Happy 4th Birthday, Ezra

Dear Ezra,

Today is your 4th birthday. 4. I can’t even believe this will be the 4th year we have celebrated your birthday without you here. Wasn’t I just in the hospital waiting to deliver your tiny, lifeless body?

So much has happened since that day, Sweet Boy. 4 months after I delivered you, I became pregnant with your little sister, our rainbow, Peachy. But that’s not all. There were 4 foster children in and out of our home since then. We moved— my goodness leaving the house we lived in where you lived and died in my womb nearly shattered my heart. I’ve experienced hosts of physical ailments, and a few diagnoses. Your big brother and big sister have gone from toddlers to elementary aged kids. After saying goodbye to you and two of your baby foster brothers who came and left after you, the Lord blessed us with a forever baby boy, your brother Gordito. He’s sleeping now in my arms with a full belly of mama’s milk and swaddled like a chubby burrito.

There has been so much change since you left us, and yet? I still miss you. I still feel your loss in physical and tangible ways.

Sometimes when I am kissing your baby brother, his soft, bubble gummy cheeks, I wonder if you would have looked like him if you had made it. I sniff in his pungent smell and remember all I have of you is a little box of ashes.

Sometimes I think about how different life would be if you had lived. There would be no Peachy, in all her wild insanity, I love her so much I can’t fathom life without her, and yet if you were here, she wouldn’t be. That makes me feel guilty if I think about it too much.

Sometimes when I’m in the living room with your brothers and sisters, I count their heads “1, 2, 3, 4…” and then I go into a mild panic scanning the room looking for you. Where is my other child? There have been times where I have gotten up and looked in other rooms in the house for a fifth child, and as I do, I am overcome with sadness again remembering you aren’t here. There’s no fifth head to count.

Ezra. My beautiful, itty bitty boy. I’ll never stop grieving your loss. I’ll always have a piece of my puzzle missing with you not here. I’ll forever remember you and keep your memory alive in the hearts of your siblings, so that even when I’m dead and gone and holding you in Heaven, your name will not be forgotten on earth.

But for now my love, I know you don’t miss me. You’re complete. You have lived a fuller life in the 4 years you’ve been in the presence of the Lord than I have 32 years on earth. You are held by arms more capable than mine, you are cared for better than I could have done, and you are loved even more than this imperfect mama ever could. I have such great joy knowing you are not mourning, you never have and never will.

God is good— all the time, and I take comfort in knowing that one day, we will be reunited together with Christ.

I love you, sweet Ezra Eugene.

Love,

Your Mama

Supporting Your Postpartum Spouse

Hey Dads,

Let’s talk about something serious: Postpartum. It’s a wonderful time, after 9 months of anticipation, you have this wonderful baby that you get hold, love on, and stare at in amazement. There’s so much good that comes from having a baby! But, we’re lying if we say nothing difficult can also come out of it.

Sometimes your significant other, or even you, may experience feeling bluesy, anxious, or depressed after having a baby. There’s often a stigma associated with these things, but there shouldn’t be. It’s real, it can be serious, and when left untreated, it can lead down a scary and dangerous path. It’s estimated that 1 in 7 new mothers experience postpartum mood disorders. Before we start, realize that often what gets lumped into Postpartum Depression is actually 3 different mood disorders.

Let’s start with Postpartum Depression OR PPD, as it is commonly referred to, is just that: a state of depression after baby is born. Often brought on by a number of things including postpartum hormones, changes in amount and patterns of sleep, or the stress of caring for a helpless new baby. What does it look like?

Someone with PPD will:

• Bs sad/depressed more than they are happy, and feel disconnected from their baby.

• Have overwhelming anxiety over even the smallest of things

• Be tired with little desire to be active, and will often sleep excessively.

Next let’s look at the next thing that often gets lumped in with PPD: Postpartum Anxiety or PPA. Though Postpartum Anxiety is often labeled as depression it has some key differences that can impact how you can best support your partner in dealing with this. Like PPD, Postpartum Anxiety is anxiety brought on from the same things, hormones, lack of sleep, and a worry for your baby. But this is not an anxiety that comes and goes. It lingers.

What does it look like?

• It’s the constant fear that something bad is going to happen to your baby.

• It’s racing thoughts and excessive worrying.

• It’s a continual cycle of what ifs.

• It’s the fear of not being enough for your baby, while not wanting others to care for your baby.

• It often brings trouble with eating & sleeping

• It can also be experienced other physical symptoms associated with anxiety including panic attacks, dizziness, hot flashes, and nausea

It is important to understand and recognize that someone can have postpartum depression and postpartum anxiety simultaneously.

The third and final postpartum mood disorder is Postpartum Psychosis. This the most serious and least common of the 3, it occurs in less than 1% of new moms. Although not exclusively connected, it is often more common in moms who have dealt with bipolar disorder or had a family history of it.

How is Postpartum Psychosis different from the other two?

• Symptoms vary and can include:

-Hallucinations

-Reduced need for sleep

-Paranoia (beyond anxiety)

-Rapid mood swings

-Thoughts of suicide or infanticide

-Confusion and racing thoughts

-Delusions and strange beliefs

• It is considered a medical emergency and requires treatment

• While PPD & PPA may require medication for treatment, Postpartum Psychosis is a medical condition that is treatable with medication

So dads, you’re probably wondering “What does this have to do with me?” I’m here to tell you that you can be instrumental in supporting your wife and providing the care and help she needs postpartum.

How can you help if your wife is suffering from PPD, PPA or PPP?

First things first: Talk with her. I know this can be difficult for some men, but communication is key. As can often be the case with mood disorders, she may be in denial or not realize her condition, and may need some encouragement to get the help she needs. With Postpartum Depression and Anxiety, this process may take some time and you may not be able to broach the subject directly, you may need to sidestep a bit. However, if you suspect your wife has Postpartum Psychosis, reach out to medical professional immediately to seek treatment.

Here are some other ways to offer support:

• Let mom get some sleep (this means you may need to get up early with the kids on the weekend so she can catch up!)

• Make sure she’s eating properly

• Suggest taking a walk or other exercise so she can get some endorphins pumping

• Help her find community and support

• Encourage social interaction, whether in person or through social media

• Encourage her to meet other new moms or moms that have dealt with Postpartum mood disorders

• If appropriate, help her seek a therapist

• When needed seek professional help, or medication

• Prevention is the best medicine, if your wife has a history of depression, anxiety or bipolar disorder discuss with her doctor early on in pregnancy to get a plan in place.

• Find more information from resources like Postpartum Support International

This is not an exhaustive list, and some things may or may not work with your partner’s personality. Study her, talk to her, and most importantly? Listen. Even when she’s not talking, listen to her, encourage her, let her know she’s not alone, and she is not failing.

_______________________________________

Noah or “Milkman” is husband to Rachel at She Rocks the Cradle and father to 4 children. He co-founded a dad’s only support group on Facebook called Dadventure. You can follow his fatherhood journey on instagram at @its.milkman