Tag: postpartum

Mental Health and the NICU Mom: The Silent Battle Behind the Glass

Photo by Hush Naidoo on Unsplash

If you’ve ever walked through a neonatal intensive care unit (NICU), you’ll know the atmosphere – quiet, sterile, filled with tiny machines keeping even tinier lives stable. What you might not see, though, is the emotional toll it takes on mothers standing behind that glass.

For many moms of premature babies, the NICU isn’t just a place of healing – it’s a battlefield of fear, hope, and heartache. Studies suggest that up to 70% of mothers with babies in NICU experience symptoms of anxiety or depression, and a significant number show signs of post-traumatic stress disorder (PTSD) even months after discharge.

“Having a baby in NICU can be one of the most emotionally isolating experiences a mother faces,” says Sr Londe, independent midwife and Vital Baby South Africa’s trusted advisor. “You’re told to be strong, to hold it together. But inside, you’re scared and feel powerless.”

Unlike traditional postpartum depression, which often develops after birth, NICU-related mental health challenges can begin immediately; triggered by medical uncertainty, feelings of guilt, or the inability to bond physically with your baby.

“You may only be allowed to touch your baby for minutes at a time,” says Sr Londe. “That separation can deeply impact bonding and confidence.”

Feeling numb, struggling to sleep even when your baby is safe, replaying traumatic moments, or feeling disconnected from your child – these are all warning signs of trauma or depression. And yet, many mothers dismiss them.

“There’s still a stigma around maternal mental health,” says Sr Londe. “We need to normalise the conversation and remind mothers that they’re not alone.”

Talking to your healthcare provider, joining a support group, or connecting with a therapist who specialises in perinatal mental health can make a world of difference. Hospitals are also increasingly introducing peer-support programmes where NICU graduates’ parents help new families navigate the emotional maze.

“It’s okay to need help,” says Sr Londe. “You’re not failing as a mother, you’re processing an extraordinary experience.” 

As the conversation around maternal mental health grows, brands like Vital Baby are helping raise awareness that caring for moms is as important as caring for their babies. Because behind every incubator, there’s a mother who needs healing too. 

Vital Baby is a family-run business with over 45 years of experience in the baby industry. Our mission is to create products that make family time effortless and enjoyable for parents. The Vital Baby range is 100% BPA-free and covers every stage of your baby’s development, from feeding and weaning to hygiene and soothing. Explore the range online at Vital Baby® (vitalbabyshop.co.za) and enjoy delivery within South Africa or find us on shelf at Clicks and Dischem.

Caesarean Delivery Linked to Higher Risk of Pain and Sleep Problems After Childbirth

New mothers are more likely to experience severe pain that disrupts sleep and activities of daily living, as well as develop sleep disorders, if they give birth by caesarean delivery (C-section), suggests research presented at the ANESTHESIOLOGY® 2025 annual meeting.

“Sleep is often overlooked in postpartum recovery, but it is central to a mother’s physical and mental health,” said Moe Takenoshita, MBBCh, lead author of the study and a postdoctoral scholar in the department of anaesthesia at Stanford University Center for Academic Medicine. “Caesarean delivery in particular appears to increase the risk for severe pain and sleep disorders, which can lead to postpartum depression, thinking and memory problems, and fatigue, as well as disrupt bonding with their babies and relationships with family and friends.”

The study included both qualitative and quantitative analyses. For the qualitative analysis, the authors interviewed 41 mothers about their pain and sleep experiences after childbirth, 24 of whom had vaginal births, 11 who had scheduled C-sections and six whose C-sections were unplanned. More than two-thirds of the mothers who had C-sections (73% of the scheduled cesareans and 67% of the unplanned) reported severe pain that disrupted sleep and activities of daily living, compared to 8% of those who had vaginal births.

For the quantitative study, the authors analysed a nationwide insurance database of more than 1.5 million mothers who delivered babies between 2008 and 2021. They determined that individuals who have C-sections are 16% more likely to be diagnosed with a new sleep disorder (eg, insomnia, sleep deprivation or obstructive sleep apnoea) between a month and a year after giving birth, compared to those who delivered vaginally.

New mothers, especially those recovering from C-sections, should be sure to manage pain adequately, since untreated pain can worsen sleep, said Dr Takenoshita. Other measures that can help to improve sleep include regular exercise as appropriate, sleeping when the baby sleeps, avoiding caffeine or alcohol late in the day, and relaxing before bed by taking a bath or practising deep breathing.

“About one-third of U.S. births are C-sections,” said Dr Takenoshita. “Those who are planning a C-section should understand that the procedure is linked to more severe pain after delivery and a higher risk of sleep disorders. Anyone having sleep problems during pregnancy or after childbirth should discuss their concerns with their physician, who can evaluate the issue, make recommendations and refer them to a specialist if necessary.”

Source: American Society of Anesthesiologists