Also called: emotional shifts
At 38 weeks pregnant, experiencing emotional shifts is a natural and widely shared aspect of late pregnancy, often amplified by the unique blend of anticipation, anxiety, and profound physical fatigue that defines this stage.
As your body prepares for birth and you near the end of your pregnancy, hormonal fluctuations are a constant, contributing to these mood changes. Beyond the hormones, the mental landscape of waiting for your baby's arrival, coupled with the physical demands of carrying a full-term pregnancy, can create a complex emotional experience. It's a time when many individuals find themselves navigating excitement, impatience, and perhaps some apprehension about the unknown. This can feel similar to the physical discomforts that might arise, such as the increased frequency of needing to use the restroom, a common experience many share from 35 weeks all the way through 37 weeks and beyond, as the baby settles lower.
While mood fluctuations are nearly universal in pregnancy, it's important to differentiate between these common emotional waves and more persistent feelings. If you find yourself experiencing persistent low mood, feelings of hopelessness, or anxiety that extends beyond passing moments, it's worth noting that these could indicate perinatal depression or anxiety. Research suggests that these conditions affect a significant portion of pregnancies, with estimates ranging from 15–23%. Recognizing these signs is a step towards seeking support, just as you might notice changes in your body, like the continued need for frequent urination at 36 weeks pregnant, and understand it as a normal part of the process.
Evidence-based guidance from organizations like the American College of Obstetricians and Gynecologists (ACOG) recommends screening for perinatal mood disorders at least once prenatally, and again postpartum. Tools like the Edinburgh Postnatal Depression Scale (EPDS) are designed to screen for both depression and anxiety, with a score of 13 or higher suggesting a likely clinical concern. Understanding that these screenings are a routine part of comprehensive prenatal care can offer clarity and confidence. Untreated perinatal mood disorders carry potential risks for both the pregnant individual and the infant, making open communication with your care provider a vital part of your well-being plan. Remember, you get to decide how you approach your emotional health, and exploring options with your provider is always a collaborative process.
