Also called: emotional shifts
At 37 weeks pregnant, the emotional shifts you might be experiencing are often a complex interplay of hormonal changes, the growing anticipation of meeting your baby, and the significant physical fatigue common in late pregnancy. It's a time of immense change, both internally and externally, and it's completely understandable to feel a wide range of emotions. Mood fluctuations are nearly universal during pregnancy, with hormonal shifts playing a foundational role. As you approach your due date, the added layers of preparing for labor and welcoming a new family member can amplify feelings of anxiety or excitement, sometimes within the same hour.
This late stage of pregnancy also brings unique physical demands. Many parents-to-be find themselves navigating increased discomforts, such as the frequent urge to use the restroom, which can be quite pronounced around Frequent Urination at 36 Weeks Pregnant and continue through Frequent Urination at 37 Weeks Pregnant and even Frequent Urination at 38 Weeks Pregnant. These physical challenges can disrupt sleep, contributing to a deeper sense of fatigue that, in turn, can affect your emotional regulation and overall mood. Understanding that these feelings are often connected to both your body's incredible work and the significant life transition ahead can bring a sense of calm and clarity.
While passing waves of emotion are a typical part of this journey, it's important to differentiate them from more persistent feelings. If you experience a low mood, hopelessness, or anxiety that feels constant and goes beyond fleeting moments, it might indicate perinatal depression or anxiety. Research suggests these conditions affect 15–23% of pregnancies. The Edinburgh Postnatal Depression Scale (EPDS) is a valuable tool that screens for both depression and anxiety, with a score of 13 or higher suggesting a likely clinical concern. The American College of Obstetricians and Gynecologists (ACOG) recommends screening at least once prenatally and again at your 1-month and 3-month postpartum visits.
Untreated perinatal mood disorders can carry risks for both the pregnant person and the infant. The good news is that there are evidence-based options for support. Therapy, including cognitive behavioral therapy, and certain medications, such as SSRIs (with sertraline being among the most studied), are effective. You get to decide what feels right for you, in collaboration with your care provider. Having open conversations with your provider about how you're feeling allows you to make informed decisions about your well-being. Remember, seeking support is a sign of strength and self-care, ensuring you feel as clear and confident as possible during this significant time.
