Tag: PPA

I Hate Postpartum

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I hate postpartum.

I know, I know, we are supposed to relish every moment of motherhood, and love our bodies at every stage, and be amazed by ourselves, blah, blah, blah bull crap. I hate it.

First off let me clarify, because I hear a lot of people who automatically think the word postpartum means a mood disorder because we associate it with postpartum depression (PPD), anxiety (PPA), or psychosis. It doesn’t. It literally means the time after you’ve given birth, and while I have plenty of stuff to say about postpartum mood disorders, I really just hate a whole lot about what happens after giving birth. Secondly, I know it’s not like me to be a downer in this space, but in case you hadn’t noticed, I haven’t been in this space for well over a month, because I have been so far in a postpartum ditch I haven’t been able to find my way out. My reappearance to write is really difficult for me, and to be honest, I’m only doing this because the therapist I’m seeing for postpartum depression and anxiety made it my assignment to return to something I find fulfillment in as I struggle to get a handle on my mental health. Writing is one of the few things that helps me process, so forgive me as this is some of the rockiest writing I’ve ever shared.

After being pregnant during a pandemic, being secluded from my support network of family, friends, and church, adding a teenager back into our home, deteriorating physically to the point of being in a wheelchair again, my husband temporarily being on furlough due to said pandemic, our landlord raising our rent a significant amount during the pandemic, trauma parenting an adult and toddler in the system, giving birth during a pandemic, experiencing the worst PPD and PPA of my life, all while attending multiple phone meetings with our girls’ support team, advocating, saying goodbye to the baby I had raised for 13 months and her mama that I raised for 5 months, and trying desperately to find a place to move since we can not afford the rent increase here, but finding nothing so just spending hours looking and packing… I. Am. Exhausted.

If I hated postpartum in the past, I have hated it all the more so this time. 

As I was in the hospital being induced unexpectedly due to my baby girl having extreme decelerations during a non stress test, I thought “I don’t love being induced, but I could do it again.” As I had yet another failed epidural, I thought, “it sucks that my body hates epidurals, but I could do this again.” As I passed the 18 hour mark of my induction and still hadn’t progressed, I thought “I hate that my body still doesn’t know how to labor after 6 pregnancies, but I could do this again.” During transition on 12 units of pitocin as I went from 4 centimeters to 10 in an hour, as I was breathing through contractions, I thought, “I forgot how intense transition is and how much this hurts… but I would definitely do this again.” As I pushed out my tiniest baby ever, I thought “that was easy, I could totally do this again.” And then moments after she was in my arms, and I was being given shots to prevent another life threatening postpartum hemorrhage, and I was being cleaned up, diapered, and moved and poked and prodded, and the postpartum contractions started up, and I was shaky and weak, I thought “I hate this so much, I would be happy if I never, ever, had to do this part ever again.” And that feeling has stuck with me every, single day since I gave birth 2 months ago. 

I hated postpartum with every nursing cramp  that sent me into a dizzying pain (these get worse with every baby). I hated postpartum coming home to a house full of unrest, trauma, anger, and too many emotions outside of my own. I hated postpartum every trip to the bathroom as my body poured blood for 5 weeks. I hated postpartum as I tried to get back on my feet again physically. I hated postpartum hormones as anxiety crippled my body completely. I hated postpartum hormones as I went into a dark tunnel of depression and nothingness. I hated postpartum as I struggled to bond with my baby because I needed to be available to an entire team of people supporting our girls as they readied to transition and reunify, and I couldn’t connect with my own child. I hated postpartum hormones as they made saying goodbye to our girls so much more intense than I thought possible and as I felt totally conflicted from one moment to the next about how I felt regarding that goodbye. I’ve hated postpartum for making the process of trying to find a place to move to during a pandemic that much more frustrating. 

I’m not sharing these things for sympathy or a pat on the back. I hate nothing more than friends, family, and therapists giving me a sad “there there” look with a outstretched lower lip. I don’t want pats on the back for making it through a tough time, I don’t want people saying “it’ll get better”. I am not sharing this because I’m triumphant on the other side and have some great wisdom to impart to you wrapped in flowery paper with a bow on top. I am sharing this because I’ve talked a lot of moms through PPA and PPD, and I gave them all the right answers, but having never been in it this deep, those were just nice words. I’m sharing because in case you’re going through this right now, I’m going through it too, so you don’t have to feel alone. If you’re feeling like your anxiety is a pool of battery acid eating you up from the outside in, then I want you to know I am feeling that too. That when the laughter of your children physically hurts your ears and makes your skin burn because you cannot handle any more sensory input, I have felt that way, too. And if you can’t stop crying for no particular reason, I am feeling that way, too. When you are staring into space and your partner cannot reach you because it feels better to shut down than to feel anything, you aren’t alone, because I’m there too. When you have a fuse so short that you explode over someone leaving their toys on the floor and have to retreat to your room to calm down, I want you to know it’s not just you. When you are smelling your baby’s head, doing skin to skin, nursing, staring into their eyes and all you see is a random baby, but not your baby, remember others have felt this, too, because I have. When you’re used to being the caregiver and fixing everyone else’s problems, but you can’t even get out of bed, you aren’t the first. If dialing the number for behavioral health feels like a 20 foot wave is barreling you over, keep dialing even if it feels like you’re the first person to fail this hard, you aren’t the first to feel that, and you certainly aren’t a failure. Because that was me, and I felt scared and like a failure, too. 

Your postpartum experience is different from mine, because it’s your own. It’s your story. It’s your struggle. Mine struggles aren’t bigger or more important. Yours aren’t less important because you have less kids or different responsibilities. We may have differences in the exact details, but I need you to know that you have other mothers who have walked this road before you, are walking it alongside you, and others will follow behind you. I need you and I to remember that this is temporary, even when it doesn’t feel like it. That it’s okay to get help. It’s okay to talk to someone. It’s okay to take meds if you need them. It’s okay to be vulnerable to a therapist. It’s okay to tell others that you aren’t okay, because maybe they aren’t okay either. 

So for now, reach out to the ones ahead of you, hug the ones alongside you, and once you’re out of it, help the ones behind you.

Supporting Your Postpartum Spouse

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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