Category Archives: Just Talkin Tuesday

Just Talkin’ Tuesday 08.18.09: Telling Your Partner

Original photo by Pingu1963 @ flickr

Original photo by Pingu1963 @ flickr

We’ve touched briefly on seeking support and how you overcame the stigma of admitting something was wrong.

Today I want to take that topic to a more personal level.

How did your partner take the news?

My husband was so confused right after we had our first daughter. One minute I’d be fine, the next – yelling at him for simple things – like criticizing how he blew his nose or something equally inane. Or one of my favorites – the laughing hyena fits. Oh how I hated those! They hit at the most inopportune time! Him: “My day sucked.” My response: laugh so hard milk I had drank that morning would come spewing out my nose. Yeah, peachy, huh?

Once I kind of figured out what might be happening it really helped us both immensely. I stopped believing he had been born with super powers which would magically allow him to know precisely what (and when) I needed him to do with the baby and he started asking what he could do to help out. Before you knew it, we were navigating the perilous yellow brick road of communication quite successfully! (Did I mention he even talked to his parents about PPD for me? How sweet!)

By the time my second episode occurred, he knew more than enough to recognize old habits and encouraged me to seek help. We did have a bump when I was hospitalized but I think anyone with a loved one with a need for mental health hospitalization would be understandably stressed.

Third time around he was just as big an advocate as I was, knew a ton, and fortunately, sailed right through the experience with me. We were both very blessed to be able to fully enjoy the newborn stage with at least one of our children. That experience is something neither one of us takes for granted.

So – what I’d like to talk about today is how you told your significant other that everything was not alright in New Momville. How’d that conversation go? Did you initiate it? Did they? What was the reaction? What did they do to support you as you recovered?

I do want to take a moment to mention that if you have an unsupportive partner, talk with your caregiver about this. See if you can arrange to have your partner attend an appointment with you so that the doc can explain to them how important it is for you to have support at home. Good support at home is essential to a solid recovery and as your partner, they are on the front lines. In fact, it’s always a good idea to take your partner with you to your appointment because they may be witness to behavior you are not aware of in yourself.

Let’s get to Just Talkin’ Tuesday!

Just Talkin’ Tuesday 08.11.09: Breastfeeding & PPD

Original Photo "the breastfeeding lady 2" by Raphael Goetter @ flickr

Original Photo "the breastfeeding lady 2" by Raphael Goetter @ flickr

When I gave birth to my second daughter I saw my dreams of a normal postpartum smashed upon the rocks just 30 minutes after delivery. A delivery after 42 hours of labor, 36 weeks of pregnancy spent un-medicated but largely depressed and unaware of any potential issue facing us. We fully expected (as any parent) a healthy child, normal delivery. A large part of my smashed dreams tied into the hard reality that I would absolutely not be able to nurse her because she was born with a cleft palate so wide and large that it would be physically impossible for us to do so.

Later that day I was faced with a crucial decision. What kind of formula would I prefer for my daughter? I cried. She wasn’t SUPPOSED to get formula! That evening found me hooked up to a hospital grade pump praying for anything to happen. I barely squeezed out a drop. But I persisted and pumped for her faithfully until she was seven months old. I even researched everything I could in order to try to get her to nurse – books, cleft organizations, the La Leche League, the local Lactation consultants and even going to a training to become a trained Certified Lactation Counselor (which I completed one month AFTER we stopped nursing!) I left no stone unturned! Charlotte and I used SNS, nursing shields, and sheer determination. She eventually nursed for almost five minutes! Those five minutes were so amazing words cannot even begin to describe. In fact, it was tears falling from my face which interrupted the glorious event.(You can read more about our journey here: Breastfeeding Charlotte)

But at seven months, I faced a decision. My desire to continue to give breastmilk to my daughter or my mental health which had deteriorated so much it was adversely affecting my relationship with my husband and other daughter. With a heavy heart, I drove to Wal-mart to purchase formula. I cried the whole way home. Eventually I made peace with the decision. “Hanging up the Horns” or HUTH as it’s called in the world of exclusive pumpers, was a difficult decision. But one I was glad to make as it allowed me to bond with my entire family. I had come to resent Charlotte for all the extra work she required. But now, all I had to do was pour, heat, and I was done. I made strides towards better mental health and so did the rest of the family.

For me, the decision centered around the stress providing breastmilk created. I was also on medication which can be another tremendous issue for new moms. Many mothers don’t want anything crossing over to their infant through their breastmilk. Dr. Thomas Hale, author of Medications & Mother’s Milk, is a wonderful authority on the topic as are the researchers at Motherisk in Canada. When nursing while on any medication, it is important for the infant’s pediatrician to be aware of the medication and dosage amount so baby can be monitored for any adverse reaction. The decision to take medication is a personal one and should be made carefully with the help of professionals. Ask questions. Make sure the prescribing physician KNOWS you are nursing. And do not let them force you into quitting nursing if it is the one thing in which you find comfort. If you are currently struggling with this decision, please read this wonderful essay by Karen Kleiman: Is Breast Really Best?

So let’s get to Just Talkin’ Tuesday already!

Did your Postpartum Mood & Anxiety Disorder affect your nursing decision? Did you decide to formula feed to help improve your mental health? Do you regret your decision? Made peace with it? Did stopping help? Did your desire to nurse increase your desire to seek natural treatment? Speak up! Share!

(Absolutely no bashing for deciding to formula feed will be tolerated here. We respect the decision of all mothers to choose the course of treatment/feeding they feel is right for their families. Any posts discrediting or attacking a mother for her decision to formula feed will not be approved.)

Just Talkin’ Tuesday 08.04.09: Seeking Help – How did you do it?

Base photo: "Call" by barejon @ flickr

Base photo: "Call" by barejon @ flickr

Any mom who has made the phone call to her doctor’s office or timidly admitted to another person that things are not all glowy like the Johnson & Johnson commercial’s make them out to be will tell you that it’s a very hard thing to do.

It took me three months to seek help after the birth of my first daughter. 10 days after the birth of my second (but hers included NICU and major surgery so things were sped up a bit in that situation) and when I was ultimately hospitalized it took me 4 days of calling and hanging up before I would admit things had taken a turn for the worse.

That phone call was the hardest phone call I’ve ever made in my entire life. I mean, c’mon – I just had a baby. She was healthy, she was home from the NICU, doing well – why the hell weren’t things getting better? I thank GOD every day I had the courage to make the call. It completely changed my life for the better. Looking back I see how all of it fit together now. It makes sense. At the time though, I felt adrift, like a random puzzle piece left out in a horrific rain storm.

So today I’d like to ask you to share your story of how you first asked for help. What led you to do so? What were some of the difficulties you experienced when you did ask for help? Share with us! Let’s get to Just Talkin!

Just Talkin’ Tuesday: The MOTHER’S Act

LegislationOn February 23, 2001, Melanie Stokes gave birth to a baby girl. Just three months later, she committed suicide. Melanie’s death gave birth to a very dedicated activist – her mother, Carol Blocker. Frustrated with the failure of physicians to appropriately care for her daughter, Carol worked endlessly to keep Melanie’s tragic death from becoming meaningless. Through Carol’s tireless advocacy and work with Representative Bobby Rush (IL), the Melanie Blocker Stokes Act has now become The MOTHER’S Act.

The MOTHER’S Act as it reads in the current version would provide funds for a public awareness campaign, education campaign for caregivers, increase availability of treatment options and entities as well as require the current Secretary of Health & Human Services to conduct a study regarding the validity of screening for Postpartum Mood & Anxiety Disorders.

More and more research is slowly uncovering potential underlying causes and risks related to Postpartum Mood & Anxiety Disorders. More and more women and caregivers are becoming educated as more of those who have survived a PMAD speak up to share our story.

If passed, The MOTHER’S Act would further reduce the stigma surrounding new mothers not ensconced in the Johnson & Johnson glow of infantdom. If passed, the MOTHER’S Act would increase funding for research and possibly open even more doors to understanding the cause and more importantly, the potential for truly preventing Postpartum Mood & Anxiety Disorders. If passed, the MOTHER’S Act has the potential to prevent tragic deaths like that of Melanie Blocker Stokes.

Much of the debate surrounding the MOTHER’S Act has centered on the word “medication.” Medication does not necessarily mean Anti-depressants. It does not mean this is the ONLY way to treat a PMAD. It is merely listed as an option for treatment. And frankly, if one has a doctor with a quicker draw on his/her prescription pad than Billy the Kidd, I’d run away. I’d run away faster than a cheetah.

Another key point of the opposition has been that the MOTHER’S Act mandates screening. In the current version, there is no mandate for screening. The only mention of screening is to require the Secretary of Health & Human Services to conduct a study regarding the validity of screening for Postpartum Mood & Anxiety Disorders. The current standard for screening is the Edinburgh Postnatal Depression Scale, which you can learn more about here.

You can read a copy of the current bill by clicking here.

Go read it. (Don’t worry – it’ll pop up in a new tab/window – I’m cool like that here)

Seriously. Read. The. Bill.

Then read it again.

And then come back here. Be honest.

Unlike this week’s TIME article which failed to present both sides, I promise to allow unedited comments in support of or opposing the bill as long as they are civil. (Any comments including personal attacks will NOT be allowed!)

So let’s get to Just Talkin’ Tuesday already!

Just Talking Tuesday 07.07.09: Anti-depressants or Not?

original photo by thegirlsmoma @ flicker

original photo by thegirlsmoma @ flicker

Today’s topic was inspired by a post over at Postpartum Progress: You don’t NEED Anti-depressants, Do You?

In this post, Katherine discusses the lack of stigmatization regarding pharmeceutical treatment for medical conditions in response to a ScienceBlogs post you can find here.

Anti-depressants are stigmatized. Period. Nitro-glycerin or insulin? Not so much. Why? Just as Anti-depressants may work for me, they may not work for you. And if you have the wrong heart condition and take nitro-glycerin, things may not go your way either. But you don’t hear people judging others for being on nitro-glycerin, now do you? And insulin? Many Diabetics require this life-saving medication. Even pain medication after an injury – do you question that prescription? Most don’t and certainly aren’t stigmatized for taking it because let’s face it – a broken leg hurts – something we all understand.

Mental illness hurts too. It hurts the person suffering. It hurts the people around them. And if the right medication is paired with the right therapy, it can make a world of difference. Why then, are we stigmatized or accused of not understanding informed consent for deciding (of our own free will) to take medication as we heal? What makes the scaffolding of Anti-depressants any different than pain medication as a broken leg heals?

So I’m posing a pretty big question today. And I expect there will be a bit of debate about it – which is good…our different opinions are what keep us interesting! Just keep things polite. No hateful, judgemental or fear-centered comments will be approved.

Do/did you or don’t/didn’t you take Anti-depressants? Why? Why not?

And more importantly – IS it your place to tell someone else they absolutely SHOULD not take them if you don’t believe in them or have had a bad experience? Or should you calmly refer them to research that explains the risks vs. benefits and let them make the decision on their own WITH a professional on board?

Let’s get to Just Talkin’!