Mental health not in good place

I'm currently in my 3rd trimester and a working mom who also is a stay at home mom if 2. I'm just not in a good place mentally. Honestly haven't been in a long time. I'm burned out. I keep telling my husband and it's falling on ignorant ears. I'm so depleted. I'm sleep deprived. I don't get a break from my kids him or life. He regularly does. I'm trying to speak up for myself but finding I'm not being respected.

Example was we got back from a family vacation where I did all the packing, cooking, cleaning on trip, and bed shared with my toddler who didn't sleep. I asked for a break today and he allowed the kids to come into my room and sleep in my bed. Meaning I didn't get a break I was holding a two year old who normally doesn't nap with me so it's nonsense. When I approached husband he kept flipping up my shirt with my belly hanging out. I told him I don't want to be touched and I needed a break. He told me to "fuck off."

For mother's Day he asked me what I wanted. I said a prenatal massage. He got mad told me I was greedy. He did get me one but threw the gift card at me. Telling me we couldn't afford it. But when I used this gift card last week he told me to schedule more. He is so contradictory.

When he needs or wants something he can do it and afford it but not me. He regularly has breaks does activities outside our home and has his own life besides us. I have no outside help. I am also sick with a chronic condition and juggle everything without help and being at doctors appointments 3 times a week.

I am at a point where I know my mental state of depression is so much situational and I have no escape. I'm wondering at this point if I need medication to help. I am worried after baby arrives how much worse everything will be for me. It's falling on deaf ears. My mom recommended me hiring outside help until my husband gets the point but we cannot afford it and I don't want to be putting us into debt to prove a point. I'm currently locked myself in my room crying as I am so stressed about how I'm going to make it through my hectic week. I don't smile anymore. My chronic condition has taken my hobbies away. I have no help with the kids. I feel so lost and hallow. My doctor's know how bad it has been and I've been honest.

My doctor's are recommending me to have my tubes removed as they don't want me to have anymore children. I don't even have help after the birth of this baby much less recovery time for surgery because my husband's job situation. I wish I could be excited about my baby but I'm just fearful. I can only focus on how out of hand it is all is going to be once I have another child depending on me when I am spread so thin.

My husband is honestly got his head in the clouds and is more annoyed with me for not being like him. I keep telling him I would be more like him if I had the time and energy he does. But I cannot keep pouring from an empty cup with a fake smile.