy and after childbirth: A meta-analysis of 59 studies. Reproductive Health Matters, 8 (15), 183. doi:10.1016/s0968-8080(00)90068-5

If your partner didn’t respond well to the news of your pregnancy, or if he seems reluctant to make plans for the baby, you may wonder how he will cope with the pressures of fatherhood. When you’re pregnant and worrying about the future, it’s not uncommon to worry that your relationship will suffer. You might be afraid that your partner is going to disengage – or worse, that he might panic and run off! It’s important to remind yourself that your fears don’t necessarily reflect reality, and this may not be how your partner feels. But it’s also worth examining these fears to see where they come from. If your partner doesn’t want to talk about the baby Generally speaking, men are slower than women to come to terms with the reality of having a baby, especially if the pregnancy wasn’t planned. If your partner is struggling to come to terms with the idea of being a dad, it may be difficult for him to have long conversations about the baby. An overload of baby-focused talk could lead him to switch off. Try to be patient – he may just need a little more time to get his head around it. It might be helpful to vary the topics of conversation and remind your partner that some aspects of your lives are going to remain the same when the baby arrives. Encourage your partner to focus on the positive role he’s going to play. Even if he’s scared about becoming a dad, he won’t necessarily communicate his fears to you. Talk to him about your own hopes and worries, and then leave a space open for him to talk about how he feels. He may be pulling away because he’s not sure he is up to the task of parenthood. He may also be afraid that he will be sidelined, or that you will love the baby more than him. Not everything will change, and it may be helpful to tell him that. If you’ve faced rejection or abandonment before If you’ve faced issues in your past where someone important has left or abandoned you, you might be more sensitive to the idea that it will happen again. Your fears could be triggered by things like your partner walking off during an argument, not showing up for dinner, or being impossible to get hold of for some time. Let your partner know that this is a real worry for you – you may find he becomes more reassuring and more careful about how he communicates with you. Sometimes it’s helpful to remind your partner of how your past experiences can affect you. If your relationship feels unstable If your relationship has been going through difficulties, the idea of bringing a child into the mix can feel like a recipe for disaster. However, there’s no such thing as a perfect relationship and very few people would say they are constantly happy when they start a family. Having children will undoubtedly place some stress on the relationship, but it can also be a powerful bonding experiences. It might be a little more difficult when you have extra family responsibilities but, whatever stage you’re at, you can always work on improving your relationship as a couple. Let the arrival of your baby motivate you to be better together.

If you’re pregnant and going through a separation, you might be worrying about how the breakup will affect your child. Stress One of the things you might be thinking about is how the stress of separation or divorce might affect your baby’s development in the womb. Research has found that relationship strain during pregnancy appears to be linked to negative cognitive and behavioural development in children [1]. If separation is the right thing for you as parents, it’s possible to minimise the stress and remain supportive to each other. This might be very difficult, especially if there are unresolved issues between you but, by being reasonable, rational and respectful, it is possible. Take your time to talk through a plan of action. If you decide to stay together, talk to your partner about how you can help reduce stress during the pregnancy. Maybe take up some light exercise together, or practice some yoga designed for pregnancy. If you do have arguments, take the calm and collected approach. If things get heated, take a break and return to the issue when you feel calmer. A two-parent family You may want your child to be brought up by two parents, especially if you were raised by both parents and want your child to have a similar upbringing. Some studies have found that children in two-parent homes are less likely to grow up in poverty [2], and are also less likely to develop emotional problems [3]. But, single-parent families are becoming more common and there is lots of support available for single parents. The number of lone-parent households in the UK grew steadily from 1.8 million in 2003 to nearly 1.9 million in 2013 [5]. While some research suggests that children in single-parent families have poorer outcomes, other research shows that, when it comes to their overall happiness, family composition doesn’t really matter [6]. It’s the quality of the relationship you have with your child that counts. If you stay with your partner, talk about how you want to raise your child. You both may have different ideas of what family life will be like. Take the time, hear each other out and make compromises where you can. Adjustment You may have been brought up in a single-parent household and found it hard to adjust to life. You may have witnessed conflict between your separated parents and, at times, may have felt caught between the two. A poll of 500 young people found that one in three felt that one of their parents had tried to turn them against the other during the breakup [4]. If your own upbringing in a single-parent household was difficult, it’s understandable that you wouldn’t want your child to go through a similar experience.  It’s important to nurture a good co-parenting relationship with your ex-partner. A good place to start is to seek mediation or create a parenting plan so you can agree on how you will raise your child. References [1] Bergman K., Sarkar P., O'Connor T.G., Modi N., Glover V. (2007). Maternal stress during pregnancy predicts cognitive ability and fearfulness in infancy. Journal of the American Academy of Child and Adolescent Psychiatry. 2007 Nov; 46(11):1454-63. DOI: 10.1097/chi.0b013e31814a62f6 [2] Gingerbread (2018). Single parent statistics. Retrived on 07 June 2024 from: One-in-four-a-profile-of-single-parents-in-the-UK.compressed.pdf (gingerbread.org.uk) [3] Parry-Langdon, N. (2008). Three years on: Survey of the development and emotional well-being of children and young people. Office for National Statistics [4] Office for National Statistics (2013). Families and Households: 2013. Retrieved from http://www.ons.gov.uk/ons/rel/family-demography/families-and-households/2013/stb-families.html [5] The Parent Connection. Children in single parent families no less happy than those in two parent households. Retrieved from: http://theparentconnection.org.uk/blog/children-in-single-parent-families-no-less-happy-than-those-in-two-parent-households [6] The Parent Connection. 1 in 3 young people say one parent tried to turn them against the other during divorce. Retrieved from: http://theparentconnection.org.uk/blog/1-in-3-young-people-say-one-parent-tried-to-turn-them-against-the-other-during-divorce

One in ten pregnant women experience mental health problems, and often go undiagnosed until after the baby is born. The pregnancy and parenting charity Tommy’s has produced a video encouraging pregnant women to seek support if they feel anxious or depressed. The short clip follows the story of a woman’s journey through pregnancy as she realises she’s not coping and finds someone to talk to. Around 10-15% of pregnant women experience mental health problems like anxiety and depression [1] but, despite antenatal depression being very similar to postnatal depression, many go undiagnosed and untreated until after the baby is born. Symptoms of anxiety and depression can include feelings of sadness, hopelessness, irritability, and losing interest in activities that used to be fun. Most women feel more emotional than usual during pregnancy, but the video urges you to seek help if you notice that you’re unhappy more than half of the time, or if feelings linger for more than a couple of weeks. When you’re pregnant, it might seem like there’s a pressure on you to feel happy all the time, or to be flushed and glowing with the joys of impending motherhood. If this doesn’t describe your experience, it can be quite distressing and you may even feel guilty for not living up to the expectations of those around you. Your midwife or health visitor will understand. Speak to them and let them know that you need support. You partner, family, and friends can also offer support, by talking things through with you and offering practical support. Let them know you’re not feeling yourself and that you might need some extra support. If you can, hand some of your regular chores over to your partner, or ask someone to help out. Friends love to feel like they are helping, but sometimes need to be given specific tasks like popping to the shops or watering your plants when they come over. Try to eat as healthily as possible, take some gentle exercise, and rest whenever you have the opportunity. Getting regular sleep can have a positive impact on your mood. Take time out to focus on yourself and do something you enjoy. Allow yourself a chance to relax and ease some of the pressure. If you are worried about other areas of your life, such as finances, housing, or your relationship, look into the support available for these specific issues. If you can keep external factors under control, you may find it easier to cope with whatever feelings you are juggling. Keep talking to your partner. Help them to understand what you’re going through, what you’re doing to try and make things better, and what kind of support you need at home. References [1] National Institute for Health and Care Excellence (NICE) (2014). Clinical guideline 192: Antenatal and postnatal mental health: clinical management and service guidance https://www.nice.org.uk/guidance/cg192 (Accessed July 2018) [2] Howard L.M, Molyneaux E, Dennis C et al (2014).  Non-Psychotic mental disorders in the perinatal period.  Lancet 384: 1775-1788.