Category Archives: advocate

When Marketing forgoes facts

This past Tuesday, an article by Sheryl Paul entitled “Three Tips for Navigating Motherhood” was published at Maria Shriver’s website. After public outcry regarding the contents, the article has subsequently been removed. But for 48 hours, the article existed and was accessible to an enormous amount of traffic. Maria Shriver has just over 900k followers on Twitter and is well known as an activist and celebrity. When she speaks or shares something, a lot of people listen.

In this case, the danger of deciding to post Sheryl Paul’s article lies within the manner in which Ms. Paul treats Postpartum Depression. According to Ms. Paul’s article at Maria’s site,

“Pregnancy anxiety and postpartum depression are avoidable and preventable! They both result from normal thoughts and feelings that are pushed underground because we don’t realize that they’re normal, where they then grow into an unmanageable state.”

While I agree that most pregnancy anxiety and postpartum depression is avoidable and preventable, some cases are not. These cases more than likely do not result from normal thoughts and feelings which are pushed underground. Research over the past years has proven a biological and chemical link to more severe cases of Postpartum Mood Disorders. Cortisone levels, etc, are often higher in those who experience Postpartum Mood & Anxiety Disorders. Research continues into the root cause of Postpartum Mood & Anxiety Disorders so we can better help those who struggle with this difficult condition. Ms. Paul also stated these emotions are rooted in a deep sense of loss which accompanies any transition, emotions we push aside in order to “focus on buying the right car seat.” These emotions then “mutate into anxiety, and your doctor suggests anti-anxiety medication.” Really, Ms. Paul? Because Hippocrates wrote about PMAD’s and I’m pretty sure the ancient Greeks didn’t need to purchase car seats.

First of all, shame on any doctor who prescribes an anti-anxiety med just because. Secondly, some women truly do suffer from anxiety. From depression. Regardless of how intuitive they are with their own emotions. Failure to explore yourself emotionally at every stage of a transition is not the root of Postpartum Depression or Anxiety. To tell a woman in the throes of a Postpartum Mood & Anxiety Disorder such sets her up for even more guilt and anxiety in my personal opinion. Time and time again, we must defend our experience with this issue. Time and time again we are told by too many our experiences are not real. If we had only done this or done that, we would be fine. It’s all in our heads. We need to buck up, just get over it, snap out of it, look inward, pull ourselves up, grin and bear it.

I call bullshit.

Some of us have true issues. Mental Illness is not some facade. It’s not some excuse we use to get out of Motherhood. It’s not something into which we collapse willingly because Motherhood isn’t all we dreamed it would be once we arrive. It’s not because we don’t know ourselves. It’s not because we didn’t get in touch with our inner “woman” before giving birth. It’s certainly not because we didn’t accept the loss of self prior to and/or after birth. There are physical causes in which some cases of Postpartum Mood & Anxiety Disorders are rooted – thyroid issues, iron deficiencies, Vitamin D deficiencies, trauma, etc, all of which cannot be cured by simply “emotionally exploring oneself during transitional phases.” To quote Rene Russo from Lethal Weapon 4: “THIS IS NO GODDAMN ASPECT OF A TRANSITION PHASE!”

Yes, there are transitions involved with Motherhood. There is a loss of sense of self. Many struggle to adjust. But even those who are the picture of perfection may fall into Postpartum Mood & Anxiety Disorder. You see, PMAD’s are non-discriminatory. They don’t recognize emotional health, societal status, natural or medicated childbirth, breastfeeding or not-breastfeeding, traumatic or non-traumatic birth, etc. I’ve known professional therapists, psychiatrists, and OB caregivers who have struggled with a PMAD and not recognized what’s going on with them. People in the know, people aware of what’s going on in the transitional phases. And yet, they still end up with a PMAD. Yes, some pre-existing conditions do put you at a higher risk but overall, Postpartum Mood & Anxiety Disorders are the number one complication of childbirth regardless of your monetary or social support bank account.

When you recognize the signs and symptoms of a PMAD within yourself or a loved one, you seek answers. Solutions. That answer or solution should never discount your feelings or emotions. The issue at hand is not easily solved in 10-15 minutes per day as Sheryl Paul claims about her courses within a video at her website:

“If you follow this road map, which isn’t hard to do, it takes just 10-15 minutes a day, you will prevent Postpartum Depression, you will feel empowered as a new mother, and you will be giving your baby the best possible beginning for emotional health.”

The above quote preys upon vulnerable mothers who desperately want a better life for their “baby.” It’s irresponsible marketing, pure and simple. The only goal here is to get $200 into Sheryl Paul’s pocket – a bargain, she says, at her website, because the course is easily worth $1000 but because she wants everyone to have access, she only charges $197 for it. You can also opt to pay for it in two installments. So you see, for about the same price as a car seat, you can buy your way into avoiding Postpartum Depression but avoid shelling out money for anti-anxiety meds.

Careful, Sheryl, if someone buys your course and still experiences Postpartum Depression? Under the Lanham Act, she can sue you. She can also report you to the FTC. The Better Business Bureau. Also? Instructing a severely depressed mother to “explore her feelings” may lead her to conclude suicide is the only way out. Is that something you really want on your hands? What about Psychosis, which is a medical emergency? Should a mother “explore” those feelings as well? If you are going to mention Postpartum Mood Disorders, you absolutely need to be responsible in regards to all aspects of the spectrum, something this piece and your website fail to do, which is extremely dangerous.

I have zero respect for any caregiver treating Postpartum Mood & Anxiety Disorders as a fallacy or claiming to completely prevent the experience. For those of us who have fought the battle, it feels as if we have been discounted. As if we must stand up and defend ourselves. It tears us down. Angers us to see our difficult journey dismissed. It makes us feel we failed because we didn’t prevent our experience. Would you tear someone’s cast off and beat their broken bone? No. You wouldn’t. Don’t do the same to those of us who have experienced a Postpartum Mood & Anxiety Disorder.

Birth is a powerful event. Every woman has a different story, a journey which is all her own. No one, anywhere, should ever discount the story of another. If you’ve avoided a PMAD, I’m happy for you. I’m happy you were not subjected to the many circles of hell so many mothers (including myself) have been. I’m glad you found something which worked for you. Don’t claim to cure my situation with your solution. Don’t ignore the facts. Support me as I find my own, regardless of what that may include. I may need to take medication. I may need therapy. I may need hospitalization. And that’s okay. It’s also okay if you found success with natural approaches.You have to do what works for you. Be open to the fact that my path may be different than yours.

Bottom line here: People who claim to completely prevent Postpartum Depression are dangerous. You can do everything Sheryl tells you to and still end up with a Postpartum Mood Disorder. And yet, you won’t be educated about Postpartum Mood & Anxiety Disorders. You’ll be educated instead in how to explore your emotions instead of what to do when you can’t get out of bed in the morning or brush your teeth, or even make small talk with another adult. You won’t know how to recognize Psychosis. You won’t know that an intrusive thought isn’t Psychosis. You won’t be empowered to go to your doctor for help because well, Sheryl’s program more than likely doesn’t cover such a course of action.

If you or someone you love is struggling during pregnancy or after birth with a possible Mood Disorder, go visit Postpartum Support International for information and support. If you’re suicidal, there’s a helpline at the top of the sidebar here at My Postpartum Voice. If you want a powerful community at your fingertips, go visit Twitter and use the hashtag #PPDChat for moms just like you. Our moms range from those who have been hospitalized to those who have used natural methods, etc, to battle Postpartum Mood Disorders. We are all over the world and there is always someone watching the hashtag. You’re not alone and we’ll give you more than 10-15 minutes of our time every day if you need it. Best of all? It’s FREE.

Dear Abby downplays potential Antepartum depression

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Yesterday, a letter to Dear Abby from a woman seven months pregnant received an alarming response. This mom-to-be states she never wanted to be pregnant. She goes on to share her inability to find any websites for women like her – only websites filled with women cooing over their bellies, etc. Her husband reacted negatively when she shared with him her emotions regarding the pregnancy. Mom-to-be is frustrated, doesn’t want to be pregnant, and flat out asks Dear Abby if there is something wrong with her.

Dear Abby responds:

“No, there’s nothing “wrong” with you. You’re just not particularly maternal.”

Um.

What?

Now, I realize all women are not maternal. It’s okay to not be maternal. However. There’s a difference between non-maternal and a mood disorder. There’s also great potential for this situation to not resolve itself without solid professional help.

To Abby’s credit, she does recommend the mom discuss her emotions with her OB to ensure she’s not suffering from pre-partum depression. But then she goes on to share something very alarming with this new mother. “When your baby arrives, I’m sure you will fall in love with him or her as many other women have.”

Sighs.

Oh Abby.

Not familiar with the research showing Ante-partum depression as a risk factor for Postpartum Mood Disorders?

What about the risk factor of unplanned pregnancies on Ante-partum and Postpartum Mood Disorders?

Not familiar with mothers who do NOT connect with their infants at birth or months afterward?

I’m all for providing hope. But to be unrealistic about it is downright irresponsible. Perhaps this mother will fall in love with her infant. But she may not. And now she, along with millions of other mothers in her situation who read this piece, are pinning their hopes on a potential unrealistic outcome which will only cause their guilt and shame to increase when they DON’T fall in love with their infants. No resources were provided. Nothing other than “Talk to your OB.” What if her OB is an idiot? What if he/she dismisses this mother’s concerns just as you have? This mother, and MILLIONS others like her are now left with only your words and those annoying cooing websites for cheery moms.

Postpartum Support International is a great place to turn to for support for Ante-partum depression. There are also several blogs with invaluable posts and insight into ante-partum depression. There’s also #PPDChat on Twitter for instant support regardless of where you’re at in your pregnancy or postpartum.

Thankfully, we’re talking more and more about this. Not nearly as much as we need to but it’s a burgeoning topic. Pregnancy does not always equal a glowing mama. Sometimes it equals a sad/anxious mama. It’s okay. You’re not alone. There is hope. There is help. If only Dear Abby had been responsible enough to provide some for this mom. Instead, she jots off a quick unresearched response which leaves her out in the cold.

Way to go, Abby. Way to go.

Dear #PPDChat Army: An Open Love Letter

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Dear #PPDChat Army:

You are the most amazing moms in the entire world.

Your heart, your fire, your compassion, your wicked strength, your wisdom, your drive to not let anyone else suffer alone is mind-boggling.

This week, one of ours struggled publicly. You didn’t run away. You ran toward her. You held her. You listened. You reached out. For her. For yourselves.

So many of you dove into her maelstrom right along with her. You were there for her when it mattered most.

At the closing of every chat, I always say that help is only a tweet away. To use the hashtag and an army will be at your disposal.

This week?

You proved it beyond any reasonable expectation.

This week, you were an army. This week you bonded together, rallied around one of our own. This week you brought tears to my eyes. To the eyes of everyone involved. (HUGE thanks to the BAND for giving our mama a safe place to vent)

Thank YOU.

But now, now that she’s safe, in the hands of professionals and hopefully receiving the care she so desperately needs, we need to focus on ourselves. Turn the army toward ourselves.

When we support others, we often push aside our own fears. We push aside the scary, the hard, the sad, the bad. We suck it up because we don’t want the one to whom we’re reaching to think we are anything but strong.

It’s okay to exhale.

It’s okay to cry.

It’s okay not to be okay right now.

It’s okay to collapse.

It’s okay to say “Hey, #PPDChat? That was hella hard and I need support.”

We will be there.

It’s what we do.

It’s who we are.

It’s how we run things.

We’re strong, each and every one of us.

We’re beautiful, each and every one of us.

But we’re fragile too.

Together though?

As an army?

We are unstoppable.

We are here.

Together.

You, just like her, are not alone.

If you feel triggered by this past week, USE the hashtag.

I promise, an ARMY will be at your side instantly.

Because that’s how we do it.

I love each and every one of you so much it hurts.

You all ROCK.

My breasts, my sanity, MY CHOICE

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Yesterday afternoon, the tweet you see to your left was sent out by a friend of mine. Of course I clicked. Then I waited for my phone to fully load the page. Once it loaded, I scrolled through the article. With each new point, my rage increased. Not until the end of the article did the author even begin to show a shred of compassion for mothers who rely upon formula in medically necessary situations. Even then her compassion was thin and failed to mention mothers struggling with postpartum depression. A few back and forths about the article then Karen Kleiman posted a rebuttal. So did Ivy Shih Leung over at Ivy’s PPD Blog.

And now? I give you mine.

My mother nursed my brothers and I for 18 months each. Or that’s what I’ve been told. I’m sticking to it. I grew up thinking breastfeeding was normal. I grew up used to seeing my mother nurse my brothers. It was how they were fed. It wasn’t weird. Or strange. I wasn’t scarred by the experience. I was six years old when my youngest brother stopped nursing. Closer to seven, actually.

When pregnant with my first child, I knew I would nurse. Because breastfeeding is how babies eat. She, however, had other plans that first day. Not interested in the boob. Didn’t eat at all in the hospital. We were sent home with barely any instruction but by god, they sent a bag with free formula samples. Which I used when she was screaming at 10pm that night and I couldn’t get her to latch. We used three of those samples the first night. I woke up the following morning determined to make breastfeeding work. For us, it did. She latched and we didn’t look back for 16 months when she finally weaned. Breastfeeding was the ONLY thing I did right with her in those early days. I failed at everything else. I couldn’t handle her screaming. She nursed for an hour every two hours so I stayed on the couch. No outside support. I was modest, didn’t want to nurse in public, etc. Quick trips in between nursings became the norm for us. At three months postpartum, my doctor asked me how important breastfeeding was to me as my daughter screamed in her carseat next to me. Seriously? I left his office even more defeated than when I walked in. I left with no help. Clearly I had to do this on my own. She thrived, I broke down.

My breakdown continued into my second pregnancy, leading to an early delivery. Our second daughter was born with a cleft palate. Once again, I expected to give birth, nurse, and go home. I had higher hopes for starting nursing this time. Instead, later that evening, I was trained in how to use a Medela Symphony and clutched cold hard horns to my poor not yet full breasts. No one explained colostrum’s small production to me and the nurse even laughed at what I got that first try. Again, I was defeated. My biggest moment of defeat? When the nurse asked me what kind of formula I wanted our daughter to have.

“But, but.. I’m going to nurse her. She’s getting breastmilk.” I stammered.

“Honey, until your milk comes in completely, she needs to eat. What kind of formula? We have Enfamil or Similac.” the nurse stated.

“Enfamil.” I sighed and cried when she left.

And that was just the first day.

Let’s visit the day I was in the pumping room at the NICU and my daughter’s nurse started a feed with FORMULA just minutes before I exited with well over 8 ounces of fresh Mama milk. I made her stop the feed, dump the formula, and start a new one with my milk. Oh hell yes I did. Or what about the day of her G-tube and ear tube surgery when the nurses spilled 5 oz of her milk as they tried to get the Kangaroo pump to work? I was not nice.

At the same time though, I had to be okay with my daughter getting formula in those early days. Yes, I thought formula was evil. But when I couldn’t be there or have enough stored breastmilk at the NICU, if my daughter didn’t receive formula, she would have DIED. We had a toddler at home. The NICU was over an hour away. I couldn’t be there 24/7. So formula had to be okay. It wasn’t evil. It wasn’t non-nutritious. It was saving my daughter’s life. I needed to not feel guilty about what my daughter received. I needed to not think about how it was changing her gut flora. I needed to not be judged because damn it, I was trying as hard as I could but the pump only removes so much milk. I pumped around the clock – every three hours except for a luxurious 5 hour stretch in the wee hours of the morning when I let myself SLEEP. Sure, I could have stayed awake around the clock and made more to avoid the evil formula but again, I had a toddler. One needs sleep when attempting to care for a toddler. Or they win. Everything. And that, people, can get ugly fast.

I pumped exclusively for our second daughter for seven long months. During those seven months, I was hospitalized in an Acute Flight risk Mixed-Gender ward. I pumped every three hours there too. Pumping fed into my OCD. Clean, sanitize, run the kangaroo pump, pump, repeat. Every three hours. On top of caring for a toddler. On top of a husband working 70+ hours in the restaurant industry. On top of two dogs who ALWAYS waited to need to go outside until right after my let down whilst pumping and usually had an accident in the house. I made peace with a lot of things – lowered my standards for a lot of stuff. Because my daughter needed my breastmilk. I threw myself down the rabbit hole and wallowed there. I resented her. I hated her for what I had to do.

At seven months, I stopped. For my sanity, for my relationship with my family, for my daughter. We weren’t bonding. I was going crazy. When it’s a question of my sanity vs. breastmilk? My sanity will ALWAYS win. I cried when I bought formula. Expected to be judged and would have had a serious conversation with the person judging me. Possibly would have offered to invite them to my home to see just what it was I dealt with on a daily basis.

As I stated in Don’t Judge me, the manner in which baby is fed doesn’t matter. As long as everyone is thriving, that’s all that matters. Yes, we should be educated. But education does not have to come in a harsh form as it does in the “Pushing Formula is EVIL” article. State the facts. Be honest. Forthright. Respectful. Don’t make me feel guilty for my choices. If you have to preface an article with the following:

“NOTE TO MOMS: Don’t read this if you are feeling vulnerable, guilty or overstressed. NOTE TO ALL: I’m not a therapist but a researcher in child development.”

Chances are you shouldn’t be writing it. I preface things with “vulnerable” here. But never with guilty or overstressed. And based on the article, it’s clear the author isn’t a therapist. If she were a therapist, she would have been far more compassionate and understanding. If she had read recent research stating “Postpartum Depression and difficulty Breastfeeding often go hand in hand” she may have been more compassionate.

Depressed moms may use formula more often than other moms. Breastfeeding is tough for us. We struggle with touch. We struggle with throwing ourselves under the bus because quite frankly, we already feel run over by the damn bus.

Motherhood is about making the right choice for our family. Not making the right choice for someone else’s family. Not about judging others for their decisions. Not about filling people’s heads with unresearched facts in a demeaning manner.

For the record? My daughter is extremely bright. She tested almost off the charts in verbal comprehension at four. So did her sister.

When their brother was born, he nursed like a champ. But then I had emotional crisis at 3 months. My medication combined with my stress killed my supply. He was diagnosed as failure to thrive at six months having gained only four pounds since birth. The pediatrician suggested I pump. I knew where that road led. I closed the milk factory and he switched to formula in just two days. He gained weight, I was less stressed, and we thrived.

Formula worked for my family. It wasn’t evil. No one pushed it on us. I made educated decisions to use it. It saved my second daughter’s life. It saved my son’s life. It saved MY life. The author states that if one cannot breastfeed, a wet-nurse or milk from a milk bank is an acceptable substitute. I agree. But at the time, I couldn’t even get my insurance company to pay for what I felt was a “medically necessary” hospital grade pump. How on EARTH would I get coverage for milk-bank breastmilk?

Don’t ever tell me Formula is evil. It saves lives. The end.

My breasts, my sanity, MY CHOICE.

BOOM.