If you weren’t having much sex during your pregnancy, you may be looking forward to getting things back on track. But, for many couples, it can take a while to get things back to normal after the birth. Your body might take some time to return to a state where sex feels OK. This is a common experience for many women after giving birth: Following birth only 10-15% of new parents don’t experience any problems at all. Mothers and fathers commonly feel worried about resuming having sex [1]. 13 months after the birth, 22% were still having problems sexually [2]. Try to accept that it’s normal to need time. Even when you’ve recovered physically, you might not feel in the mood, or you might be slow to be turned on. Give yourself a chance and don't pressure on yourself to bounce back, even if your partner is keen to be intimate. Remember that there are other ways to be sexual besides penetrative sex and, if those are still off the table, focus on improving the quality of your time together, giving each other lots of cuddles and affection, or just having meaningful conversations. Feeling guilty about not feeling sexy Despite the understanding that your body is still going through a lot, you may still feel guilty for not being in the mood or not feeling able to satisfy your partner. Even if your partner isn’t expressing any disappointment over the lack of sex or changes in your sex life, it’s common to be worried about how things might be perceived from the other end. One study of women who had recently had children showed that: 57%... were worried about the sexual satisfaction of their spouse following the birth of their child [2]. If you’re carrying guilt around with you, it might be a good idea to talk this over with your partner and remind yourselves that you’re not alone – only 14% of women and 12% of men report having no sexual problems after giving birth [2].   If you’re not up for having sex, let your partner know that you still desire him, but that you just need a bit more time. It may be difficult for your partner to understand the effects that such drastic body changes can have on your confidence. Taking the time and effort to explain, can help put your partner in a better position to show sensitivity and help build up your confidence. Be descriptive of your own feelings, and ask him to be mindful of them.  It will probably help to have the conversation with your partner beforehand. Explain why you don’t want sex at the moment, and what you can offer at this time. Sex may not be as high on your partner’s priority list as you think, but asking about it can be a great opener to discussing how you’re feeling and what you’re worried about. The conversation may even help put you at ease. If physical intimacy is your partner’s preferred way to express love, it doesn’t necessarily have to mean sex. People who express love physically while still appreciate a stroke of the hair as you walk past, or a surprise cuddle while they are doing the washing up. Hugs, snuggles on the bed, hand-holding, massages – these will all help a physical person feel loved at a time when you don’t feel up to having sex. References [1] Sagiv-Reiss, D.M., Birnbaum, G.E. & Safir, M.P (2012). Changes in Sexual Experiences and Relationship Quality During Pregnancy. Archives of Sexual Behavior. October 2012, Volume 41, Issue 5, pp 1241–1251 [2] 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

Since finding out she was pregnant, your partner might have been reacting to you differently during sex, or avoiding intimacy altogether. It might seem like she’s aroused less often or less attracted to you. Aside from simply missing something that you enjoy, sex an important way to feel closer to your partner. Without it, you may worry that you will struggle to stay close. While it might feel like it, a lack of sex during pregnancy is not a personal rejection. A quarter of new dads say they’re worried that their partner may no longer be interested in having sex [1] but it’s important to recognise that a decrease in sex during pregnancy is normal, and not your fault. Less sex during pregnancy is normal Your partner may be experiencing a decline in libido. This is very common during a time of changing hormones and physical discomfort like backache and water retention. Bear in mind that 22-50% of pregnant women experience painful intercourse, and reaching orgasm becomes progressively more difficult as pregnancy goes on [b]. Sex may have become a stressful experience for your partner. On top of this, about a quarter to a half of pregnant women feel less attractive during pregnancy, and only 12% feel more attractive [2], so your partner may just not be feeling as physically confident as she’d like to. Be open and honest with your partner. Talk about your concerns and tell her that you want to be supportive. If she is worried about her changing body, you can reassure her that you still find her desirable, but the most important thing is to respect her needs and desires. If she is experiencing a loss of libido, remember that this has nothing to do with you as a sexual partner. It might be helpful to discuss this article with her – talk about how these are common changes that couples face all the time during pregnancy. Can sex during pregnancy harm your baby? Up to half of women and at least a quarter of men worry that having sex during pregnancy will harm the baby in some way [2]. From a medical point of view, there is no reason to ‘forbid’ sex for the majority of healthy pregnant women and their partners, even in the last weeks before the birth [2]. If you’re not sure whether you fit into this category, seek advice from your doctor or midwife. Remember also that anxiety around sex isn’t always rational, and your partner may find it difficult to shake the fear. If that’s the case, try other ways of being intimate. You may find that other kinds of sexual activity that don’t involve vaginal penetration are a bit easier but, if not, things like hugging, kissing or massage can all help you feel closer to each other. Looking to the future Don’t expect things to pick back up again too soon after the birth. Your partner will need time to recover, and you might soon sense another obstacle to your sex life – fatigue. Irregular sleeping patterns, feeding schedules, nappy changes, and constant attention to the baby will probably continue to get in the way of your sex life. You might want to consider asking a family member or close friend to take care of the child for a while so you and your partner can spend some time together as a couple. If you’re used to having spontaneous sex, this might seem a little too regulated, but it might be a start. Finally, try to remind yourself that it’s not forever. As your child settles into more regular patterns of sleep, you’ll begin to find that there are more chances to be intimate without being interrupted by a crying baby. References [1] Houlston, C., Coleman, L. Milford, L., Platts, N., Mansfield, P. (2013). Sleep, sex and sacrifice: The transition to parenthood, a testing time for relationships? OnePlusOne. Retrieved from: http://www.oneplusone.org.uk/wp-content/uploads/2013/05/Sleep-Sex-and-Sacrifice-OPO-report-FINAL-embargoed-until-29-May-2013.pdf [2] 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 16 April 2018 from: http://www.gingerbread.org.uk/content/365/Statistics [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.