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Mumbai, May 16: While society often celebrates the joys of motherhood, the silent struggles endured by women during pregnancy and after childbirth remain largely unspoken. Behind the smiles and lullabies, many mothers face a reality marked by sleepless nights, overwhelming emotions, physical exhaustion, and a lack of support – all of which can have a profound impact on their mental and physical health.
For countless women, pregnancy is not just a biological transformation but a journey through fluctuating hormones, unpredictable body changes, and anxiety about the future. The challenge is compounded by societal expectations to remain cheerful and composed, even when struggling internally. “I loved being pregnant, but I cried myself to sleep most nights,” shares Asha D’Souza, a first-time mother in Udupi. “I felt isolated and overwhelmed. No one talks about the emotional storm you face. Everyone just tells you to be happy.”
The Cost of Sleeplessness
Sleep deprivation is one of the most debilitating yet normalized aspects of new motherhood. Studies indicate that women can lose between 400 to 700 hours of sleep in the first year after childbirth. The relentless demands of feeding, diapering, and soothing an infant around the clock leave many mothers mentally drained and physically exhausted.
Medical experts warn that this sleeplessness is far from a minor inconvenience. “Chronic sleep deprivation can lead to severe mood swings, postpartum depression, and even long-term health issues,” says Dr. Priya Noronha, a gynaecologist at a private hospital in Mangaluru. “Yet, we often dismiss mothers’ cries for help as part of the parenting package.”
The Prevalence of Maternal Mental Health Disorders
Maternal mental health disorders are the most common complication of pregnancy and childbirth. Globally, about 10% of pregnant women and 13% of new mothers experience a mental disorder, primarily depression. In India, the prevalence is even higher: approximately 22% of new mothers suffer from postpartum depression, according to a World Health Organization report. Factors such as lack of family support, previous mental health issues, and financial stress can increase the risk.
Despite growing awareness, mental health support for mothers remains inadequate. Up to 75% of women impacted by maternal mental health conditions remain untreated, increasing the risk of long-term negative impacts on mothers, babies, and families. Untreated maternal mental health issues are a leading cause of maternal deaths, with suicide and overdose among the top causes in the first year after childbirth.
The Weight of Expectations and Stigma
Women often battle guilt for not feeling “joyful enough,” further silencing their struggles. “There’s this pressure to bond instantly with your baby and appear radiant. But what if you feel nothing but exhaustion and fear?” asks Rekha Fernandes, a young mother in Goa.
Experts and activists are calling for stronger mental health screening during antenatal and postnatal care. They urge families, employers, and healthcare providers to acknowledge the emotional load women carry and provide the support they desperately need.
“There is heroism in what mothers endure daily, but that doesn’t mean they should suffer in silence,” adds Dr. Noronha.
The Way Forward
As society continues to celebrate motherhood, it must also begin to validate the hidden pain that often accompanies it. Supporting mothers – emotionally, medically, and socially – is not just a gesture of kindness, but a necessity for building healthier families and communities.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. If you or someone you know is struggling with mental health during or after pregnancy, please consult a qualified healthcare professional.
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