Tag Archives: pregnancy

#PPDChat Topic 08.04.14: Getting Pro-active: Facing Pregnancy after a Perinatal Mood & Anxiety Disorder

ppdchat-08-04-14

Along with countless women, I have been in this boat. It’s an intimidating boat, let me tell you what. But, with some preparation, things don’t have to be quite that scary.

My first experience with a PMAD was frightening. I had no idea what was happening in my head in addition to trying to get myself adjusted to motherhood for the first time around. Talk about one helluva screwball. Thanks, life.

I survived. My daughter survived. Did we come out unscathed? No. But I definitely came out wiser. I view my first brush with PP OCD as one heck of a learning curve which prepared me for the second time I found myself in an even deeper valley than the first.

Halle Berry said it best on Oprah: “Once you’ve been through depression, it gets easier to get out because you have a road map.” Each episode, while it may have different nuances and causes, is essentially the same basic experience deep down. You get used to battling your way out of it and yes, you absolutely have a road map. You learn to recognize the curves and know how to adjust for them well before they even appear on your horizon.

Just as with a road trip, preparation is key. While even the best preparation in the world does not guarantee that a PMAD will stay at bay, it does empower you and enables you to seek help sooner rather than later.

I sincerely hope you’ll join us tonight to discuss the importance of preparing yourself and your loved ones for the possibility of another bout of a PMAD after the birth of a sibling. I have experienced both a planned and an unplanned pregnancy after my episodes so there will be lots of insight into both situations, including a very honest discussion about depression and other mental health issues during pregnancy.

Tonight’s chat is an important one. Don’t miss it. See you on Twitter at 830pm ET!

Seeking pictures of REAL pregnant mamas

Hey y’all.

Tonight’s #PPDChat was about depression during pregnancy.

Prior to the first chat at 1pm ET, I decided to search for “Pregnant Woman” via Google images. Wanna know what I found? I bet you already know. 

Smiling pregnant women. All of them happy and glowing. 30 pages in, I gave up.

I asked both chats to send pictures of themselves, pregnant, not glowing, REAL.

Will you share too? I want to show moms that not all pregnant women smile. That it’s OKAY to look (and be) something other than happy during pregnancy. Can you help?

Awesome.

Email your photos to me at mypostpartumvoice (@) gmail (dot) com. Subject Line: Real Pregnancy Photos.

You totally Rock. Let’s show the world pregnancy isn’t all happy grins. Time to get real.

Dear Abby downplays potential Antepartum depression

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.

Guest Post: Contentiously Pregnant, Traumatically Delivered

The following was submitted some time ago by a reader who asked to have this published anonymously. Although this is a quick read, it covers so much – the fear and denial of a new pregnancy, the shock and self blame surrounding a delivery gone horribly wrong, and the anxiety enveloping all of these things. Postpartum Post-Traumatic Stress Syndrome is a very real disorder on the Postpartum Mood Disorder Spectrum. If you think you may struggle with this disorder, there is hope, there is help, and you are not alone. I strongly suggest you check out Solace for Mothers for support or reach out to the #PPDChat community on Twitter. Don’t walk the dark path alone. 

This post contains some imagery toward the end which may be triggering for you if you’ve suffered/or are suffering with PPTSD.

If you are still easily triggered, you may want to skip this piece.

The big day had finally arrived. The day I was to meet this little boy I still don’t want. Let’s go back a year and a half….

I was sent for a biopsy because of an abnormal pap. I was put on progesterone because I have Polycystic Ovary Syndrome (PCOS). My body was not making enough of this hormone to have a monthly “friend”. I started taking progesterone and within seven days I had a “friend” come to visit, only it was really bad.

I was hemorrhaging. After fifteen days, my wonderful OB decided to perform a D & C. Everything went well; the bleeding and cramping was finally manageable. I was supposed to take the progesterone the first seven days of each month until my body did what it was supposed to do. I lost 65 lbs!

I went to my four month post D & C check up and all was well. I received a clean bill of health and was good to go. My OB said if I wasn’t pregnant by Spring, we would discuss our options (little did either one of us know, at the time of my check-up, I was already pregnant.)

I was under instructions not to take progesterone in November. My OB wanted to see if my body would do what it was supposed to without it. She did say if December 1st came around with no “friend”, I was to take a pregnancy test. If it was negative, start the hormones all over again.

Black Friday came. I am one of those crazy people that is at the stores shopping at an ungodly hour so I bought a test. While at work, I peed on the little stick and before I could blink, two lines appeared. I took six more tests throughout the week at different times, just to verify what the first one said.

I was in complete and utter shock and even denial. It wasn’t Spring and I wasn’t ready to be pregnant. I had just lost a ton of weight, I was a full time student, I worked full time, and I already had a child who was in school full time. I wasn’t ready to have another baby.

The pregnancy was what every pregnant woman wanted, perfect and smooth. As I entered the second trimester, I was still in denial that I was even having a baby. I tried to ignore the movements and the baby’s hiccups. I tried to deny I was carrying in my belly this perfect round shape beneath my clothes.

I wasn’t happy. My days are grew darker and darker. Family and friends said I was aglow and looked wonderful. They couldn’t get enough of my belly. I resented their excitement over this new life I was bringing into the world.

Finally, the end was near. One month before I delivered, I was in a car accident. I was rushed to the hospital because of the cramps, but I wasn’t concerned for the life growing inside me. I just wanted him out. I hadn’t fallen in love with him. I didn’t even want him. I was still not ready. The cramping and contractions stopped. My OB said I would be induced in three weeks.

The day of induction came and family and friends hovered all day long. Labor wasn’t bad. Everything went smoothly. The pain was there, but tolerable. At 9cm, I said fuck this, I am pushing. No more waiting. Maybe that was shame on me, but I was done.

I went from 9cm to crowning in about a minute! My OB arrived and changed when the pain suddenly hit. I couldn’t breathe. I couldn’t think. Why the hell didn’t anyone take this kid out of me?

After five minutes of pushing, he was stuck on my pelvic bone and they were losing him and I wasn’t cooperating. I declined the pain medications earlier on. The next thing I could remember was the look between my OB and nurse. The nurse pressed the “Code Red” button and I still couldn’t breathe. All these nurses came running in and pushing everyone out of their way to get to me. They jump up and on the count of three I am to give one good push, while they push on my stomach, 1…2…3…he is out.

I didn’t want him on me. I didn’t want to see or touch him. He wasn’t breathing and was rushed to the incubator. Everyone was crying with joy around me, but I was disgusted that I sucked so badly at this delivery. I hated and blamed myself.

Because of all the commotion surrounding my son’s birth, the time he was born is a bit foggy; no one was paying attention to the clock. He was born not breathing, the cord around his neck and moderate shoulder dystocia. As his mother I felt as though I had already failed!

Most of this is a blur. I wish I could say that I am over this experience and that after a couple of hours all was well and I was smitten with this new baby. However, my hell was really just beginning, but that story is for another time….

Guest Post from @SavageLaura: A tale of two sisters & the power of social media

Last summer. It was terrifying.

My heart skipped a thousand beats and my butt barely clung to the edge of my office chair when “I’m at the hospital. I’ll call you back” were the last words my mother said before the call ended. My eyes filled with tears. That lump in my throat, hard as a fist, reached down and wrenched my guts.

Rewind a few months, and I will tell you why.

It was the end of April, 2010 when a pretty yellow envelope peeked at me from inside the mailbox. It was addressed to me; my sister’s chicken-scratch handwriting a dead giveaway she was the sender. The cutest card adorned with white buttons and a pastel tree slipped out of the envelope. A cutesy font read “Your Family Tree is Growing More Beautiful Each Day”. Oh my God. I read it over and over, the blurb “See you in November” on the inside written in the same chicken-scratch handwriting.

Excitedly I fumbled with my cell phone to take a photo of myself, card next to a wide grin, and send it to my sister. Within minutes she was calling. An immediate barrage of questions ensued. “Yes, I really am pregnant. No, we don’t want to know what it is. Yes, I already told you I AM PREGNANT. Yes, mom knew. We wanted to wait until we were past the first trimester in case something happened.”

I was happy for her. For them. Really I was, but I couldn’t push aside some strange feeling that something wasn’t right. I could hear a smile in her voice, but it was entwined with a sort of sadness. Why didn’t she tell me? I’m her big sister… she could tell mom, but not me? My mind tried to recount the last month or two, searching my memory for something I may have said, or not said, or did or didn’t do. She had been quiet. Her calls had been infrequent.

A few weeks later I confronted my sister. She said she’d been a little down, and having morning sickness. And wanting to sleep a lot. She’d been real tired. Ding ding! I asked her about her meds. The antidepressants. I know my sister, and when the depression starts looming her recourse is to retreat to her bed and stay. For days.

At one point she broke down and cried. I encouraged her with whatever uplifting words I could muster. And then I asked her, “Have you talked to your doctor about this? Pregnancy blues are one thing, but you sound miserable. You really should talk to her.”

And that was the beginning of a long, horrible pregnancy.

I can’t even really recall what happened, or when, or why. But I do know that one summer morning I called my mom, her breath strained and that tone in her voice, “I’m at the hospital. I’ll call you back.” I was scared to death. I managed, somehow, to call my mother when she was walking into an emergency room at a hospital three hours away from where she was supposed to be.

My sister had been admitted by her OB. Delusional and suffering anxiety attack after anxiety attack, an orange band was secured around her wrist. Her shoelaces removed. Her purse and its contents taken. She had been placed on a suicide watch.

The psych ward became her world for a week. My sister had access to psychiatrists, therapists, and even a nutritionist due to a discovery of an eating disorder she had hidden for years. They tried all the pregnancy-safe drugs available, supplements, diets and exercise. But it didn’t help. My sister’s downward spiral was in full force and moving fast.

After she had been hospitalized for a third time, their last resort was electroconvulsive therapy, or ECT. Most patients receive benefits from this treatment, especially pregnant women since it doesn’t harm the baby. I was shocked (no pun intended) and buried myself with articles, anything I could read and get my hands on. My mom had quit her summer job and resorted to living with my sister and her husband, desperately trying to hold it together herself. I became my mother’s confidant. At times she would call, and I’d listen to hours of tears and sniffles.

I believe I didn’t sleep more than four hours straight for two months, my sister’s emotional rollercoaster weighing heavy on my mind.

By October, emotionally spent and drained, my sister had been through it all – gestational diabetes, high blood pressure, preeclampsia, tremendous weight gain, nightmare after nightmare. Her doctor agreed it was time to induce. At 34 weeks she gave birth to my beautiful niece, weighing 4 lbs 14 oz and a headful of silky hair.

But the fight wasn’t over.

Due to the medications, my niece was unable to eat for 24 hours. Even more depressing news, my sister was unable to breastfeed. My mother still scared out of her mind. And then the news that my niece would have to stay in the NICU for four weeks blew my sister down like a violent midnight tornado.

My sister and her husband finally brought their daughter home, it was so foreign. Here was this baby that was in her belly, but had been taken and cared for by these other women. For four weeks. And now she was stuck, all alone, with this tiny person she didn’t know. Loved? Yes, with all her heart. Bonded? No. Once they brought her daughter home, it was as if she’d stepped in the path of a freight train; her world had been turned upside down as it went from being self-sufficient to OMG WTF I have this crying thing 24 hours a day.

As weeks went by, my sister called every couple of days to vent. Until one day she had called me twice a day, at work, for two weeks straight. I had had enough. And as much as I wanted to say “Get the f**k over it. Put your big girl panties on. Shit or get off the pot”, I knew I couldn’t. And until she decided she wanted to do those things, it was pointless to waste my breath.

Now. I’m going to tell you something about being a big sister. No matter how bad you get pissed off, or irritated, or want to haul off and slug your little sister(s), you still love them with all your heart. When they hurt, you hurt. When they’re happy, you’re happy. But when they’re miserable and can’t do anything about it, you do what ever it takes, come Hell or high water, to open their eyes. To fill their heart with golden love and make their soul sing. You roll up them sleeves and take charge. Why? Because you’re THE big sister. That’s why.

For me, taking charge meant scouring the Internet for hours, looking for postpartum resources until my tired eyes would send me into a migraine. I looked up mother’s groups, even though I knew my sister wouldn’t go. Short of myself driving 12 hours in order to MAKE her go, I knew it was impossible. I have a husband, and a daughter, too.

One day (and I’m still not sure quite how it happened) I was on twitter, when a tweet caught my eye. Someone I had been newly following, a friend of a friend sort of thing, tweeted something about motherhood and then put ‘#ppdchat’ at the end. My eyes got huge. I’m telling you, I’m pretty sure I pee’d my pants with excitement. And being the bossy move-out-of-the-way big sister that I am, I simply tweeted: Need #ppdchat info.

I still tear up about it, like right now, but this simple tweet changed my sister’s life. The power of social media came to my rescue. And somehow I am sure God had a hand in it. It all happened so fast that within ten minutes I had a message from Lauren Hale, of My Postpartum Voice, giving me her email. Within 24 hours I had been in contact with a therapist whose office is located five minutes from my sister’s house. FIVE MINUTES. TWITTER. WOW.

It has taken time, months, and will probably take years for my sister to heal. She is receiving help, guidance, and nurturing to become the mother she has always wanted to be. I know it’s not easy. I mean, I had a touch of depression after pregnancy. Nothing to the magnitude my sister has endured. And I hope I never will.

I do know this. Never be afraid to speak up for someone who can’t. Someone so down and distraught is neither sinking nor swimming, just stuck treading water. There’s nothing to be ashamed about. Do not be afraid to reach out and grab a hand for help. Do not be afraid to try. Do not be afraid.

Go. Do. Be.

Laura Savage finds at least four new gray hairs every morning. At thirty, she still wears a retainer (only when she sleeps).
She has battled migraines, college algebra, ugly prehistoric-looking centipedes, and an addiction to Dr. Pepper. And won. 
Laura currently lives in Southern Colorado with her husband, daughter, and three canine companions.