Miller-Heidke’s song is an experimental mix of pop-music and opera, and won the Australian contest that feeds into the international Eurovision. The evocative piece is about breaking through the deep depression she experienced for over a year after the birth of her son, Ernie, in 2016.

The song is the first she wrote after giving birth and losing her creativity for many months. “For 18 months, I lost my voice—literally and figuratively. I was incredibly tired. I didn’t feel like myself,” she told the BBC.

Miller-Heidke said it is her hope that her song makes mothers or pregnant women who are struggling with their mental health feel more understood and less alone. Which indeed, they are not: Mental health issues affect one in every seven pregnant women or new mothers, making them the most common pregnancy-related complication. In the US, where maternal mortality is much higher than other rich countries, suicides count for 20% of pregnancy-related deaths.

In developing countries, that number is even higher—20% women have mental health complications during pregnancy or after giving birth, a reality that is as common as it is underestimated, or misunderstood.

Even the common label of “postpartum depression” fails to account for the various issues mothers face, and when they do. First of all, depression does not only strike after birth: In fact, almost as many women suffer mental health issues during pregnancy as they do after giving birth. Further, anxiety is just as common and often strikes along with depression.

There is a range of gravity of symptoms, too, which in rare cases can include psychosis—a condition in which both suicide and infanticide are risks. Many women who face such mental health complications have not struggled with anxiety or depression previously; pregnancy can be the first time for a recurring or ongoing mental health problem to manifest itself, or just be a one-off.

Though in many countries, including the US, physicians and OB-GYNs are recommended to monitor the mental health of pregnant women and new mothers, what Miller-Heidke is doing is arguably more effective. Sharing the experience, letting other mothers know what they are going through is common, and fighting the stigma is the first line of defense.

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