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The femtech founder’s stress toolkit: how to make wellbeing a non-negotiable

By Kate Hesk, founder and CPO at Cognomie

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Stress – as anyone in femtech will know – manifests in many forms. As humans, each of us has different triggers, vulnerabilities and tolerances to it.

And while many of us will claim to “thrive under stress” (hi A-types, I see you), we know that too much will flood our nervous systems, accelerate burnout, and ultimately, lead to longer-term health issues if left unchecked.

Recent HSE figures found that 51 per cent of the 1.8 million work-related illnesses in Great Britain are a result of stress, depression or anxiety. An estimated 17 million working days were lost due to work-related stress, depression, or anxiety in 2021/22.

As female founders, we’re excellent at investing our time and energy in the vital work of supporting our teams, building our businesses, keeping investors happy. Often taking on more stress as a result.

You know the saying “You can’t pour from an empty cup?” How can you manage stress levels as a female founder, doing All The Things, while staying replenished and in touch with your own wellbeing?

Perspective as a superpower

Harnessing your perspective as issues arise can help you create distance from stress – or stressful situations. Notice when it’s happening, pause and try to delineate your thoughts and response.

When you step back, and look inwards, you can acknowledge the situation rather than be consumed by it. Know you are not your thoughts.

Connection plays a huge part in perspective. Invest in connections with peers and likeminded founders to build community, support and accountability. The femtech community is a hugely supportive one – reach out, build those links.

Understand your stress

Where does your stress come from? Is it environmental – the expected pressures of building a business and all that comes with it? Or could it be physiological? For instance, could it be the reality of peri/ menopausal symptoms adding another layer of stress?

While femtech is a brilliant example of the strides made in the menopause conversation, we can’t underestimate how it impacts our emotional, mental and physical health. Investing in coaching and wellbeing support to create a personal plan is a powerful way to navigate this transitional time.

Seeking support as radical courage

You know the deal. As women, there’s a legacy of nurturing others while putting our own needs to the bottom of the list. Between team check-ins, investor updates, and life admin, it can feel uncomfortable to ask for something for yourself.

Years of coaching has taught me that overwhelm is a fast-track to burnout. And because it’s cumulative, it compounds everything we’re dealing with – breaking points can happen in the boardroom or the playground.

Stress is not a failing, it’s a normal part of a full life. Take courage in asking for help.

Build your own trusted support team. Engage coach or a thinking partner who is committed to holding space for quality conversations helping you support and expand your own self-awareness, understanding and personal development.

Come back to your values

Reconnecting with values is a huge part of the resilience work I do with clients. When stress escalates, we need to get back to our why, and refocus on our sense of purpose.

Start small, perhaps by setting a daily intention aligned to your values. Then build this into your working day. Ask: what do I want from this meeting? What can I bring to this conversation? What’s the one thing I need to accomplish today?

Break it down into micro-steps. What’s the next positive step I can take to bring me back to my goals?

Anchor into your own wellbeing

Making wellbeing a non-negotiable can be one of the most powerful things you can do – especially as a femtech founder.

Identify your personal wellbeing pillars – hydration, meditation, 10k steps, a weekly yoga class, 9pm bedtimes – with the knowledge these will vary from season to season.

Heading into summer, I’m committing to more white space in my day, building in thinking and creative time. Choose what works for you. Attend to it daily.

Embodying wellbeing as a femtech founder shouldn’t be considered a privilege; it’s neither frivolous or a nice to have. It’s how we shape new possibilities for what we’re building with our companies, helping us all to be more authentic and whole in our work.

This isn’t about adding yet another “to do” to the list. It’s how you access powerful resources to support you through the sticky, stressful moments that come with the founder territory.

A bonus is that modelling this behaviour for your team means you can give the people around you permission to do the same, and reset the culture around stress at work.

Kate Hesk is the founder and CPO at the HRtech platform Cognomie. Prior to Cognomie, Kate’s career spanned 15 years in leadership development and coaching consultancy after 12 years in management and leadership roles in the pharmaceutical and healthcare industry.

Pregnancy

More than half of women with gestational diabetes face harmful stigma, research reveals

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More than half of women with gestational diabetes report stigma from healthcare staff, family, friends and wider society, new research shows.

A survey of 1,800 UK women found widespread emotional distress at diagnosis of the condition, a form of high blood sugar that develops during pregnancy, with effects lasting beyond birth.

Gestational diabetes affects around one in 20 pregnancies in the UK, and the findings highlight the wider toll on women diagnosed with the condition.

The study was funded by Diabetes UK and led by researchers at King’s College London and University College Cork.

Dr Elizabeth Robertson, director of research and clinical at Diabetes UK, said: “Stigma can have a dangerous and devastating impact on pregnant women diagnosed with gestational diabetes, particularly at a time when emotions and anxieties may already be heightened.

“We know that stigma can lead to shame, isolation and poorer mental health, and may discourage people from attending healthcare appointments, potentially increasing the risk of serious complications.

“This research highlights the urgent need for better support systems, based on understanding and empathy to ensure no one feels blamed or judged during their pregnancy.”

More than two-thirds of women, 68 per cent, reported anxiety at diagnosis, while 58 per cent felt upset and 48 per cent experienced fear.

The psychological impact continued beyond birth, with 61 per cent saying the condition negatively affected their feelings about future pregnancies.

Nearly half of women, 49 per cent, felt judged for having gestational diabetes, while 47 per cent felt judged because of their body size.

More than 80 per cent felt other people did not understand gestational diabetes, and more than a third, 36 per cent, concealed their diagnosis from others.

Gestational diabetes stigma was also common in healthcare settings, with 48 per cent reporting that professionals made assumptions about their diet and exercise, and more than half, 52 per cent, feeling judged based on their blood glucose results.

Many women described a loss of control and a sense of disruption during pregnancy.

Nearly two-thirds, 64 per cent, felt they were denied a normal pregnancy, while 76 per cent reported a lack of control over their pregnancy.

More than a third, 36 per cent, felt abandoned by healthcare services after giving birth, and one in four, 25 per cent, continued to experience depression or anxiety postpartum.

Focus group participants described harmful stereotypes, including assumptions that they were ‘lazy’, had ‘poor eating habits’ or ‘lacked willpower’.

Comments from family and friends included remarks such as “should you be eating that?” and “you must have eaten too much, that’s why you have gestational diabetes.”

The researchers are calling for targeted interventions alongside structured emotional support for women during and after pregnancies affected by gestational diabetes, to improve both mental and physical health outcomes.

Professor Angus Forbes, lead researcher from King’s College London, said: “Stigma and emotional distress are far more common in women diagnosed with gestational diabetes than many realise.

“Everyday interactions, even with those who mean well, can deepen this harm, shaping women’s emotional wellbeing and the choices they feel able to make.

“It’s clear that meaningful action is needed to protect women’s mental and physical health.”

Risk factors for gestational diabetes include living with overweight or obesity, having a family history of type 2 diabetes, and being from a South Asian, Black or African Caribbean or Middle Eastern background.

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Mental health

Lifting weights shows mental health and cognitive benefits in older women, study finds

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Weightlifting can improve memory and mental health in older women, whether they lift heavier or lighter weights, a clinical trial has found.

The study suggests structured exercise could offer a non-drug way to help protect the ageing mind.

As people age, physical abilities often decline and the risk of cognitive impairment rises.

Women can also face a higher risk of depression and anxiety later in life because of menopause, hormonal changes and shifting social factors.

Over time, poor mental health can speed up physical and cognitive decline.

Medical professionals often recommend cardiovascular and resistance training to help preserve physical independence.

Beyond building muscle and strength, lifting weights may also help protect the brain.

The research team recruited 120 women with an average age of 68 who were not taking part in any structured exercise programmes.

Before the intervention, independent cardiologists screened the volunteers using diagnostic stress tests to make sure they could take part safely.

The researchers then divided the women into three equal groups based on their baseline physical strength to ensure a balanced comparison.

The first group followed a resistance training programme using heavier weights for eight to 12 repetitions.

The second performed the same exercises using slightly lighter weights for 10 to 15 repetitions. The third acted as a control group and remained sedentary throughout the trial.

For three months, the active groups visited the university fitness facility three mornings a week.

Under the direct supervision of qualified fitness experts, participants completed three sets of eight different full-body exercises. These included weight machines and free weights, with movements such as chest presses, leg extensions, seated rows and bicep curls.

As the women grew stronger over the 12 weeks, supervisors progressively increased the weight they lifted.

This ensured participants stayed within their assigned repetition range while maintaining proper breathing and movement technique. Researchers also told all participants not to start any new exercise outside the laboratory setting.

The scientists carried out a broad set of cognitive and psychological tests before the programme began and again shortly after it ended.

They used the Montreal Cognitive Assessment to measure spatial skills, short-term memory and language processing.

The team also used several standardised surveys to track symptoms of geriatric depression and general anxiety.

Other tests assessed executive function, the mental processes involved in planning, focusing attention and multitasking.

In the Trail Making Test, the women had to connect a scattered sequence of numbers and letters as quickly as possible to assess cognitive flexibility.

In another verbal test, they had to name as many words beginning with the letter F, or as many animals as possible, within 60 seconds.

The researchers also used a computerised Stroop test to assess inhibitory control. In this visual test, the women saw words such as “red” or “black” displayed in conflicting ink colours, such as green.

They had to suppress the automatic urge to read the word and instead press a button matching the ink colour.

After the three-month intervention, both groups of weightlifters showed clear improvements in their test scores.

Their performance on the overall cognitive assessment rose, and their reaction times in executive function tests fell substantially.

The control group showed no such improvements, and in some categories their mental performance worsened slightly.

The structured exercise also reduced the severity of mood disorders among the active participants.

Scores for depressive symptoms fell by roughly 34 per cent in the lower repetition group and 24 per cent in the higher repetition group. Anxiety scores fell by more than 40 per cent in both groups.

The researchers said these improvements met the threshold for a clinically meaningful difference.

In practical terms, that means the psychological benefits were large enough for the women to notice in their daily emotional state.

The trial found no major differences in outcomes between the two repetition strategies, suggesting both intensities worked equally well against cognitive decline.

The study has several caveats that may shape future research into the neurological benefits of structured exercise.

The testing relied heavily on self-reported psychological surveys, which can be affected by subjective bias or temporary changes in mood.

The team also did not closely track differences in the women’s light daily physical activity outside the gym.

The researchers also said the social structure of the fitness programme may have contributed to the emotional benefits.

For 12 weeks, the active participants exercised in a shared, supportive environment, with regular contact with peers and supervisors.

This kind of consistent social interaction can help reduce loneliness and provide psychological relief.

Future trials will need to isolate whether different exercise durations or extra social interaction change these positive neural effects.

Even so, the results suggest resistance training could offer an accessible way to help treat mild cognitive and mood problems.

Regular weightlifting may benefit the mind as well as the muscles in older adults.

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Wellness

Poor mental health, poverty and pollution significantly raise women’s heart failure risk – study

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Poor mental health, poverty and pollution can raise women’s heart failure risk, with up to one in four cases potentially preventable, a study has found.

UK Biobank data from more than 230,000 women suggest that depression, socioeconomic hardship and exposure to polluted environments are linked to a significantly higher risk of heart failure in women.

Heart failure happens when the heart becomes too weak or too stiff to pump blood effectively around the body.

High blood pressure, high cholesterol, smoking and diabetes are among the better-known risk factors often targeted in public health campaigns.

Peige Song from China’s Zhejiang University and her team found that living in polluted areas, having poor mental wellbeing, facing socioeconomic deprivation and experiencing chronic inflammatory conditions such as lupus, in which the immune system attacks the body’s own tissues, make women more prone to heart failure.

These risks, however, are often overlooked.

The researchers found that mental wellbeing, environmental exposures, socioeconomic circumstances and reproductive history together contributed almost as much risk for heart failure as all well-known risk factors combined.

The study also found that risk rises with socioeconomic hardship and chronic inflammatory conditions such as lupus or rheumatoid arthritis, approaching the impact of conventional risk factors.

Song said: “[The study] is a call to redefine prevention in women’s cardiovascular health, integrating biological, psychosocial and structural determinants into a unified, equitable approach.

“One in four heart-failure cases in women could be prevented if all under-recognised risk factors were eliminated, assuming causal relationships.”

While completely eliminating all risks is not realistic, Song said “even partial reductions through better mental health services, social equity policies and environmental regulations could yield significant public health benefits”.

Catherine Pirkle, a women’s health specialist at the University of Hawaiʻi at Mānoa in the US, who was not involved in the study, said: “These calculations show convincingly that under-recognised and female-specific risk factors contribute significantly to heart failure in women, independently of the well-established ones.”

Song said: “It’s important to understand that heart health is influenced by more than just blood pressure or cholesterol.

“Factors like mental wellbeing, reproductive milestones and socioeconomic conditions all matter. Awareness and advocacy for comprehensive, gender-sensitive care are key.”

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