In this episode, I talk to Dr Nicole Highet – Founder and Executive Director of the Centre of Perinatal Excellence (COPE). Dr Highet shared how she established COPE, a not-for-profit organisation dedicated to reducing the impacts of emotional and mental health problems during pregnancy and the year following birth. Further, Dr Highet discussed how to minimise the effects of emotional and mental health problems in the pre and postnatal periods.
Adjusting to Parenthood
Journey into parenthood varies widely, and for some parents, it may involve coping with disappointment about your baby's sex, bonding with your baby, body image post-birth, breastfeeding, coping with infertility and pregnancy loss. Moreover, people may not openly discuss many of the challenges, and as a result, parents might feel alone in this journey. However, awareness around perinatal mental health and gaining access to support services early allows parents to seek practical and emotional help while adjusting to parenthood.
How To Tell if You Are Struggling Mentally and Emotionally
Dr Highet explained that just like gestational diabetes or other medical conditions, you may experience depression or anxiety during pregnancy or postnatally. Common signs and symptoms that you may be struggling with include lack of motivation and energy, not enjoying the things you used to enjoy, persistent feelings of worry and depression, and lack of ability to function day-to-day. COPE's mission is to empower parents and provide timely and relevant resources such as the Ready to COPE guide, a free weekly email guide. More on seeking support can be found here.
Risk Factors for Developing Mental Health Conditions During Pregnancy
There are risk factors that increase the likelihood of mental health issues in pregnancy and after having a baby, explained Dr Highet. For example, the common risk factors include the history of experiencing mental health problems, using alcohol and/or drugs, controlling relationships, and experiencing family violence. Importantly, Dr Highet explained that the risk of family violence is more significant during pregnancy and postnatal periods.
Maternal Mood and Emotional Wellbeing
Maternal mood, emotional and mental wellbeing can impact attachment and bonding, Dr Highet explained. For instance, depression can affect energy levels and connect and respond to the baby. This, in turn, can impact the mother's ability to remain engaged with the baby and provide the well-needed stimulation necessary for the baby's brain development.
Dr Highet highlighted the importance of rest and doing things that "make us feel like ourselves." Getting help may be in the form of community support, including GPs, midwives and engaging with online communities like Mama Tribe, which helps mums meet other mums in their local areas. Quality of relationships with partners, family and friends is also a protective factor.
Dr Highet emphasised the importance of building your support network and having realistic expectations concerning parenthood - how will I feel towards the baby, and how will I cope if the baby doesn't sleep through the night. For more on common misconceptions and managing expectations in pregnancy, visit here.
Mentioned in the Episode
Guest Info
COPE's Founder and Executive Director, Dr Nicole Highet, is passionate about supporting mothers and encouraging them to seek help early. To learn more about perinatal mental and emotional health, visit COPE and please follow on Instagram @cope.org.au.
Disclaimer
The information contained in this post and podcast episode is for general informational purposes only. It is not a substitute for independent or professional advice tailored to your specific needs.

